Evaluation of sleep quality, social-emotional development, and parental stress levels of children with atopic dermatitis
European Journal of Pediatrics, cilt.185, sa.3, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 185 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s00431-026-06811-y
- Dergi Adı: European Journal of Pediatrics
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: Atopic dermatitis, Sleep disturbances, Parental stress, Social-emotional development
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Atopic dermatitis (AD) is a common inflammatory skin disease in early childhood that may affect sleep and emotional well-being. This study aimed to assess sleep quality, parental stress, and social-emotional development in infants and toddlers with AD compared to healthy controls. In this case–control study, 109 children aged 3 months to 2 years with AD and 65 age- and sex-matched healthy controls were assessed using validated parent-report questionnaires: the Expanded Brief Infant Sleep Questionnaire(BISQ), the Parenting Stress Index–Short Form(PSI-SF), and the Ages & Stages Questionnaire–Social Emotional(ASQ: SE). Children with AD showed significantly poorer sleep quality(p = 0.006), increased night awakenings(p = 0.013), and shorter sleep durations(p = 0.010) than controls. Mothers of children with AD reported significantly higher stress levels(p < 0.001). Social-emotional developmental delays were more common among children with AD(p = 0.037) and were especially prevalent in those with poor sleep(p = 0.002). Multivariate logistic regression analysis revealed that a diagnosis of AD(OR = 2.12, 95% CI: 1.05–4.29, p = 0.035) and lower paternal education(OR = 4.60, 95% CI: 1.01–20.77, p = 0.047) were independently associated with poor sleep. Among children with AD, poor sleep was associated with a more than 13-fold increased risk of socio-emotional delay(OR: 13.23, 95% CI: 1.69–103.45, p = 0.014). Conclusion: Infants and toddlers with AD are at elevated risk for poor sleep, parental stress, and social-emotional challenges. These findings highlight the need for early multidisciplinary interventions targeting both dermatological and developmental aspects of AD. Trial registration: Not applicable. (Table presented.)