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Atopik Dermatit Tanısı Olan Çocukların ve Annelerinin Dermatolojik Yaşam Kalitesinin Değerlendirilmesi

Year 2024, Volume: 16 Issue: 3, 55 - 59, 31.12.2024
https://doi.org/10.35514/mtd.2024.112

Abstract

Amaç: Bu çalışmada atopik dermatitli çocukların ve annelerinin dermatolojik yaşam kalitelerinin değerlendirilmesi amaçlanmıştır.
Materyal-Metotlar: Kesitsel tipteki bu çalışmaya atopik dermatit tanısı olan 38 çocuk ve anneleri dahil edildi. Atopik dermatitin klinik şiddeti SCORAD indeksi ile sınıflandırıldı. Çocukların dermatolojik yaşam kalitesini değerlendirmek için “Çocuk Dermatoloji Yaşam Kalitesi İndeksi (CDLQI)” anketi anneler tarafından dolduruldu. Ayrıca anneye “Dermatoloji Yaşam Kalitesi İndeksi (DLQI)” uygulandı. Dermatolojik yaşam kalitesinin yanı sıra çocukların yaşı, cinsiyeti, laboratuvar değerleri, annelerin yaşı da incelendi. P<0.05 istatistiksel anlamlılık düzeyi olarak kabul edildi.
Bulgular: Atopik dermatitli 38 çocuğun 15'i (%39.5) kız, 23'ü (%60.5) erkekti. Çocukların ve annelerin ortanca yaşları sırasıyla 7.0 yıl (5.0-16.0) ve 38.0 yıl (26.0-52.0) idi. Çocukların %52,6'sında orta derecede atopik dermatit vardı. CDLQI ve DLQI medyan skorları sırasıyla 12.0 (1.0-29.0) ve 15.0 (1.0-27.0) idi. Orta/şiddetli atopik dermatitte CDLQI medyan skoru anlamlı derecede yüksekti (p<0.001). Çoklu alerjen duyarlılığı ve cinsiyetin CDLQI skorları üzerinde anlamlı bir etkisi yoktu (p>0.05).
Sonuç: Orta-şiddetli atopik dermatiti olan çocukların dermatolojik yaşam kalitesi daha fazla bozulmuştur. Hastalığın klinik kontrolü ile dermatolojik yaşam kalitesi de artırılabilir.

References

  • 1.Nutten S. Atopic dermatitis: global epidemiology and risk factors. Ann Nutr Metab. 2015;66 Suppl 1:8-16.
  • 2.Nwaru BI, Hickstein L, Panesar SS, Roberts G, Muraro A, Sheikh A, et al. Prevalence of common food allergies in Europe: a systematic review and meta-analysis. Allergy. 2014;69(8):992-1007.
  • 3.Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D, et al. Food allergy: a practice parameter update-2014. J Allergy Clin Immunol. 2014;134(5):1016-1025 e43.
  • 4.Dharma C, Lefebvre DL, Tran MM, Lou WYW, Subbarao P, Becker AB, et al. Patterns of allergic sensitization and atopic dermatitis from 1 to 3 years: Effects on allergic diseases. Clin Exp Allergy. 2018;48(1):48-59.
  • 5.Hill DA, Spergel JM. The atopic march: Critical evidence and clinical relevance. Ann Allergy Asthma Immunol. 2018;120(2):131-137.
  • 6.Na CH, Chung J, Simpson EL. Quality of life and disease impact of atopic dermatitis and psoriasis on children and their families. Children (Basel). 2019;6(12):133.
  • 7.Baik H, Choi S, An M, Jin H, Kang I, Yoon W, et al. Effect of therapeutic gardening program in urban gardens on the mental health of children and their caregivers with atopic dermatitis. Healthcare (Basel). 2024;12(9):919.
  • 8.Koblenzer CS. Stress and the skin: significance of emotional factors in dermatology. Stress medicine. 1988;4(1):21-216.
  • 9.Mento C, Rizzo A, Muscatello MR, Zoccali RA, Bruno A. Negative emotions in skin disorders: a systematic review. International Journal of Psychological Research. 2020; 13(1):71-86.
  • 10.Balcı DD, Sözeri Ö, İnandı T. Cross validation of the Turkish version of children’s dermatology life quality index. J Turk Acad Dermatol. 2007;1(4): 71402a.
  • 11.Ozturkcan S, Ermertcan AT, Eser E, Sahin MT. Cross validation of the Turkish version of dermatology life quality index. Int J Dermatol. 2006;45(11):1300-1307.
  • 12.Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(3):210-216.
  • 13.Lewis-Jones MS, Finlay AY. The Children’s Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol. 1995;132(6):942-949.
  • 14.Kunz B, Oranje AP, Labreze L, Stalder JF, Ring J, Taieb A. Clinical validation and guidelines for the SCORAD index: consensus report of the European Task Force on Atopic Dermatitis. Dermatology. 1997;195(1):10-19.
  • 15.Didsbury MS, Kim S, Medway MM, Tong A, McTaggart SJ, Walker AM, et al. Socio-economic status and quality of life in children with chronic disease: a systematic review. J Paediatr Child Health. 2016;52(12):1062-1069.
  • 16.Paller A, Jaworski JC, Simpson EL, Boguniewicz M, Russell JJ, Block JK, et al. Major comorbidities of atopic dermatitis: beyond allergic disorders. Am J Clin Dermatol. 2018;19(6):821-838.
  • 17.Xu X, van Galen LS, Koh MJA, Bajpai R, Thng S, Yew YW, et al. Factors influencing quality of life in children with atopic dermatitis and their caregivers: a cross-sectional study. Sci Rep. 2019;9(1):15990.
  • 18.Toledano-Toledano F, Moral de la Rubia J, Nabors LA, Domínguez-Guedea MT, Salinas Escudero G, Rocha Perez E, et al. Predictors of quality of life among parents of children with chronic diseases: a cross-sectional study. Healthcare (Basel). 2020;8(4):456.
  • 19.Çömlek FÖ, Toprak A, Nursoy MA. Assessment of dermatological quality of life in patients with childhood atopic dermatitis and their families. Turk Pediatri Ars. 2020;55(3):270-276.
  • 20.Marciniak J, Reich A, Szepietowski JC. Quality of life of parents of children with atopic dermatitis. Acta Derm Venereol. 2017;97(6):691-696.
  • 21.Coutanceau C, Stalder JF. Analysis of correlations between patient-oriented SCORAD (PO-SCORAD) and other assessment scores of atopic dermatitis severity and quality of life. Dermatology. 2014;229(3):248-255.
  • 22.Antolín-Amérigo D, Manso L, Caminati M, de la Hoz Caballer B, Cerecedo I, Muriel A, et al. Quality of life in patients with food allergy. Clin Mol Allergy. 2016;14(1):1-10.

Evaluation of the Dermatological Quality of Life of Children Diagnosed with Atopic Dermatitis and Their Mothers

Year 2024, Volume: 16 Issue: 3, 55 - 59, 31.12.2024
https://doi.org/10.35514/mtd.2024.112

Abstract

Aim: This study aimed to evaluate the dermatologic quality of life of children with atopic dermatitis and their mothers.
Material and Methods: 38 children with the diagnosis of atopic dermatitis and their mothers were included in this cross sectional type of study. The clinical severity of atopic dermatitis was classified with the SCORAD index. The questionnaire “The Children's Dermatology Life Quality Index (CDLQI)” was filled by the mothers to evaluate the dermatological quality of life of the children. In addition, the “Dermatology Life Quality Index (DLQI)” was applied to the mother. The age, gender, laboratory values of the children, mothers' age were examined in addition to dermatologic life quality. P<0.05 was accepted as statistical significance level.
Results: Fifteen (39.5%) of 38 children with atopic dermatitis were girls and 23 (60.5%) were boys. The median age of children and mothers were 7.0 years (5.0-16.0) and 38.0 years (26.0-52.0), respectively. Of the children 52.6% had moderate atopic dermatitis. The median scores of CDLQI and DLQI were 12.0 (1.0-29.0), 15.0 (1.0-27.0), respectively. The median score of CDLQI with moderate/severe atopic dermatitis was significantly higher (p <0.001). Multiple allergen sensitivity and gender had no significant effect on CDLQI scores (p>0.05).
Conclusion: The dermatological quality of life of children with moderate-severe atopic dermatitis impaired more. With the clinical control of the disease, the dermatological quality of life could also be increased.

References

  • 1.Nutten S. Atopic dermatitis: global epidemiology and risk factors. Ann Nutr Metab. 2015;66 Suppl 1:8-16.
  • 2.Nwaru BI, Hickstein L, Panesar SS, Roberts G, Muraro A, Sheikh A, et al. Prevalence of common food allergies in Europe: a systematic review and meta-analysis. Allergy. 2014;69(8):992-1007.
  • 3.Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D, et al. Food allergy: a practice parameter update-2014. J Allergy Clin Immunol. 2014;134(5):1016-1025 e43.
  • 4.Dharma C, Lefebvre DL, Tran MM, Lou WYW, Subbarao P, Becker AB, et al. Patterns of allergic sensitization and atopic dermatitis from 1 to 3 years: Effects on allergic diseases. Clin Exp Allergy. 2018;48(1):48-59.
  • 5.Hill DA, Spergel JM. The atopic march: Critical evidence and clinical relevance. Ann Allergy Asthma Immunol. 2018;120(2):131-137.
  • 6.Na CH, Chung J, Simpson EL. Quality of life and disease impact of atopic dermatitis and psoriasis on children and their families. Children (Basel). 2019;6(12):133.
  • 7.Baik H, Choi S, An M, Jin H, Kang I, Yoon W, et al. Effect of therapeutic gardening program in urban gardens on the mental health of children and their caregivers with atopic dermatitis. Healthcare (Basel). 2024;12(9):919.
  • 8.Koblenzer CS. Stress and the skin: significance of emotional factors in dermatology. Stress medicine. 1988;4(1):21-216.
  • 9.Mento C, Rizzo A, Muscatello MR, Zoccali RA, Bruno A. Negative emotions in skin disorders: a systematic review. International Journal of Psychological Research. 2020; 13(1):71-86.
  • 10.Balcı DD, Sözeri Ö, İnandı T. Cross validation of the Turkish version of children’s dermatology life quality index. J Turk Acad Dermatol. 2007;1(4): 71402a.
  • 11.Ozturkcan S, Ermertcan AT, Eser E, Sahin MT. Cross validation of the Turkish version of dermatology life quality index. Int J Dermatol. 2006;45(11):1300-1307.
  • 12.Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(3):210-216.
  • 13.Lewis-Jones MS, Finlay AY. The Children’s Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol. 1995;132(6):942-949.
  • 14.Kunz B, Oranje AP, Labreze L, Stalder JF, Ring J, Taieb A. Clinical validation and guidelines for the SCORAD index: consensus report of the European Task Force on Atopic Dermatitis. Dermatology. 1997;195(1):10-19.
  • 15.Didsbury MS, Kim S, Medway MM, Tong A, McTaggart SJ, Walker AM, et al. Socio-economic status and quality of life in children with chronic disease: a systematic review. J Paediatr Child Health. 2016;52(12):1062-1069.
  • 16.Paller A, Jaworski JC, Simpson EL, Boguniewicz M, Russell JJ, Block JK, et al. Major comorbidities of atopic dermatitis: beyond allergic disorders. Am J Clin Dermatol. 2018;19(6):821-838.
  • 17.Xu X, van Galen LS, Koh MJA, Bajpai R, Thng S, Yew YW, et al. Factors influencing quality of life in children with atopic dermatitis and their caregivers: a cross-sectional study. Sci Rep. 2019;9(1):15990.
  • 18.Toledano-Toledano F, Moral de la Rubia J, Nabors LA, Domínguez-Guedea MT, Salinas Escudero G, Rocha Perez E, et al. Predictors of quality of life among parents of children with chronic diseases: a cross-sectional study. Healthcare (Basel). 2020;8(4):456.
  • 19.Çömlek FÖ, Toprak A, Nursoy MA. Assessment of dermatological quality of life in patients with childhood atopic dermatitis and their families. Turk Pediatri Ars. 2020;55(3):270-276.
  • 20.Marciniak J, Reich A, Szepietowski JC. Quality of life of parents of children with atopic dermatitis. Acta Derm Venereol. 2017;97(6):691-696.
  • 21.Coutanceau C, Stalder JF. Analysis of correlations between patient-oriented SCORAD (PO-SCORAD) and other assessment scores of atopic dermatitis severity and quality of life. Dermatology. 2014;229(3):248-255.
  • 22.Antolín-Amérigo D, Manso L, Caminati M, de la Hoz Caballer B, Cerecedo I, Muriel A, et al. Quality of life in patients with food allergy. Clin Mol Allergy. 2016;14(1):1-10.
There are 22 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Article
Authors

Zeynep Meva Altaş 0000-0003-0475-8946

Ugur Altas 0000-0001-5871-2033

Mehmet Yaşar Özkars 0000-0003-1290-8318

Publication Date December 31, 2024
Submission Date August 31, 2024
Acceptance Date December 25, 2024
Published in Issue Year 2024 Volume: 16 Issue: 3

Cite

Vancouver Altaş ZM, Altas U, Özkars MY. Evaluation of the Dermatological Quality of Life of Children Diagnosed with Atopic Dermatitis and Their Mothers. Maltepe tıp derg. 2024;16(3):55-9.