Aldosari Batal M, Shadid Asem M, Alekrish Khalid A, Alreshidi Ibrahim G, Alturki Abdulaziz Yousef, Al Sulaiman Mohammed A, Sheikh Afaf Al
Department of Dermatology, King Saud Medical City, Saudi Arabia.
Department of Dermatology, King Fahad Medical City, Saudi Arabia.
Saudi J Med Med Sci. 2023 Apr-Jun;11(2):157-161. doi: 10.4103/sjmms.sjmms_460_21. Epub 2023 Apr 12.
Atopic dermatitis (AD) negatively affects the quality of life (QoL). However, few studies from Saudi Arabia have assessed the effect AD has on the QoL of pediatric patients.
To determine the psychological impact of AD on pediatric Saudi patients using the Children's Dermatology Life Quality Index (CDLQI).
This cross-sectional was conducted across five tertiary hospitals located across five cities of Saudi Arabia from December 2018 to December 2019. The study included all Saudi patients aged 5-16 years who were diagnosed with AD for at least 6 months prior to visiting the dermatology clinic of the included hospitals. The quality of life in children with AD was assessed using the Arabic version of the CDLQI.
A total of 476 patients were included, of which 67.4% were boys. AD had a very large and extremely large effect on the QoL in 17.4% and 11.3% of the patients, respectively; the QoL of only 5.7% of the patients was not impacted due to AD. The average CDLQI score was not significantly different between males and females (9.7 vs. 9.1, respectively; = 0.4255). Domains related to symptoms and emotions were affected to a greater extent compared with the remaining domains, while the school domain was the least affected. The correlation between age and CDLQI ( = 0.04, = 0.52) and between the duration of the disease and CDLQI ( = 0.062, = 0.18) was not significant.
This study found that AD affects the QoL of a significant proportion of the Saudi pediatric patients, thereby highlighting the need to consider QoL as a measure of treatment success.
特应性皮炎（AD）对生活质量（QoL）有负面影响。然而，沙特阿拉伯的相关研究较少评估AD对儿科患者生活质量的影响。
使用儿童皮肤病生活质量指数（CDLQI）确定AD对沙特儿科患者的心理影响。
本横断面研究于2018年12月至2019年12月在沙特阿拉伯五个城市的五家三级医院开展。该研究纳入了所有年龄在5至16岁、在就诊于纳入医院皮肤科门诊前已被诊断为AD至少6个月的沙特患者。使用CDLQI阿拉伯语版本评估AD患儿的生活质量。
共纳入476例患者，其中67.4%为男孩。AD分别对17.4%和11.3%的患者的生活质量有非常大及极其大的影响；仅5.7%的患者生活质量未受AD影响。男性和女性的平均CDLQI评分无显著差异（分别为9.7和9.1；P = 0.4255）。与症状和情绪相关的领域相比其余领域受影响程度更大，而学校领域受影响最小。年龄与CDLQI之间（P = 0.04，r = 0.52）以及疾病持续时间与CDLQI之间（P = 0.062，r = 0.18）的相关性不显著。
本研究发现AD影响了很大比例的沙特儿科患者的生活质量，从而突出了将生活质量作为治疗成功衡量指标的必要性。
