Illness perceptions and quality of life in families with child with atopic dermatitis.,Allergologia et Immunopathologia

当前位置： X-MOL 学术 › Allergol. Immunopathol. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Illness perceptions and quality of life in families with child with atopic dermatitis.
Allergologia et Immunopathologia ( IF 1.8 ) Pub Date : 2020-05-20 , DOI: 10.1016/j.aller.2020.03.003
V Siafaka ₁ , A Zioga ₂ , T Evrenoglou ₃ , D Mavridis ₄ , S Tsabouri ₅

Affiliation

Objective

To assess the Quality of Life (QoL) of children with Atopic Dermatitis (AD) and their families and the impact of the mothers’ illness perceptions on the family QoL.

Materials and methods

Seventy-five children with AD (54 infants and 21 children) and their mothers participated in the study. The following questionnaires were administrated: 1. Brief Illness Perception Questionnaire (Brief IPQ); 2. Infant's Dermatitis Quality of Life Index (IDQOL); 3. Children's Dermatology Life Quality Index (CDLQI); 4. Dermatitis Family Impact Questionnaire (DFIQ) and 5. The Severity Scoring of Atopic Dermatitis (SCORAD).

Results

Atopic dermatitis had a moderate impact on the QoL of the infants (6.67 ± 5.30), children (7.86 ± 7.19) and their families (9.42 ± 7.03). The DFIQ was associated with certain dimensions of the Brief IPQ, specifically, with Illness Identity (greater symptom burden) (r = 0.615, p = 0.000), beliefs about the Consequences of the illness (r = 0.542, p = 0.000), the Concerns (r = 0.421, p = 0.000) and the Emotional Representations (r = 0.510, p = 0.000). Correlation was demonstrated between IDQOL and DFIQ (r = 0.662, p = 0.000) and between CDLQI and DFIQ (r = 0.832, p = 0.000), and a weaker correlation between SCORAD and DFIQ (r = 0.255, p = 0.035). The chronicity of the AD showed negative association with DFIQ (p < 0.001).

Conclusions

The QoL of families with a child with AD is associated with the mother's illness perceptions about AD, the children's QoL and with both the severity and the chronicity of the disease. Therefore, clinicians should pay attention not only to the clinical characteristics of the children, but also to the parents’ beliefs and emotions, to improve the family QoL.

中文翻译：

患有特应性皮炎儿童的家庭的疾病认知和生活质量。

客观的

评估特应性皮炎 (AD) 儿童及其家人的生活质量 (QoL) 以及母亲的疾病认知对家庭 QoL 的影响。

材料和方法

75 名患有 AD 的儿童（54 名婴儿和 21 名儿童）及其母亲参与了这项研究。进行了以下问卷调查： 1. 简要疾病认知问卷（Brief IPQ）；2.婴儿皮炎生活质量指数（IDQOL）；3、儿童皮肤科生活质量指数（CDLQI）；4. 皮炎家庭影响问卷 (DFIQ) 和 5. 特应性皮炎的严重程度评分 (SCORAD)。

结果

特应性皮炎对婴儿 (6.67 ± 5.30)、儿童 (7.86 ± 7.19) 及其家人 (9.42 ± 7.03) 的 QoL 有中等影响。DFIQ 与简要 IPQ 的某些维度相关，具体而言，与疾病身份（更大的症状负担）（r = 0.615，p = 0.000）、对疾病后果的信念（r = 0.542，p = 0.000）、关注( r = 0.421, p = 0.000) 和情绪表征( r = 0.510, p = 0.000)。IDQOL 和 DFIQ ( r = 0.662，p = 0.000）以及 CDLQI 和 DFIQ 之间（r = 0.832，p = 0.000），以及 SCORAD 和 DFIQ 之间的相关性较弱（r = 0.255，p = 0.035）。AD 的慢性期与 DFIQ 呈负相关（p < 0.001）。