Ann Dermatol.  2016 Jun;28(3):321-326. 10.5021/ad.2016.28.3.321.

Correlation between Severity of Atopic Dermatitis and Sleep Quality in Children and Adults

• Kong TS
• Han TY
• Lee JH
• Son SJ

• KMID: 2164639
• DOI: http://doi.org/10.5021/ad.2016.28.3.321

Abstract

BACKGROUND
The atopic dermatitis (AD) can limit a patient's physical and psychosocial development as well as lower their overall quality of life (QOL), including sleep quality.
OBJECTIVE
The purpose of this study was to evaluate the relationships between clinical disease severity, QOL and sleep quality in children and adults with AD.
METHODS
The SCORing atopic dermatitis (SCORAD) was examined to evaluate the severity of AD in fifty adult AD patients and 50 children AD patients. A questionnaire based on the children's sleep habits questionnaire (CSHQ) and the children's dermatology life quality index (CDLQI) were used to evaluate QOL and sleep disturbance in children AD patients. The Pittsburgh sleep quality index (PSQI) and dermatology life quality index (DLQI) were used in adult AD patients.
RESULTS
The SCORAD and CSHQ score, the SCORAD and CDLQI score and the CSHQ and CDLQI score demonstrated significant correlations. The SCORAD and PSQI score showed no significant correlation. However, there were significant correlations between the SCORAD and DLQI score and the PSQI and DLQI score.
CONCLUSION
Increasing severity of AD affects sleep quality in child AD patients. In adults, even though the total score of the sleep questionnaire is not associated with the severity of AD, two components of sleep questionnaire are associated with the severity of AD. There is a significant correlation between sleep quality and QOL in both children and adults. Therefore, we suggest that evaluating the sleep quality as well as clinical severity of the disease is necessary in the management of AD patients.

Keyword

Adult; Atopic dermatitis; Child; SCORAD index; Sleep; Quality of life

MeSH Terms

Adult*
Child*
Dermatitis, Atopic*
Dermatology
Humans
Quality of Life

Figure

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  Fig. 1 (A~D) Association between SCORing atopic dermatitis (SCORAD) and children's sleep habits questionnaire (CSHQ)/Pittsburgh sleep quality index (PSQI) scores or children's dermatology life quality index (CDLQI)/dermatology life quality index (DLQI) scores. (A) SCORAD and CSHQ, (B) SCORAD and CDLQI, (C) SCORAD and PSQI, (D) SCORAD and DLQI. (E, F) Association between CSHQ/PSQI scores and CDLQI/ DLQI scores. (E) CSHQ and CDLQI, (F) PSQI and DLQI.

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  Fig. 2 Association between pruritus scores of subjective symptom in the SCORing atopic dermatitis index and children's sleep habits questionnaire (CSHQ)/Pittsburgh sleep quality index (PSQI) scores. (A) Pruritus score and CSHQ, (B) Prutitus score and PSQI.

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