皮膚疾患の子どもに対する心理的社会的な介入:体系的レビューとメタ解析

Amy E Mitchell^1,2, Japheth O Adina³, Alina Morawska²

¹School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, QLD, Australia.

Journal of pediatric psychology

|August 31, 2025

まとめ

アトピー性皮膚炎を患っている子供の病気の重症度を改善するために,心理的社会的な介入が有望である. 生活の質は著しく改善していませんでしたがこれらの介入は影響を受けた家族に恩恵をもたらします

科学分野:

小児皮膚科
心理的社会的な健康
体系的検討

背景:

慢性皮膚疾患は子供の生活の質と家族の幸福に大きく影響します
これらの状態の効果的な管理は,しばしば心理的社会的な課題によって妨げられます.

研究の目的:

慢性皮膚疾患の子供に対する心理的介入に関する既存の文献を体系的に検討する.
病気の重症度や子どもとその家族の生活の質に及ぼす影響を評価する.

主な方法:

2024年4月8日までの5つの電子データベースの包括的な検索が行われました.
介入前後の疾患の重症度と子供の生活の質に関するデータを報告した.
アトピー性皮膚炎にのみ焦点を当てた2,346の家族を対象とした10の適格な研究が特定されました.

主要な成果:

精神的社会的な介入は,疾患/症状の重症度を下げるのに有意な効果を示した (SMD = -0.34).
子どもの生活の質の有意な改善は認められなかった (SMD = - 0. 09).
介入には,対面のグループセッションと自己指導のオンラインプログラムが含まれ,二次的なアウトカムには様々な結果が出ました.

結論:

心理的介入は,小児性アトピー性皮膚炎の重症度の改善に有益である可能性があります.
より広範な小児皮膚疾患におけるこれらの介入の有効性を調べるためにさらなる研究が必要である.

キーワード:

遵守/自主管理子供慢性疾患皮膚科健康に関する行動子育てについて心理社会的な介入生活の質体系的なレビュー/メタ分析

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