The relationship between atopic dermatitis and atopic itch in children and the psychosocial functioning of their mothers: A cross-sectional study
Open accessAbstract
Atopic dermatitis is a chronic inflammatory skin disease significantly affecting patients' and their parents' lives. Mothers are mostly responsible for the long-term treatment and their wellbeing is essential. The major objective of this cross-sectional study was to investigate the relationship between atopic dermatitis in children, especially concomitant itch, and the quality of life, stress, sleep quality, anxiety, and depression of their mothers. The study included 88 mothers of children with atopic dermatitis and 52 mothers of children without atopic dermatitis. All mothers completed sociodemographic questionnaire, the Perceived Stress Scale, the Athens Insomnia Scale and the Hospital Anxiety and Depression Scale. Additionally, mothers of children with atopic dermatitis filled in the Family Dermatology Life Quality Index. The severity of atopic dermatitis and pruritus intensity were evaluated by the Scoring Atopic Dermatitis Index and the Numerical Rating Scale, respectively. The severity of atopic dermatitis and itch significantly correlated with the quality of life, insomnia, and perceived stress of the mothers. Mothers whose children had had atopic dermatitis for more than 6 months had significantly higher scores of anxiety and depression. The results highlight the importance of screening mothers for functional impairment to provide adequate support. More attention should be directed to the standardization of stepped care interventions addressing factors resulting in the impaired functioning of mothers.
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Extant evidence indicates a positive association between the severity of eczema symptoms in children and symptoms of depression and anxiety in their parents.
“Extant evidence indicates a positive association between the severity of eczema symptoms in children and adverse mental health consequences in their parents, such as symptoms of depression and anxiety [15,16], feelings of helplessness [17], and heightened levels of worry, exhaustion, and stress [18,19].”
From Roles of Parental Psychological Flexibility, Self-Compassion, and Self-Efficacy in Affecting Mental Health and Quality of Life in Parents of Children with Eczema (2023) · cites this paper as [15]
The Results report that mothers of children with atopic dermatitis had more anxiety and depression symptoms than controls, but explicitly state that children's disease severity did not correlate with mothers' anxiety or depression scores. The claimed positive association with symptom severity is therefore contrary to this study's finding. (LLM, conf=0.93)
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- Authors
- Kobusiewicz, A. K., Tarkowski, B., Kaszuba, A., Lesiak, A., Narbutt, J., & Zalewska-Janowska, A.
- Affiliations
- Medical University of Lodz (PL)
- Corresponding author
- Kobusiewicz, Aleksandra K.
- Venue
- Frontiers in Medicine
- Publisher
- Frontiers Media SA
- Published
- 2023-02-16
- Volume
- 10
- Pages
- 1066495-1066495
- ISSN
- 2296-858X (ISSN-L)
- PMC
- PMC9978477
- OpenAlex
- W4321088893
- Cited by
- 20
- References
- 43
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 4
- FWCI
- 5.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Uniwersytet Medyczny w Lodzi (503-11-001-19-00, 503-51-001-19-00)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- atopic dermatitis, pruritus, quality of life, perceived stress, insomnia, anxiety, depression, sleep quality, disease duration, stepped care
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