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Article: Risk of mental disorders in children and adolescents with atopic dermatitis: A systematic review and meta-analysis

TitleRisk of mental disorders in children and adolescents with atopic dermatitis: A systematic review and meta-analysis
Authors
KeywordsChildren and adolescents
Eczema
Integrative Medicine
Mental Disorders
Pediatric atopic dermatitis
Issue Date2019
PublisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology
Citation
Frontiers in Psychology, 2019, v. 10 n. 7, p. article no. 1773 How to Cite?
AbstractAssessing the psychological effects on children and adolescents of suffering atopic dermatitis (AD) is essential, when planning successful management. This study aimed to systematically review the literature regarding risk of mental disorders in children and adolescents with, or without, AD; and to explore confounders. We identified potentially-relevant studies from EMBASE, MEDLINE, PsycINFO, ERIC, the British Nursing Index, the Family & Society Studies Worldwide, the Social Work Abstracts, and the Sociological Abstracts from inception to Sep 30, 2018. Investigators independently screened titles and abstracts, and then full-texts. Investigators independently extracted data from included studies. Meta-analyses using random-effects models were performed, reporting odds ratios (ORs) (95% CIs). Thirty-seven studies (n = 2,068,911 children/ adolescents) were included. Meta-analysis of 35 studies found that children and adolescents with AD had significantly higher risk of total mental disorders than those without AD (OR = 1.652; 95% CI, 1.463-1.864). The absolute risk (AR) was 12.6%. There was no significant difference in risks for ADHD (OR =1.563; 95% CI, 1.382-1.769); sleep disorders (OR = 2.100; 95% CI, 1.322-3.336); anxiety (OR = 1.339; 95% CI, 1.062-1.687); depression (OR =1.402 95% CI, 1.256-1.565); conduct disorder (OR =1.494 95% CI, 1.230-1.815); or ASD (OR = 2.574; 95% CI, 1.469-4.510) (Qb = 8.344, p = .138). Race/ethnicity of child, target of comparison, type of studies, representativeness of the sample, measures of AD and mental disorders were significant moderators for total mental disorders. Integrated, holistic, multidisciplinary management of pediatric AD is significantly important, which emphasizes the well-being of the whole person. © 2019 Xie, Xiaolu, Tang, Chan and Chan.
Persistent Identifierhttp://hdl.handle.net/10722/274510
ISSN
2017 Impact Factor: 2.089
2015 SCImago Journal Rankings: 1.244
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorXie, Q-
dc.contributor.authorDai, X-
dc.contributor.authorTang, X-
dc.contributor.authorChan, CHY-
dc.contributor.authorChan, CLW-
dc.date.accessioned2019-08-18T15:03:06Z-
dc.date.available2019-08-18T15:03:06Z-
dc.date.issued2019-
dc.identifier.citationFrontiers in Psychology, 2019, v. 10 n. 7, p. article no. 1773-
dc.identifier.issn1664-1078-
dc.identifier.urihttp://hdl.handle.net/10722/274510-
dc.description.abstractAssessing the psychological effects on children and adolescents of suffering atopic dermatitis (AD) is essential, when planning successful management. This study aimed to systematically review the literature regarding risk of mental disorders in children and adolescents with, or without, AD; and to explore confounders. We identified potentially-relevant studies from EMBASE, MEDLINE, PsycINFO, ERIC, the British Nursing Index, the Family & Society Studies Worldwide, the Social Work Abstracts, and the Sociological Abstracts from inception to Sep 30, 2018. Investigators independently screened titles and abstracts, and then full-texts. Investigators independently extracted data from included studies. Meta-analyses using random-effects models were performed, reporting odds ratios (ORs) (95% CIs). Thirty-seven studies (n = 2,068,911 children/ adolescents) were included. Meta-analysis of 35 studies found that children and adolescents with AD had significantly higher risk of total mental disorders than those without AD (OR = 1.652; 95% CI, 1.463-1.864). The absolute risk (AR) was 12.6%. There was no significant difference in risks for ADHD (OR =1.563; 95% CI, 1.382-1.769); sleep disorders (OR = 2.100; 95% CI, 1.322-3.336); anxiety (OR = 1.339; 95% CI, 1.062-1.687); depression (OR =1.402 95% CI, 1.256-1.565); conduct disorder (OR =1.494 95% CI, 1.230-1.815); or ASD (OR = 2.574; 95% CI, 1.469-4.510) (Qb = 8.344, p = .138). Race/ethnicity of child, target of comparison, type of studies, representativeness of the sample, measures of AD and mental disorders were significant moderators for total mental disorders. Integrated, holistic, multidisciplinary management of pediatric AD is significantly important, which emphasizes the well-being of the whole person. © 2019 Xie, Xiaolu, Tang, Chan and Chan.-
dc.languageeng-
dc.publisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology-
dc.relation.ispartofFrontiers in Psychology-
dc.rightsThis Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectChildren and adolescents-
dc.subjectEczema-
dc.subjectIntegrative Medicine-
dc.subjectMental Disorders-
dc.subjectPediatric atopic dermatitis-
dc.titleRisk of mental disorders in children and adolescents with atopic dermatitis: A systematic review and meta-analysis-
dc.typeArticle-
dc.identifier.emailChan, CHY: chancelia@hku.hk-
dc.identifier.emailChan, CLW: cecichan@hku.hk-
dc.identifier.authorityChan, CHY=rp00498-
dc.identifier.authorityChan, CLW=rp00579-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3389/fpsyg.2019.01773-
dc.identifier.pmid31447731-
dc.identifier.scopuseid_2-s2.0-85069536679-
dc.identifier.hkuros301480-
dc.identifier.volume10-
dc.identifier.issue7-
dc.identifier.spagearticle no. 1773-
dc.identifier.epagearticle no. 1773-
dc.identifier.isiWOS:000478973500001-
dc.publisher.placeSwitzerland-

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