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Mental health impairment among children with atopic dermatitis: a U.S. population-based cross-sectional study of the 2013-2017 National Health Interview Survey.

Abstract

BACKGROUND

Atopic dermatitis (AD) is associated with mental health disorders but its impact on global mental health symptoms is less clear.

OBJECTIVE

To determine the association between pediatric AD and mental health impairment METHODS: In a cross-sectional study using 2013-2017 U.S. National Health Interview Survey data, children with and without AD were assessed for mental disorder with impairment (MDI) using a validated behavioral screening questionnaire. Mental health services utilization was also reported.

RESULTS

The prevalence of any MDI was 26.7% (95% CI 25.1-28.3) among children with AD and 17.7% (95% CI 17.2-18.2) among those without AD, with severe MDI being present in 10.9% (95% CI 9.9-12.1) and 6.2% (95% CI 5.9-6.5), respectively. Adjusted for sociodemographic factors, AD was associated with higher odds of MDI (OR 1.52, 95% CI 1.39-1.67) including impairments in conduct, emotions, peer relationships, and attention. Among children with AD, 19.9% (95% CI 16.6-23.8) and 53.5% (95% CI 48.5-58.5) of those with mild or severe MDI, respectively, had seen a mental health professional in the last year.

LIMITATIONS

Misclassification bias may arise from self-reported data.

CONCLUSION

AD is associated with clinically significant mental health symptoms but many affected children may not seek or receive care for their symptoms.

Authors+Show Affiliations

Department of Dermatology. Electronic address: joywan@pennmedicine.upenn.edu.Department of Dermatology; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.Department of Dermatology.Department of Dermatology; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31626880

Citation

Wan, Joy, et al. "Mental Health Impairment Among Children With Atopic Dermatitis: a U.S. Population-based Cross-sectional Study of the 2013-2017 National Health Interview Survey." Journal of the American Academy of Dermatology, 2019.
Wan J, Takeshita J, Shin DB, et al. Mental health impairment among children with atopic dermatitis: a U.S. population-based cross-sectional study of the 2013-2017 National Health Interview Survey. J Am Acad Dermatol. 2019.
Wan, J., Takeshita, J., Shin, D. B., & Gelfand, J. M. (2019). Mental health impairment among children with atopic dermatitis: a U.S. population-based cross-sectional study of the 2013-2017 National Health Interview Survey. Journal of the American Academy of Dermatology, doi:10.1016/j.jaad.2019.10.019.
Wan J, et al. Mental Health Impairment Among Children With Atopic Dermatitis: a U.S. Population-based Cross-sectional Study of the 2013-2017 National Health Interview Survey. J Am Acad Dermatol. 2019 Oct 15; PubMed PMID: 31626880.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental health impairment among children with atopic dermatitis: a U.S. population-based cross-sectional study of the 2013-2017 National Health Interview Survey. AU - Wan,Joy, AU - Takeshita,Junko, AU - Shin,Daniel B, AU - Gelfand,Joel M, Y1 - 2019/10/15/ PY - 2019/06/01/received PY - 2019/09/11/revised PY - 2019/10/10/accepted PY - 2019/10/19/entrez PY - 2019/10/19/pubmed PY - 2019/10/19/medline KW - anxiety KW - atopic dermatitis KW - attention KW - conduct KW - depression KW - eczema KW - emotion KW - health care utilization KW - mental health KW - psychiatry KW - psychology KW - relationships JF - Journal of the American Academy of Dermatology JO - J. Am. Acad. Dermatol. N2 - BACKGROUND: Atopic dermatitis (AD) is associated with mental health disorders but its impact on global mental health symptoms is less clear. OBJECTIVE: To determine the association between pediatric AD and mental health impairment METHODS: In a cross-sectional study using 2013-2017 U.S. National Health Interview Survey data, children with and without AD were assessed for mental disorder with impairment (MDI) using a validated behavioral screening questionnaire. Mental health services utilization was also reported. RESULTS: The prevalence of any MDI was 26.7% (95% CI 25.1-28.3) among children with AD and 17.7% (95% CI 17.2-18.2) among those without AD, with severe MDI being present in 10.9% (95% CI 9.9-12.1) and 6.2% (95% CI 5.9-6.5), respectively. Adjusted for sociodemographic factors, AD was associated with higher odds of MDI (OR 1.52, 95% CI 1.39-1.67) including impairments in conduct, emotions, peer relationships, and attention. Among children with AD, 19.9% (95% CI 16.6-23.8) and 53.5% (95% CI 48.5-58.5) of those with mild or severe MDI, respectively, had seen a mental health professional in the last year. LIMITATIONS: Misclassification bias may arise from self-reported data. CONCLUSION: AD is associated with clinically significant mental health symptoms but many affected children may not seek or receive care for their symptoms. SN - 1097-6787 UR - https://www.unboundmedicine.com/medline/citation/31626880/Mental_health_impairment_among_children_with_atopic_dermatitis:_a_U.S._population-based_cross-sectional_study_of_the_2013-2017_National_Health_Interview_Survey L2 - https://linkinghub.elsevier.com/retrieve/pii/S0190-9622(19)32902-0 DB - PRIME DP - Unbound Medicine ER -