دورية أكاديمية
Behavioral disorders in children and adolescents with atopic dermatitis.
| العنوان: | Behavioral disorders in children and adolescents with atopic dermatitis. |
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| المؤلفون: | Moraes MM; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Programa de Pós-Graduação em Pediatria e Ciências Aplicadas à Pediatria, São Paulo, SP, Brazil., Vaz FPC; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Programa de Pós-Graduação em Pediatria e Ciências Aplicadas à Pediatria, São Paulo, SP, Brazil., Roque RMSDA; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil., Mallozi MC; Faculdade de Medicina do ABC (FMABC), Divisão de Pediatria, São Paulo, SP, Brazil; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Divisão de Pediatria, Ambulatório de Alergia e Imunologia do Departamento de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Brazil., Solé D; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Departamento de Pediatria, Divisão de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Brazil., Wandalsen GF; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Departamento de Pediatria, Divisão de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Brazil. Electronic address: gfwandalsen@uol.com.br. |
| المصدر: | Jornal de pediatria [J Pediatr (Rio J)] 2024 Jan-Feb; Vol. 100 (1), pp. 93-99. Date of Electronic Publication: 2023 Sep 29. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Editora Ltda Country of Publication: Brazil NLM ID: 2985188R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1678-4782 (Electronic) Linking ISSN: 00217557 NLM ISO Abbreviation: J Pediatr (Rio J) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Rio de Janeiro, Brazil : Elsevier Editora Ltda Original Publication: Rio de Janeiro. |
| مواضيع طبية MeSH: | Dermatitis, Atopic*/epidemiology , Sleep Wake Disorders*/etiology , Sleep Wake Disorders*/complications , Problem Behavior*, Child ; Humans ; Male ; Adolescent ; Female ; Cross-Sectional Studies ; Anxiety/epidemiology ; Severity of Illness Index |
| مستخلص: | Objectives: To assess the prevalence and pattern of behavioral problems in children and adolescents with atopic dermatitis (AD) and to study their associations with clinical data and severity. Methods: This was a single-center, cross-sectional study of patients (6-17 years) with AD. Assessment of competencies and syndrome scale scores of behavioral problems was performed by applying the Child Behavior Checklist 6-18 (CBCL 6-18) and AD severity using the Eczema Area Severity Index (EASI) score. Results: Of the 100 patients with AD, 56% were male, with a mean age of 11±3 years, and 43% had moderate/severe AD. Borderline or abnormal values were found in 75% of the patients for total social competence, 57% for internalization, 27% for externalization, and 18% for aggressive behavior. A higher prevalence of aggressive behavior (27.9% vs. 10.5%; p = 0.02) and sleep disorders (32.6% vs. 15.8%; p = 0.04) was observed in patients with moderate/severe AD than in those with mild AD. Children with current or previous use of immunosuppressants/immunobiological tests had a lower frequency of normal social competence (53% vs. 83%, p = 0.012). Regarding the critical questions, 8% responded affirmatively to suicidal ideation. Conclusion: A high prevalence of behavioral problems was observed among children and adolescents with AD, with a predominance of internalizing profiles, mainly anxiety and depression. Children with moderate/severe AD have a higher prevalence of aggressive behaviors and sleep disorders. These findings highlight the importance of multidisciplinary teams, including mental health professionals, in caring for patients with AD. Competing Interests: Conflicts of interest The authors declare no conflicts of interest. (Copyright © 2023 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Atopic dermatitis; Child behavior disorder; Children's health |
| تواريخ الأحداث: | Date Created: 20231002 Date Completed: 20240108 Latest Revision: 20240416 |
| رمز التحديث: | 20240416 |
| مُعرف محوري في PubMed: | PMC10751689 |
| DOI: | 10.1016/j.jped.2023.08.006 |
| PMID: | 37783388 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1678-4782 |
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| DOI: | 10.1016/j.jped.2023.08.006 |