Evaluation of emotional and behavioral symptoms in children and adolescents with atopic dermatitis
Evaluation of emotional and behavioral symptoms in children and adolescents with atopic dermatitis
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DOI：
10.1590/s0101-81082005000300007
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发表时间：
2005-12-01
期刊：
影响因子：
--
通讯作者：
Pratti, Clarissa
中科院分区：
文献类型：
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作者：
Fontes Neto, Paulo T. L.;Weber, Magda B.;Pratti, Clarissa
摘要：特应性皮炎（AD）是一种慢性炎症性皮肤病，在患者的生活中反复发作，严重影响患者的生活质量。考虑到最近的研究描述了心理方面与特应性皮炎之间的联系，可以认为，寻找表现为AD的儿童可能的行为特征可能有助于开发特定的心理治疗干预措施，并将增加对该疾病的了解。方法：本研究旨在评价AD患儿与非AD患儿的社会行为特征。在这项病例对照研究中，包括两组年龄在4至18岁之间的儿童；研究组包括在阿雷格里港Clínicas医院（HCPA）接受治疗的特应性皮炎患者，对照组由在阿雷格里港公立学校就读的无AD的儿童和青少年组成。估计每组的样本量为25人。通过儿童行为清单（CBCL）完成数据收集，该清单在巴西被验证为Inventário de Comportamento da infincia e Adolescência。结果：在全球维度（内在化和外在化）上都显示了显著的统计差异。与没有这种疾病的儿童相比，患有阿尔茨海默病的儿童表现出更多与焦虑、抑郁、思想改变和攻击行为相关的症状。结论：研究结果强调了治疗儿童AD的跨学科方法的必要性，不仅包括皮肤病学方面，还包括疾病的情感方面。
INTRODUCTION: Atopic dermatitis (AD) is a chronic inflammatory skin disease that has a significant impact on the patients' quality of life due to recurrent episodes during their lives. Considering recent studies describing the association between psychological aspects and atopic dermatitis, it can be suggested that the search of a possible behavioral profile of children presenting AD may be of help in the development of specific psychotherapeutic interventions as well as it will increase knowledge on the disease. METHODOLOGY: This research aims at evaluating the social behavior profile of children with AD compared with others without the disease. In this case-control study, two groups aged 4 to 18 years old have been included; the study-group includes patients with atopic dermatitis who have been assisted at the Hospital de Clínicas de Porto Alegre (HCPA) and the control-group is composed of children and adolescents without AD enrolled at public schools in Porto Alegre. The estimated sample size was 25 individuals in each group. Data collection was accomplished with the Child Behavior Cheklist (CBCL), which was validated in Brazil as Inventário de Comportamento da Infância e Adolescência. RESULTS: Significant statistic differences were demonstrated in both global dimensions (internalizing and externalizing). Children with AD presented more symptoms related to anxiety, depression, thought alterations and aggressive behavior as compared to children without the disease. CONCLUSION: The results emphasize the need of interdisciplinary approaches in treating children with AD, comprising not only the dermatological but also the emotional aspects of the disease.