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Article: Risk of mental disorders in children and adolescents with atopic dermatitis: A systematic review and meta-analysis
Title | Risk of mental disorders in children and adolescents with atopic dermatitis: A systematic review and meta-analysis |
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Authors | |
Keywords | Children and adolescents Eczema Integrative Medicine Mental Disorders Pediatric atopic dermatitis |
Issue Date | 2019 |
Publisher | Frontiers 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? |
Abstract | Assessing 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 Identifier | http://hdl.handle.net/10722/274510 |
ISSN | 2023 Impact Factor: 2.6 2023 SCImago Journal Rankings: 0.800 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Xie, Q | - |
dc.contributor.author | Dai, X | - |
dc.contributor.author | Tang, X | - |
dc.contributor.author | Chan, CHY | - |
dc.contributor.author | Chan, CLW | - |
dc.date.accessioned | 2019-08-18T15:03:06Z | - |
dc.date.available | 2019-08-18T15:03:06Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Frontiers in Psychology, 2019, v. 10 n. 7, p. article no. 1773 | - |
dc.identifier.issn | 1664-1078 | - |
dc.identifier.uri | http://hdl.handle.net/10722/274510 | - |
dc.description.abstract | Assessing 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.language | eng | - |
dc.publisher | Frontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology | - |
dc.relation.ispartof | Frontiers in Psychology | - |
dc.rights | This Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission. | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Children and adolescents | - |
dc.subject | Eczema | - |
dc.subject | Integrative Medicine | - |
dc.subject | Mental Disorders | - |
dc.subject | Pediatric atopic dermatitis | - |
dc.title | Risk of mental disorders in children and adolescents with atopic dermatitis: A systematic review and meta-analysis | - |
dc.type | Article | - |
dc.identifier.email | Chan, CHY: chancelia@hku.hk | - |
dc.identifier.email | Chan, CLW: cecichan@hku.hk | - |
dc.identifier.authority | Chan, CHY=rp00498 | - |
dc.identifier.authority | Chan, CLW=rp00579 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.3389/fpsyg.2019.01773 | - |
dc.identifier.pmid | 31447731 | - |
dc.identifier.scopus | eid_2-s2.0-85069536679 | - |
dc.identifier.hkuros | 301480 | - |
dc.identifier.volume | 10 | - |
dc.identifier.issue | 7 | - |
dc.identifier.spage | article no. 1773 | - |
dc.identifier.epage | article no. 1773 | - |
dc.identifier.isi | WOS:000478973500001 | - |
dc.publisher.place | Switzerland | - |
dc.identifier.issnl | 1664-1078 | - |