Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

QOL Improvement Among Parents of Children With Atopic Dermatitis

Key contributors to parental quality of life (QOL) among parents of children with atopic dermatitis (AD) included the perception of child’s quality of life (QOL) and its improvement, a new study found. The study cohort comprised 98 parent-children pairs treated for AD. Children were assessed with SCORing Atopic Dermatitis Index (SCORAD) and Children Dermatology Life Quality Index (CDLQI), or the Infants Dermatitis Quality of Life Index (IDQOL), depending on their age. After 1 year, both children and parents were reassessed using the same AD-related questionnaires. Researchers found:

  • A significant improvement in the average total DFI score was observed after follow-up.
  • Not having asthma and having an older child with AD were associated with better parental QOL after follow-up.
  • Parental higher education level, shorter AD duration, better baseline SCORAD, and greater improvement in CDLQI/IDQOL over follow-up were associated with greater improvement in parental life quality over 1 year of follow-up.

Citation:

Maksimovic N, et al. Factors associated with improvement of quality of life among parents of children with atopic dermatitis: one-year prospective cohort study. [Published online ahead of print September 8, 2019]. J Eur Acad Dermatol Venereol. doi: 10.1111/jdv.15939.

Commentary:

Quality of life in caregivers of atopic children is often assumed to be impaired. While this article doesn't produce any startling surprises, it does confirm the concept that caring for a child with AD is not an easy task. Especially when the child is younger and/or has more severe AD, the effects on the parents/caregivers are greatest. — Joseph Fowler, Jr., MD, Clinical Professor of Dermatology, University of Louisville, KY