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Behavioral disorders in children and adolescents with atopic dermatitis.
Moraes, Marília Magalhães; Vaz, Fernanda Pires Cecchetti; Roque, Raíssa Monteiro Soares Dos Anjos; Mallozi, Márcia de Carvalho; Solé, Dirceu; Wandalsen, Gustavo Falbo.
Afiliação
  • Moraes MM; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Programa de Pós-Graduação em Pediatria e Ciências Aplicadas à Pediatria, São Paulo, SP, Brazil.
  • Vaz FPC; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Programa de Pós-Graduação em Pediatria e Ciências Aplicadas à Pediatria, São Paulo, SP, Brazil.
  • Roque RMSDA; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.
  • Mallozi MC; Faculdade de Medicina do ABC (FMABC), Divisão de Pediatria, São Paulo, SP, Brazil; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Divisão de Pediatria, Ambulatório de Alergia e Imunologia do Departamento de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Bra
  • Solé D; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Departamento de Pediatria, Divisão de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Brazil.
  • Wandalsen GF; Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-UNIFESP), Departamento de Pediatria, Divisão de Alergia, Imunologia Clínica e Reumatologia, São Paulo, SP, Brazil. Electronic address: gfwandalsen@uol.com.br.
J Pediatr (Rio J) ; 100(1): 93-99, 2024.
Article em En | MEDLINE | ID: mdl-37783388
OBJECTIVES: To assess the prevalence and pattern of behavioral problems in children and adolescents with atopic dermatitis (AD) and to study their associations with clinical data and severity. METHODS: This was a single-center, cross-sectional study of patients (6-17 years) with AD. Assessment of competencies and syndrome scale scores of behavioral problems was performed by applying the Child Behavior Checklist 6-18 (CBCL 6-18) and AD severity using the Eczema Area Severity Index (EASI) score. RESULTS: Of the 100 patients with AD, 56% were male, with a mean age of 11±3 years, and 43% had moderate/severe AD. Borderline or abnormal values were found in 75% of the patients for total social competence, 57% for internalization, 27% for externalization, and 18% for aggressive behavior. A higher prevalence of aggressive behavior (27.9% vs. 10.5%; p = 0.02) and sleep disorders (32.6% vs. 15.8%; p = 0.04) was observed in patients with moderate/severe AD than in those with mild AD. Children with current or previous use of immunosuppressants/immunobiological tests had a lower frequency of normal social competence (53% vs. 83%, p = 0.012). Regarding the critical questions, 8% responded affirmatively to suicidal ideation. CONCLUSION: A high prevalence of behavioral problems was observed among children and adolescents with AD, with a predominance of internalizing profiles, mainly anxiety and depression. Children with moderate/severe AD have a higher prevalence of aggressive behaviors and sleep disorders. These findings highlight the importance of multidisciplinary teams, including mental health professionals, in caring for patients with AD.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos do Sono-Vigília / Dermatite Atópica / Comportamento Problema Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Pediatr (Rio J) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos do Sono-Vigília / Dermatite Atópica / Comportamento Problema Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Pediatr (Rio J) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil