Bidirectional relationships between psychological health and dermatological conditions in children

Amy E Mitchell Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD, Australia Abstract: Dermatological conditions are common among children. They are a frequent cause of presentation to health care services and a leading contributor to burden of dis...

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Main Author: Mitchell AE
Format: Article
Language:English
Published: Dove Medical Press 2018-07-01
Series:Psychology Research and Behavior Management
Subjects:
Online Access:https://www.dovepress.com/bidirectional-relationships-between-psychological-health-and-dermatolo-peer-reviewed-article-PRBM
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author Mitchell AE
author_facet Mitchell AE
author_sort Mitchell AE
collection DOAJ
description Amy E Mitchell Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD, Australia Abstract: Dermatological conditions are common among children. They are a frequent cause of presentation to health care services and a leading contributor to burden of disease. Evidence supports the notion that bidirectional relationships exist between children’s physical and psychological health, whereby the child’s dermatological condition can impact their psychological health and well-being, while, in the reverse direction, psychological factors (eg, stress) can impact the severity and course of the child’s skin disease. The psychological impact of dermatological conditions in childhood needs to be taken into account during the assessment, planning, and treatment phases of management. Likewise, the potential effect of children’s emotional and behavioral difficulties on management, particularly in terms of the impact on parents’ ability to implement their child’s treatment plan, should be considered. This literature review summarizes the current evidence for the relationships between three common chronic dermatological conditions of childhood – atopic dermatitis, psoriasis, and urticaria – and psychological adjustment and quality of life in childhood. Overall, a general paucity of research in the pediatric context – combined with limitations in terms of study design, variability in operationalization of constructs, and heterogeneity in measurement of outcomes – makes it difficult to draw firm conclusions in this area. Based on the available research, implications for successful long-term management of these conditions are discussed in terms of integrating psychological and parenting support with medical management to improve adherence, reduce disease severity, and improve quality of life for children and their families. Keywords: atopic dermatitis, child behavior, dermatology, parenting, psoriasis, urticaria
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spelling doaj.art-8eb658010d35419d97ae2acfcd1191582022-12-22T03:19:26ZengDove Medical PressPsychology Research and Behavior Management1179-15782018-07-01Volume 1128929839611Bidirectional relationships between psychological health and dermatological conditions in childrenMitchell AEAmy E Mitchell Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, QLD, Australia Abstract: Dermatological conditions are common among children. They are a frequent cause of presentation to health care services and a leading contributor to burden of disease. Evidence supports the notion that bidirectional relationships exist between children’s physical and psychological health, whereby the child’s dermatological condition can impact their psychological health and well-being, while, in the reverse direction, psychological factors (eg, stress) can impact the severity and course of the child’s skin disease. The psychological impact of dermatological conditions in childhood needs to be taken into account during the assessment, planning, and treatment phases of management. Likewise, the potential effect of children’s emotional and behavioral difficulties on management, particularly in terms of the impact on parents’ ability to implement their child’s treatment plan, should be considered. This literature review summarizes the current evidence for the relationships between three common chronic dermatological conditions of childhood – atopic dermatitis, psoriasis, and urticaria – and psychological adjustment and quality of life in childhood. Overall, a general paucity of research in the pediatric context – combined with limitations in terms of study design, variability in operationalization of constructs, and heterogeneity in measurement of outcomes – makes it difficult to draw firm conclusions in this area. Based on the available research, implications for successful long-term management of these conditions are discussed in terms of integrating psychological and parenting support with medical management to improve adherence, reduce disease severity, and improve quality of life for children and their families. Keywords: atopic dermatitis, child behavior, dermatology, parenting, psoriasis, urticariahttps://www.dovepress.com/bidirectional-relationships-between-psychological-health-and-dermatolo-peer-reviewed-article-PRBMAtopic dermatitischild behaviourdermatologyparentingpsoriasisurticaria
spellingShingle Mitchell AE
Bidirectional relationships between psychological health and dermatological conditions in children
Psychology Research and Behavior Management
Atopic dermatitis
child behaviour
dermatology
parenting
psoriasis
urticaria
title Bidirectional relationships between psychological health and dermatological conditions in children
title_full Bidirectional relationships between psychological health and dermatological conditions in children
title_fullStr Bidirectional relationships between psychological health and dermatological conditions in children
title_full_unstemmed Bidirectional relationships between psychological health and dermatological conditions in children
title_short Bidirectional relationships between psychological health and dermatological conditions in children
title_sort bidirectional relationships between psychological health and dermatological conditions in children
topic Atopic dermatitis
child behaviour
dermatology
parenting
psoriasis
urticaria
url https://www.dovepress.com/bidirectional-relationships-between-psychological-health-and-dermatolo-peer-reviewed-article-PRBM
work_keys_str_mv AT mitchellae bidirectionalrelationshipsbetweenpsychologicalhealthanddermatologicalconditionsinchildren