Sarı Nihal, Tonkaz Gülsüm Yitik, Arslan Şeyda
Giresun University Faculty of Medicine, Department of Dermatology and Venereology, Giresun, Turkey.
Giresun University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Giresun, Turkey.
Dermatol Pract Concept. 2025 Apr 1;15(2):4979. doi: 10.5826/dpc.1502a4979.
Scabies is a contagious, infectious skin disease that is observed worldwide. Scabies affects individuals of all ages, although it exhibits significant differences between childhood and adulthood. While the number of publications documenting the co-occurrence of anxiety, depression, and impaired quality of life (QoL) in adult patients with scabies is increasing, the presence of these issues in pediatric patients remains a topic of curiosity.
In this study, we aimed to investigate the presence of sleep disorders, QoL, anxiety, and depression in children with scabies.
In this analytical case-control study, 68 scabies patients and 69 healthy controls aged 6-17 years were included.
In patients with scabies, sleep quality was significantly poorer compared to the control group (P<0.001). There was no difference between the two groups in terms of RCADS (Revised Children's Anxiety and Depression Scale) and total anxiety and depression scores. In the control group, the number of individuals with upper and upper-middle socioeconomic levels was higher (P=0.036). A moderate correlation was found between impairment in dermatology-related QoL and deterioration in sleep quality in patients with scabies (r=0.606, P<0.001).
This study found that sleep disorders are common among children diagnosed with scabies, negatively impacting their QoL compared to healthy controls. We believe that obtaining information about both night and day sleep patterns during dermatological follow-ups of children diagnosed with scabies and providing recommendations on sleep hygiene as part of the treatment process may have positive effects on a child's QoL.
疥疮是一种在全球范围内都有发现的传染性皮肤病。疥疮可影响所有年龄段的人，不过在儿童期和成年期表现出显著差异。虽然记录成年疥疮患者同时存在焦虑、抑郁和生活质量受损情况的出版物数量在增加，但这些问题在儿科患者中的存在仍是一个令人好奇的话题。
在本研究中，我们旨在调查疥疮患儿中睡眠障碍、生活质量、焦虑和抑郁的情况。
在这项分析性病例对照研究中，纳入了68名6至17岁的疥疮患者和69名健康对照者。
与对照组相比，疥疮患者的睡眠质量明显较差（P<0.001）。两组在修订儿童焦虑抑郁量表（RCADS）以及焦虑和抑郁总分方面没有差异。在对照组中，社会经济水平处于中上等的个体数量更多（P=0.036）。发现疥疮患者皮肤病相关生活质量受损与睡眠质量恶化之间存在中度相关性（r=0.606，P<0.001）。
本研究发现，被诊断为疥疮的儿童中睡眠障碍很常见，与健康对照相比，这对他们的生活质量有负面影响。我们认为，在对被诊断为疥疮的儿童进行皮肤科随访期间获取有关昼夜睡眠模式的信息，并在治疗过程中提供睡眠卫生方面的建议，可能会对儿童的生活质量产生积极影响。
