Qualitative study with mothers of children with atopic dermatitis: emotional and social impacts

##plugins.themes.academic_pro.article.sidebar##

Published Aug 27, 2024
https://doi.org/10.62438/tunismed.v102i9.5072
Download
pdf
Vol. 102 No. 9 (2024): Tunis Med sept 2024

##plugins.themes.academic_pro.article.main##

Mariana Muzzolon
Federal University of Paraná, Postgraduate program in child and adolescent health, Clinical Hospital Complex of the Federal University of Paraná, 80060-900, General Carneiro, 181, Curitiba, Paraná, Brazil
Nathaly Lamas Garcez
Federal University of Paraná, Postgraduate program in child and adolescent health, Clinical Hospital Complex of the Federal University of Paraná, 80060-900, General Carneiro, 181, Curitiba, Paraná, Brazil
Renata R Imoto
Federal University of Paraná, Postgraduate program in child and adolescent health, Clinical Hospital Complex of the Federal University of Paraná, 80060-900, General Carneiro, 181, Curitiba, Paraná, Brazil
Claire Lazzaretti
Federal University of Paraná, Postgraduate program in child and adolescent health, Clinical Hospital Complex of the Federal University of Paraná, 80060-900, General Carneiro, 181, Curitiba, Paraná, Brazil
Vânia Oliveira de Carvalho
Federal University of Paraná, Postgraduate program in child and adolescent health, Clinical Hospital Complex of the Federal University of Paraná, 80060-900, General Carneiro, 181, Curitiba, Paraná, Brazil

Abstract

Introduction: Atopic Dermatitis (AD) is the most common skin disease in childhood and its control requires the support of the family members. This disease significantly interferes with the Quality of Life (QoL) of children and families, however, literature on the social and emotional impact of the disease on the caregivers is lacking.


Objective: To evaluate the emotional and social impact of AD on mothers of children with the disease.


Method: This is a qualitative study of semi-structured interviews with mothers of children diagnosed with AD. The following variables were evaluated: diagnosis and start of treatment, knowledge about the disease, and impact on the mothers’ lives. The material was analyzed using Lawrence Bardin’s content analysis technique. The AD severity was assessed by SCORAD.


 Results: A total of 23 interviews were conducted with mothers of children diagnosed with AD. In 82.6% of the cases, the mothers presented conflicts in the face of the first contacts with the disease. In 43.5% of cases, mothers were solely responsible for their children’s treatment. About 56.6% defined AD as a cause of suffering and difficulty and 21.7% pointed out the AD experience as a learning experience.


 Conclusion: The AD is a chronic disease that has a psychological and social impact on the lives of mothers. In the treatment of AD, mothers must be screened and offered psychological support to improve adherence to treatment in the long term.

Keywords:

atopic dermatitis, emotional impacts, mothers

##plugins.themes.academic_pro.article.details##

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

  1. Bylund S, Kobyletzki LB, Svalstedt M, Svensson A. Prevalence and Incidence of Atopic Dermatitis: A Systematic Review. Acta Derm Venereol. 2020;100(12):adv00160.
  2. Solé D, Wandalsen GF, Camelo-Nunes IC, Naspitz CK. Prevalence of symptoms of asthma, rhinitis, and atopic eczema among Brazilian children and adolescentes identified by International Study of Asthma and Allergies in Childhood (ISAAC): Phase 3. J Pediatr. 2006; 82(5):341-6.
  3. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl. 1980; 92:44-7.
  4. Dawn A, Papoiu A, Chan Y, Rapp S, Rassette N, Yosipovitch G. Itch characteristics in atopic dermatitis: results of a web-based questionnaire. Br J Dermatol. 2009; 160:642–4.
  5. Camfferman D, Kennedy J, Gold M, Martin A, Winwood P, Lushington K. Eczema, sleep, and behavior in children. J Clin sleep Med. 2010; 6:581–8
  6. Yang E, Beck K, Sekhon S, Bhutani T, Koo J. The impact of pediatric atopic dermatitis on families: a review. Pediatr Dermatol. 2019; 36:66-71.
  7. Rios AR, Miranda BA de, Pereira GR, Costa HB, Costa ILB, CesconettoJ et al. Dermatite atópica: um olhar sobre os tratamentos atuais. Revista Eletrônica Acervo Saúde. 2021; e7595-e7595.
  8. Kobusiewicz A, Tarkowski B, Kaszuba A, Lesiak A, Narbutt J, Zalewska-Janowska A. The relationship between atopic dermatitis and atopic itch in children and the psychosocial functioning of their mothers: A cross-sectional study. Sec. Dermatology. 2023
  9. Toledano-Toledano F, Domínguez-Guedea, MT. Psychosocial factors related with caregiver burden among families of children with chronic conditions. BioPsychoSocial Med. 2019; 13:6.
  10. Li QP, Mak YW, Loke AY. Spouses' experience of caregiving for cancer patients: a literature review. Int Nurs Rev. 2013; 60(2):178-87.
  11. Penning MJ, Wu Z. Caregiver Stress and Mental Health: Impact of Caregiving Relationship and Gender. Gerontologist. 2016;56(6):1102-1113.
  12. Shattnawi KK, Al Ali N, Almanasreh AA, Al-Motlaq MA. Caregiver burden among parents of children with chronic diseases: A cross-sectional study. J Clin Nurs. 2023, Sep; 32(17-18):6485-6493.
  13. Riffin C, Van Ness PH, Wolff JL, Fried T. Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers. J Am Geriatr Soc. 2019, Feb; 67(2):277-283.
  14. Ahmad Zubaidi ZS, Ariffin F, Oun CTC, Katiman D. Caregiver burden among informal caregivers in the largest specialized palliative care unit in Malaysia: a cross sectional study. BMC Palliat Care. 2020, Dec 8; 19(1):186.
  15. Potier F, Degryse JM, Henrard S, Aubouy G, Saint-Hubert M. A high sense of coherence protects from the burden of caregiving in older spousal caregivers, Archives of Gerontology and Geriatrics. 2018; 75 (76-82).
  16. Lee J, Sohn BK, Lee H, Seong S, Park S, Lee JY. Impact of Behavioral Symptoms in Dementia Patients on Depression in Daughter and Daughter-in-Law Caregivers. J Womens Health (Larchmt). 2017, Jan; 26(1):36-43.
  17. Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
  18. Kum DJ, Bang KS. Health Behavior and Social-Emotional Health Status of School-Aged Children According to their Experience with Atopic Dermatitis Diagnosis: Based on the 12th (2019) Panel Study on Korean Children. Children. 2023; 10(2):288.
  19. Klinnert MD, Booster G, Copeland M, Darr JM, Meltzer, LJ, Miller M, et al. Role of behavioral health in management of pediatric atopic dermatitis. Ann Allergy Asthma Immunol. 2018;120:42‐48.
  20. Pustisek N, Vurnek Zivkovic M, Situm M. Quality of life in families with children with atopic dermatitis. Pediatr Dermatol. 2016;33:28‐32.
  21. Mitchell AE, Fraser JA, Ramsbotham J, Morawska A, Yates P. Childhood atopic dermatitis: a cross‐sectional study of relationships between child and parent factors, atopic dermatitis management, and disease severity. Int J Nurs Stud. 2015;52:216‐228.
  22. Shin J, Nhan NV, Crittenden KS, Hong HTD, Flory M, Ladinsky, J. Parenting stress of mothers and fathers of young children with cognitive delays in Vietnam. Journal of Intellectual Disability Research. 2006; 50(10), 748-760.
  23. Capozza K, Gadd H, Kelley K, Russell S, Shi V, Schwartz A. Insights from Caregivers on the Impact of Pediatric Atopic Dermatitis on Families: "I'm Tired, Overwhelmed, and Feel Like I'm Failing as a mother". Dermatitis. 2020;31(3):223-227.
  24. Pustisek N, Vurnek Zivkovic M, Situm M. Quality of life in families with children with atopic dermatitis. Pediatr Dermatol. 2016; 33:28–32.
  25. Marciniak J, Reich A, Szepietowski J. The family dermatology life quality index— formulation and validation of the polish version. Forum Dermatologicum. 2016;2:24–8.
  26. Charfi, F, Ouali U, Badri T, Mhella H, Jameleddine EF, Kharfi M, Belhadj A. Atopic dermatitis and mother-child interaction: a comparative study of 48 dyads Dermatite atopique et interaction mère-enfant: étude comparative de 48 dyades. La Tunisie medicale, 2018;96(07).
  27. Gieler U, Schoof S, Gieler T, Scheewe S, Schut C, Kupfer J. Atopic eczema and stress among single parents and families: an empirical study of 96 mothers. Acta Dermato Venereol. 2017;97:42–6.