The price of pruritus - Sleep disturbance and cosleeping in atopic dermatitis
The price of pruritus - Sleep disturbance and cosleeping in atopic dermatitis
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DOI：
10.1001/archpedi.159.8.745
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发表时间：
2005-08-01
影响因子：
--
通讯作者：
Chren, MM
中科院分区：
文献类型：
--
作者：
Chamlin, SL;Mattson, CL;Chren, MM
背景：特应性皮炎是一种常见的皮肤病，通常始于婴儿期。特应性皮炎儿童的睡眠障碍可能是由于瘙痒和抓挠造成的，不仅影响到患有特应性皮炎的儿童，还可能影响到整个家庭。特应性皮炎患儿及其家属的睡眠特征尚未得到深入研究。目的：了解特应性皮炎患儿的睡眠障碍和共眠情况，探讨睡眠特征与疾病特征之间的关系。设计和方法：300名患有特应性皮炎的儿童的父母回答了关于他们孩子和家庭睡眠特征的4个问题，这些儿童的年龄从出生到6岁不等。分析确定了报告的睡眠障碍和余眠的发生率，以及它们与患者的特征和疾病严重程度的关系。结果：特应性皮炎引起的睡眠障碍很常见；大多数父母(60%)报告皮炎影响他们或他们孩子的睡眠质量。30%的家庭报告说因为皮肤问题而睡着了，这些父母中的大多数(66%)都受到了睡着的困扰。睡眠障碍和共眠与特应性皮炎的严重程度以及父母报告特应性皮炎影响孩子和家庭幸福的程度直接相关。结论：特应性皮炎儿童的睡眠障碍比儿童总体报告中更常见。这些结果显示了一种非常常见的儿童状况的重要后遗症，需要进一步研究和制定干预策略。
Background: Atopic dermatitis is a common skin disorder that most often begins in infancy. Sleep disturbances in children with atopic dermatitis are likely due to itching and scratching and not only impact the afflicted child but may also affect the entire family. Sleep characteristics in young children with atopic dermatitis and their families have not been thoroughly investigated.Objective: To evaluate sleep disturbance and cosleeping in young children with atopic dermatitis and evaluate the association between sleep characteristics and features of the disease. Design and Methods: Parents of 300 children ranging in age from birth to 6 years with atopic dermatitis responded to 4 questions about sleep characteristics of their child and family. Analyses determined the prevalence of reported sleep disturbance and cosleeping, and their association with features of the patients and disease severity.Results: Sleep disturbance attributed to atopic dermatitis was common; most parents (> 60%) reported that the dermatitis affected how well they or their child slept. Cosleeping because of the skin condition was reported by 30% of families, and most of these parents (66%) were bothered by the cosleeping. Sleep disturbance and cosleeping were directly associated with severity of atopic dermatitis and with the degree to which parents reported that the atopic dermatitis affected the child and family's happiness.Conclusions: Sleep disturbances were more common in children with atopic dermatitis than have been reported in children overall. These results demonstrate important sequelae of a very common childhood condition that warrant further investigation and the development of intervention strategies.