Moore K, David T J, Murray C S, Child F, Arkwright P D
Academic Unit of Child Health, University of Manchester, UK.
Br J Dermatol. 2006 Mar;154(3):514-8. doi: 10.1111/j.1365-2133.2005.07082.x.
The psychological impact of childhood atopic eczema on parents and carers is poorly quantified. Objectives To compare the impact of caring for a child with atopic eczema vs. asthma on parents' sleep and well-being.
Ninety-two parents of 55 children who had moderate to severe atopic eczema or asthma took part in this prospective, questionnaire-based study. It was conducted at regional eczema and asthma outpatient clinics within a U.K. tertiary paediatric hospital. The main outcome measures were the number and duration of parents' sleep disturbances, as well as their anxiety and depression scores.
Mothers caring for children with atopic eczema lost a median of 39 min of sleep per night and fathers lost 45 min sleep per night. This compared with a median of 0 min sleep lost by parents who had children with asthma (P < 0.001). These differences were independent of the age of the children, and whether the child came from a single-parent or two-parent family. There was a direct correlation between the severity of sleep disturbance and the level of maternal anxiety (rho = 0.58; P = 0.002) and depression (rho = 0.73; P < 0.001), as well as the level of paternal anxiety (rho = 0.59; P = 0.01).
Compared with looking after a child with chronic asthma, caring for a child with chronic atopic eczema was associated with greater parental sleep disturbances. Disruption to parental sleep correlated with anxiety levels and, in the case of mothers, depression scores.
儿童特应性皮炎对父母及照料者的心理影响尚未得到充分量化。目的：比较照料患有特应性皮炎的儿童与照料患有哮喘的儿童对父母睡眠及幸福感的影响。
55名患有中度至重度特应性皮炎或哮喘的儿童的92位父母参与了这项基于问卷的前瞻性研究。研究在英国一家三级儿科医院的地区湿疹和哮喘门诊进行。主要观察指标为父母睡眠障碍的次数和持续时间，以及他们的焦虑和抑郁评分。
照料患有特应性皮炎儿童的母亲每晚平均少睡39分钟，父亲每晚平均少睡45分钟。相比之下，照料患有哮喘儿童的父母平均少睡0分钟（P < 0.001）。这些差异与孩子的年龄以及孩子来自单亲家庭还是双亲家庭无关。睡眠障碍的严重程度与母亲的焦虑水平（相关系数 = 0.58；P = 0.002）、抑郁水平（相关系数 = 0.73；P < 0.001）以及父亲的焦虑水平（相关系数 = 0.59；P = 0.01）直接相关。
与照料患有慢性哮喘的儿童相比，照料患有慢性特应性皮炎的儿童会使父母睡眠受到更大干扰。父母睡眠受到干扰与焦虑水平相关，对母亲而言，还与抑郁评分相关。
