Atopic dermatitis and mother-child interaction: a comparative study of 48 dyads

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Published Oct 9, 2018
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Vol. 96 No. 7 (2018): Issue Jul 2018

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Fatma Charfi
Uta Ouali
Talel Badri
Hana Mhella
Eya Fontaine Jameleddine
Monia Kharfi
Radhouen Fakhfakh
Ahlem Belhadj

Abstract

BACKGROUND:Psychologicalfactorsandfamilyenvironmentmayplayaroleinthe pathogenesisandthepersistenceofatopicdermatitis(AD).Theaimofourstudywas to evaluate the interactions between mothers and their children suffering from AD andtolookforthepresenceofmaternaldepressionandanxiety.
METHODS: A sample of 24 children with AD and their mothers and 24 matched control dyads participated in the study. Maternal depression and anxiety were assessed using the Beck Depression Inventory-short form (BDI) and the Hamilton Anxiety Rating Scale (HAM-A). The mother-child interaction was evaluated byvideo recording, and through scores established after analyses of the video: M-score for themother’sattitudetowardsthechildandC-scoreforthe child’sbehavior.
RESULTS:ADgroupmothersshowedsignificantlyhigherscoresontheHAM-A,but notontheBDI.Theanalysisofthevideorecordingconveyedasignificantdifference in M-scores between the two groups but no difference in C-scores. M-score was correlatedwith themother’sanxiety.
CONCLUSION: Our study found evidence in favor of a disturbance of the mother- child interaction in the case of AD, noted on the mother’s side, and more anxiety in AD group mothers than in the control group. Our findings suggest the need for psychological support for mothers of children suffering from AD.

Keywords:

Atopic dermatitis; Mother-child interaction; Anxiety; Depression.

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