Family burden of hospital-managed pediatric atopic dermatitis: a nationwide registry-based study

Autor: Miriam C. Fenton, Catherine Droitcourt, Jacob P. Thyssen, Yuki M.F. Andersen, Dimittry Delevry, Ida Vittrup, Lone Skov, Alexander Egeberg
Přispěvatelé: Copenhagen University Hospital, Recherche en Pharmaco-épidémiologie et Recours aux Soins (REPERES), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP), CHU Pontchaillou [Rennes], Regeneron Pharmaceuticals [Tarrytown], Syneos Health [Wilmington], The study was sponsored by Sanofi and Regeneron Pharmaceuticals, Inc., Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Pediatric Allergy and Immunology
Pediatric Allergy and Immunology, Wiley, 2021, ⟨10.1111/pai.13693⟩
Pediatric Allergy and Immunology, 2022, 33 (1), ⟨10.1111/pai.13693⟩
Vittrup, I, Droitcourt, C, Andersen, Y M F, Skov, L, Egeberg, A, Delevry, D, Fenton, M C & Thyssen, J P 2022, ' Family burden of hospital-managed pediatric atopic dermatitis : A nationwide registry-based study ', Pediatric Allergy and Immunology, vol. 33, no. 1, e13693 . https://doi.org/10.1111/pai.13693
ISSN: 0905-6157
1399-3038
DOI: 10.1111/pai.13693⟩
Popis: International audience; BACKGROUND: Parents of children with atopic dermatitis (AD) report reduced quality of life and higher stress level, which could increase risk of psychiatric and pain disorders, and medication use. METHODS: By use of Danish national registries, we identified family members of all first-born Danish children born between January 1(st) , 1995 and December 31(st) , 2013 with a hospital diagnosis of AD, matched them 1:10 with family members of children without AD, and followed the cohorts over time. RESULTS: Mothers of children with hospital-managed AD had higher risk of filling a prescription for medications for depression, anxiety, pain and sleep problems, and of consulting a psychologist, but most associations disappeared after full adjustment. Siblings had higher risk of receiving a diagnosis for adjustment disorder, and fathers showed increased risk of filling a prescription for pain medication and of divorce, in crude but not adjusted models. CONCLUSIONS: The increased risk of study endpoints seen in mothers of children with hospital-managed AD was not explained by pediatric AD alone. Rather, the total burden in these families including parent and child morbidity and socioeconomic resources seem to explain these observations. The burden in families of children with AD may potentially affect the overall management of their child’s AD.
Databáze: OpenAIRE