DERMATITE ATÓPICA E TRANSTORNOS MENTAIS: ASSOCIAÇÃO EM RELAÇÃO À GRAVIDADE DA DOENÇA

Abstract

Purpose: The aim of this study was to determine the frequency of risk for mental disorders in children and adolescents with Atopic Dermatitis according to the severity of the disease. Methods: Cross-sectional study of the frequency of risk for mental disorders in patients with atopic dermatitis. Were included in the study children and adolescents with a clinical diagnosis of Atopic Dermatitis aged between 1 and a half years and 14 years, treated at a University Hospital. Disease severity was assessed by the Scoring Atopic Dermatitis (SCORAD) and Eczema Area and Severity Index (EASI) instruments. Risk assessment for Mental Disorders was performed using the Child Behavior Checklist (CBCL). Pearson's chi-square test with Yates correction and Fisher's exact test were applied, considering a significance level of 5%. Results: The total frequency of risk for Mental Disorders was 63%. In children and adolescents with mild atopic dermatitis by SCORAD and EASI was 60.5% and 57.1%, respectively. In participants with moderate / severe disease, this frequency was 66.8% (SCORAD) and 72.9% (EASI). Higher risk for Mental Disorders was observed in participants with moderate / severe Atopic Dermatitis compared with those with mild disease for Sleep Problems (100% versus 37%; p <0.001) and Emotional Reactivity (31.3% versus 3.8%; p = 0.02). Conclusion: The risk for Mental Disorders was higher in children with moderate / severe Atopic Dermatitis compared to those with mild disease, especially for sleep problems and emotional reactivity.