Niebel G, Kallweit C, Lange I, Fölster-Holst R
Institut für Psychologie, Universität Kiel.
Hautarzt. 2000 Jun;51(6):401-11. doi: 10.1007/s001050051141.
Psychological problems in children and parents related to children's atopic eczema (AE) may impede the success of treatment. We studied the question, if behavior-based parental education in groups (DPE) or standardized video-education (VPE) could enhance dermatological treatment effects and reduce skin-damaging behaviors in children and stress in their mothers.
PATIENTS/METHODS: 47 mothers attending the university outpatient-clinic for dermatology and their AE-children (mean age 4 years) participated in the study. 18 mothers underwent the DPE (10 sessions), 15 mothers worked with VPE at home. Dermatological standard treatment (CG; N = 14) served as control for a 16-weeks-evaluation-period.
AE-symptoms improved overall, but the effectiveness of the treatments differed significantly, improval with parent education and was best with VPE. Psychological problems of mothers were equally reduced with DPE and VPE.
It is suggested that VPE is a cost effective and less time consuming method for supporting dermatological therapy of AE in children.
儿童及家长与儿童特应性皮炎（AE）相关的心理问题可能会妨碍治疗的成功。我们研究了以下问题，即基于行为的家长小组教育（DPE）或标准化视频教育（VPE）是否能增强皮肤病治疗效果，并减少儿童的皮肤损伤行为以及其母亲的压力。
患者/方法：47名到大学皮肤科门诊就诊的母亲及其患AE的孩子（平均年龄4岁）参与了该研究。18名母亲接受了DPE（共10次课程），15名母亲在家中使用VPE。皮肤科标准治疗（CG；N = 14）作为对照，进行为期16周的评估期。
AE症状总体有所改善，但治疗效果差异显著，家长教育有改善作用，VPE效果最佳。DPE和VPE对母亲心理问题的缓解程度相同。
建议VPE是一种支持儿童AE皮肤病治疗的经济有效且耗时较少的方法。
