Kilic Nülüfer, Kilic Mehmet
Department of Psychiatry, Elazığ Fethi Sekin City Hospital, Elazig 23280, Turkey.
Division of Allergy and Immunology, Department of Pediatrics, Faculty of Medicine, University of Firat, Elazig 23119, Turkey.
Children (Basel). 2023 Aug 31;10(9):1487. doi: 10.3390/children10091487.
The purpose of the present research was to evaluate the quality of life of patients with atopic dermatitis (AD), and that of their mothers. We compared the anxiety and depression scores and caregiving burden of mothers of patients with AD with the same scores of mothers of healthy children.
A total of 153 patients between the ages of 2 months and 16 years with AD in our clinic, and their mothers, were contained in the patient group. An additional 141 healthy cases between the ages of 2 months and 16 years, and their mothers, were included as the control group. The Children's Dermatology Life Quality Index (CDLQI) was completed according to the children's opinions, and the Infant's Dermatitis Quality of Life Index (IDLQI), Family Dermatology Life Quality Index (FDLQI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire, and Zarit Caregiver Burden (ZCB) scale were completed based on the mothers' opinions.
We detected a positive relationship between the SCORAD index and the IDLQI, CDLQI, and FDLQI scores of children with AD. We found that anxiety, depression, and caregiving burden in mothers of AD cases increased when mothers of AD cases were compared with mothers of healthy children ( < 0.0001, < 0.0001, and < 0.002, respectively). Also, based on the mothers' responses, we noted a positive correlation among the BDI, BAI, ZCB, and SCORAD index scores.
Our study found that the quality of life of patients with AD, and that of their mothers, was negatively affected by the disease. We also found that anxiety, depression levels (not at the clinical diagnosis level, and the caregiving burden in mothers of AD cases increased when mothers of AD cases were compared with mothers of healthy children.
本研究旨在评估特应性皮炎(AD)患者及其母亲的生活质量。我们比较了AD患者母亲的焦虑和抑郁评分以及照顾负担与健康儿童母亲的相同评分。
患者组包括我院门诊153例年龄在2个月至16岁之间的AD患者及其母亲。另外141例年龄在2个月至16岁之间的健康病例及其母亲作为对照组。根据儿童的意见完成儿童皮肤病生活质量指数(CDLQI),并根据母亲的意见完成婴儿性皮炎生活质量指数(IDLQI)、家庭皮肤病生活质量指数(FDLQI)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)、孟菲斯、比萨、巴黎和圣地亚哥气质自评问卷以及扎里特照顾者负担(ZCB)量表。
我们发现AD患儿的SCORAD指数与IDLQI、CDLQI和FDLQI评分之间存在正相关关系。我们发现,与健康儿童的母亲相比,AD患儿母亲的焦虑、抑郁和照顾负担增加(分别为<0.0001、<0.0001和<0.002)。此外,根据母亲的回答,我们注意到BDI、BAI、ZCB和SCORAD指数评分之间存在正相关。
我们的研究发现,AD患者及其母亲的生活质量受到该疾病的负面影响。我们还发现,焦虑、抑郁水平(未达到临床诊断水平)以及AD患儿母亲的照顾负担在与健康儿童的母亲相比时增加。