Parental Issues in the Treatment of Chronic Infantile Eczema

Koblenzer, Peter J.

doi:10.1016/s0733-8635(05)70369-7

Cited by 8 publications

(12 citation statements)

References 6 publications

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“…These prob‐lems may result in difficulties in the management of the infant and the allergy, which often exhausts the parents. Our results are consistent with those of previous studies in children with eczema, demonstrating chronic sleep disruption ( 15) and intensive scratching, which dominate family life ( 16). Although not investigated, it is probable that understanding the concerns of parents is a basis for improving the care and support of atopic infants and their parents.…”

Section: Discussionsupporting

confidence: 93%

Concerns and expectations of parents with atopic infants

Arvola

Tahvanainen

Isolauri

2000

Pediatric Allergy Immunology

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The incidence of atopic diseases has rapidly increased in developed countries. The purpose of this study was to describe the problems that parents experience when atopic disease occurs in their children at an early age and what parents expect and get from health care professionals in the management of these problems. The parents of 81 high-risk atopic infants completed a questionnaire during the infant's first attendance at the Tampere University Hospital, Finland. The patients were treated by an intervention team comprising a pediatric nurse and two pediatricians consulting with dietician and a dermatologist to detect the infant's specific food allergies and to introduce and advise on appropriate diets at weaning. After a 9-month intervention period, the parents' perception of the intervention was evaluated by a second questionnaire. The skin prick test was positive to cow's milk in 30%, to egg in 26%, and to cereals in 19%, of infants during breast-feeding. Double-blind placebo-controlled cow's milk challenge was positive in 56% of infants. Upon introduction of a tolerated weaning diet, subjective symptoms and the extent and intensity of atopic eczema diminished as evidenced by lowered SCORAD scores, from 19.3 to 8.2 (F= 57.6, p < 0.0001; SCORAD scoring index combining extent, severity and subjective symptoms of atopic eczema). Ninety per cent of parents found the care of an atopic infant more demanding than that of a healthy child. This was because of the persistence of symptoms, such as atopic eczema and pruritus, and restlessness during sleep. For the management of these problems the parents advocated diagnostic evaluation and elimination of specific foods from the diet of the lactating mother. They expected from the intervention accurate diagnosis of food allergies, practical advice on elimination diets, alleviation of symptoms, and follow-up of growth and nutrition, and they considered the care provided by the intervention team to suffice in these aims. The present data support a comprehensive team approach to the care of atopic infants and their parents.

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Section: Discussionsupporting

confidence: 93%

Concerns and expectations of parents with atopic infants

Arvola

Tahvanainen

Isolauri

2000

Pediatric Allergy Immunology

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“…However, if not available, clinicians can evaluate family QoL by asking about school performance, emotions, and behavior of children and their siblings at home, school, and other social settings. Additionally, family members capable of verbalizing their problems can be directly asked about how AD affects their life in various domains, including sleep, intimacy, and work . Impairments in functioning may require further medical or psychiatric intervention.…”

Section: Discussionmentioning

confidence: 99%

“…These mental health providers can provide therapy and education on parenting strategies to help caregivers struggling to care for children affected by AD . These strategies, such as positive reinforcement for not scratching, have even shown efficacy in reducing AD severity . Combined with psychotherapy, early medical intervention can greatly improve QoL .…”

Section: Discussionmentioning

confidence: 99%

“…Perhaps because they empathize with their children's struggles or because they try to minimize their children's stress, many parents of affected children describe themselves as overprotective and admit that they frequently give in to their children when it comes to discipline . While these children do require some extra attention, catering to their every need can prevent the development of appropriate coping skills for their chronic disease . This results in increased dependence on their family for constant attention and care, which can be both physically and emotionally exhausting for parents of children with AD …”

Section: Methodsmentioning

confidence: 99%

“…3,10 While these children do require some extra attention, catering to their every need can prevent the development of appropriate coping skills for their chronic disease. 16 This results in increased dependence on their family for constant attention and care, which can be both physically and emotionally exhausting for parents of children with AD. 17…”

Section: Parental Psychosocial Functioningmentioning

confidence: 99%

See 2 more Smart Citations

The impact of pediatric atopic dermatitis on families: A review

Yang

Beck

Sekhon

et al. 2018

Pediatric Dermatology

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Background Atopic dermatitis (AD) is an extremely common childhood disease, with considerable impact on the quality of life of affected children and their families. While pruritus is the hallmark symptom of this disease, AD has been well‐documented to impact patients beyond physical symptoms, resulting in behavior problems, mood disorders, and sleep disturbance. Objective This literature review outlines how atopic dermatitis impacts the quality of life of families of children affected by AD. Methods A total of 3436 articles were identified via an online search of the MEDLINE health literature database and were screened for relevance to quality of life impacts on families with children affected by AD. Results Caring for children affected by AD can be an extremely time‐consuming task that can impair personal relationships, decrease psychosocial functioning, and cause sleep loss among family members of affected patients. Additionally, AD may result in work absence or decreased work productivity for caregivers. Special diets, irritant and allergen avoidance strategies, and alternative therapies are commonly used by patients to manage their disease and require large amounts of family involvement. Conclusions Atopic dermatitis can greatly decrease quality of life of families of affected children in various domains, including sleep, finances, and relationships. Early intervention and psychotherapy may be needed in some patients to address these quality of life impairments.

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Functional Symptoms in Pediatric Dermatology: The Canary in the Coal Mine

Nichols

Grossbart

2014

Functional Symptoms in Pediatric Disease

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Parental Issues in the Treatment of Chronic Infantile Eczema

Cited by 8 publications

References 6 publications

Concerns and expectations of parents with atopic infants

Concerns and expectations of parents with atopic infants

The impact of pediatric atopic dermatitis on families: A review

Functional Symptoms in Pediatric Dermatology: The Canary in the Coal Mine

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