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Associations between Atopic Dermatitis and Behavior Difficulties in Children.

Inga Kisieliene¹, Beatrice Aukstuolyte², Antanas Mainelis³

¹Clinic of Infectious Diseases and Dermatovenereology, Vilnius University, 03225 Vilnius, Lithuania.

Medicina (Kaunas, Lithuania)

|March 28, 2024

Summary

Children with atopic dermatitis (AD) show increased behavioral difficulties (BDs) compared to healthy children. Severe AD is linked to more sleep disturbances and itching, but BDs are not associated with cortisol levels.

Keywords:

atopic dermatitis atopic eczema behavioral difficulties child behavior checklist pediatric

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Published on: December 7, 2018

Area of Science:

Pediatric Dermatology
Child Psychology
Behavioral Science

Background:

Atopic dermatitis (AD) is increasingly linked to behavioral difficulties (BDs) in children.
Limited research exists on how AD severity influences BDs and contributing factors.
Understanding these associations is crucial for comprehensive patient care.

Purpose of the Study:

To compare the types of BDs in children with AD versus healthy controls.
To identify additional factors contributing to BDs in pediatric AD patients.
To investigate the relationship between AD severity and BDs.

Main Methods:

A cross-sectional, prospective study involving 101 children (ages 6-17).
Utilized the Child Behavior Checklist (CBCL 6/18) for risk assessment of BDs.
Employed Wilcoxon-Mann-Whitney and Student's t-tests for statistical analysis (p < 0.05).

Main Results:

AD patients exhibited higher scores for internalizing behaviors, anxiety/depression, and somatic problems (p < 0.05).
Severe AD cases reported significantly more sleep disturbances and itching than mild-moderate AD (p < 0.001).
Lower morning serum cortisol levels were observed in AD patients compared to controls (p = 0.047).

Conclusions:

Children with AD face a higher risk of developing BDs.
Severe AD correlates with increased sleep disturbances and pruritus intensity.
BDs in AD patients were not found to be related to serum cortisol levels, disease severity, age, gender, illness duration, itching, or sleep disturbance.