Division of Dermatology, Albert Einstein School of Medicine, Bronx, New York, USA.
Dermatol Online J. 2023 Apr 15;29(2). doi: 10.5070/D329260765.
Children and adolescents with chronic cutaneous conditions are at risk of experiencing adverse psychosocial effects such as anxiety, depression, and loneliness. The well-being of these children's families may also be impacted by their child's condition. It is important for the quality of life of patients and their families to better understand the psychosocial impact caused by pediatric dermatologic conditions and interventions that help mitigate these effects. This review summarizes the psychological impact of the common pediatric dermatological disorders, vitiligo, psoriasis, and alopecia areata, on children and their caregivers. Studies examining quality of life, psychiatric conditions, and other measures of psychosocial impact in children and caregivers, as well as those evaluating the effectiveness of interventions aimed at addressing psychosocial effects, were included. This review highlights the increased risk that children with these conditions have in experiencing adverse psychosocial effects including quality of life impairment, psychological pathology, and social stigmatization. In addition, the specific risk factors within this population that are associated with increased negative effect such as age and severity of disease are discussed. This review demonstrates a need for increased support of these patients and their families and additional research on the effectiveness of current interventions.
患有慢性皮肤病的儿童和青少年有出现焦虑、抑郁和孤独等不良心理社会影响的风险。这些孩子的家庭的幸福也可能受到孩子病情的影响。了解儿科皮肤病和干预措施对减轻这些影响所引起的心理社会影响，对于提高患者及其家属的生活质量至关重要。这篇综述总结了常见儿科皮肤病（白癜风、银屑病和斑秃）对儿童及其照顾者的心理影响。纳入了研究儿童和照顾者生活质量、精神疾病和其他心理社会影响衡量标准的研究，以及评估旨在解决心理社会影响的干预措施的有效性的研究。这篇综述强调了这些疾病的儿童有更高的风险经历不良心理社会影响，包括生活质量受损、心理病理和社会污名化。此外，还讨论了与该人群中与负面效应增加相关的特定风险因素，如年龄和疾病严重程度。这篇综述表明需要增加对这些患者及其家庭的支持，并对现有干预措施的有效性进行更多的研究。
