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Allergologia et Immunopathologia
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Inicio Allergologia et Immunopathologia Psychiatric disorders and symptoms severity in preschool children with atopic ec...
Journal Information
Vol. 44. Num. 2.March - April 2016
Pages 97-188
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Vol. 44. Num. 2.March - April 2016
Pages 97-188
Original Article
DOI: 10.1016/j.aller.2015.04.006
Psychiatric disorders and symptoms severity in preschool children with atopic eczema
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423
F. Catala, E. Topala, N. Soylub, O. Ozel Ozcanb, M.H. Celiksoyc,
Corresponding author
drmhc@hotmail.com

Corresponding author.
, A. Babayiğitd, H.T.E. Karakoça, D. Ergee, R. Sancakc
a Department of Pediatric Allergy and Immunology, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey
b Department of Child and Adolescent Psychiatry, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey
c Department of Pediatric Allergy and Immunology, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey
d Department of Pediatric Allergy and Immunology, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey
e Department of Pediatric Allergy and Immunology, Adnan Menderes University, Faculty of Medicine, Aydın, Turkey
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Tables (3)
Table 1. Sociodemographic features of patients.
Table 2. Diagnoses of psychiatric disorders determined by ECI-4.
Table 3. Psychiatric symptom severity determined by ECI-4.
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Abstract
Background

To compare with a control group the frequency of psychiatric disorders and severity of psychiatric symptoms in preschool children with atopic eczema.

Methods

The study included children between the ages of 3–5 who were diagnosed to have atopic eczema. The parents of the children with atopic eczema were interviewed in person and were asked to fill in “The Early Childhood Inventory-4” form. This form assesses the psychiatric disorders and symptoms severity in children between the ages of 3–5.

Results

The atopic eczema group included 80 patients (38 male, 42 female) with a mean age of 48.4±15.7 months and the control group included 74 patients (41 male, 33 female) with a mean age of 49.9±15.19 months. It was established that 68.8% of the group with atopic eczema received at least one psychiatric diagnosis. Between the psychiatric disorders, ADHD (Odds ratio: 2.57, 95% CI: 1.049–6.298, p=0.035), enuresis and encopresis (Odds ratio: 2.39, 95% CI: 1.121–5.097, p=0.022) and attachment disorder (Odds ratio: 2.03, 95% CI: 1.046–3.953, p=0.035) were found to be significantly higher when compared with the healthy control group. When the groups were compared in terms of psychiatric symptom severity scores calculated by using ECI-4, ADHD severity (p=0.043), conduct disorder severity (p=0.001), anxiety disorders severity (p<0.001), eating disorders severity (p=0.011) and tic disorder severity (p=0.01) were found to be higher in the atopic eczema group.

Conclusion

Psychiatric illnesses are frequent in preschool children with atopic eczema.

Keywords:
Atopic eczema
Attachment disorder
Attention deficit hyperactivity disorder
ECI-4
Enuresis
Encopresis

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