Atopic dermatitis, educational attainment and psychological functioning: a national cohort study

Smirnova, J.; Kobyletzki, Laura von; Lindberg, Magnus; Svensson, Åke; Langan, Sinéad; Montgomery, Scott

doi:10.1111/bjd.17330

Cited by 24 publications

(32 citation statements)

References 28 publications

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“…This study showed, for the first time, that more severe AD reduces the individuals' socioeconomic position. Furthermore, the current study showed that individuals with AD were more often on sick leave due to stress and burn-out, which is in line with the results of Smirnova et al, reporting a lower ability to cope with stress in individuals with AD (26). DALY is a population health metric.…”

Section: Comparison With Previous Worksupporting

confidence: 92%

“…A systemic review by von Kobyletzki et al (24) highlighted the lack of evidence on this subject, and the only study that met the authors' inclusion criteria could not find an association between AD and educational attainment (24,25). A recent cohort study including only men in the age range 17-20 years with a current or previous history of AD found an association with lower stress resilience in late adolescence, but no association with lower cognitive function or poorer educational attainment (26). Cultural and lifestyle factors, which might change over time and affect a child's ability to achieve at school, may explain the differences between different studies.…”

Section: The Burden Of Atopic Dermatitis (Ad) Was Assessedmentioning

confidence: 99%

“…In a study by Sybilski et al (27) AD was more frequent in individuals with higher maternal education and higher parental income, which might promote successful education of the offspring. However, previous studies contain no data on patients with severe AD (24)(25)(26)(27). It is plausible that those with mild AD might not experience an adverse impact of AD on academic attainment.…”

Section: The Burden Of Atopic Dermatitis (Ad) Was Assessedmentioning

confidence: 99%

See 2 more Smart Citations

Burden of Atopic Dermatitis in Swedish Adults: A Population-based Study

Theodosiou¹,

Montgomery²,

Metsini³

et al. 2019

Acta Derm Venerol

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Section: Comparison With Previous Worksupporting

confidence: 92%

Section: The Burden Of Atopic Dermatitis (Ad) Was Assessedmentioning

confidence: 99%

Section: The Burden Of Atopic Dermatitis (Ad) Was Assessedmentioning

confidence: 99%

See 1 more Smart Citation

Burden of Atopic Dermatitis in Swedish Adults: A Population-based Study

Theodosiou¹,

Montgomery²,

Metsini³

et al. 2019

Acta Derm Venerol

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“…Depression may have long‐term consequences including reduced QoL, risk of suicide, increased rates of hospital admission, increased risk for chronical medical conditions and stigmatization . A lower stress resilience, as recently shown in Swedish men who underwent military conscription, may be one favoring factor for depression in AE.…”

Section: Discussionmentioning

confidence: 90%

Depression, anxiety and quality of life in subjects with atopic eczema in a population‐based cross‐sectional study in Germany

Treudler¹,

Zeynalova

Riedel-Heller

et al. 2020

Acad Dermatol Venereol

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Background Atopic eczema (AE) may be associated with several mental health problems. In Germany, existing data from selected patient cohorts may lead to misestimation of the problem. Objectives We aimed to cross‐sectionally determine associations of AE with depression, anxiety, quality of life (QoL) and social interactions in subjects from the population‐based LIFE‐Adult‐Study. Methods Subjects underwent standardized interviews (medical history) and answered standardized questionnaires [Centre of Epidemiologic studies‐Depression scale (CES‐D), Generalized Anxiety Disorder (GAD‐7), Lubben Social Network Scale (LSNS), Short Form Health Survey (SF‐8)]. We compared data from subjects with AE with those from subjects with selected other chronic/disabling diseases (cardiovascular, diabetes, cancer) and adjusted for selected sociodemographic parameters. Multivariate binary logistic regression was used for categorical variables, linear regression for continuous variables. Results Out of 9104 adults included (57% female, median age 54 years), 372 (4.1%) had a history of AE. Compared with controls, subjects with AE showed higher scores for depressive symptoms (9.3% vs. 6.3%; P < 0.001) and anxiety (8.4% vs. 5.6%, P < 0.001). Odds ratio (OR) was 1.5 [CI 1.0; 2.3] (P = 0.031) for depression, which was comparable to OR in patients with a history of cancer (OR 1.6 [1–2.3], P = 0.001. OR for anxiety in AE was 1.5 [1.0; 2.2], P < 0.049, which was slightly higher than in diabetes mellitus (OR 1.2) and stroke (OR 1.4). Other than in diabetes and/or stroke, we did not find a significant association between AE and social isolation. QoL scores were lower in AE than in controls (mean 46.9 vs. 48.0, P < 0.001 for physical and 50.6 vs. 52.5, P < 0.001 for mental components). Conclusions Subjects with AE showed higher values for depression and anxiety as well as lower QoL scores compared to controls. With regard to depression, odds in AE and cancer were hardly different. Medical care of AE patients should therefore include mental health evaluation and treatment if indicated.

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“…The new study by Smirnova et al . in this issue of the BJD is therefore strongly welcomed, as it is the first of its kind to compare educational attainment in individuals with AD and controls . Information on AD and cognitive function was collected from 234 715 Swedish men aged 17–20 years who underwent military conscription in 1969–1976.…”

mentioning

confidence: 99%