Impact of photosensitivity disorders on the life quality of children

Rizwan, Muneeza; Haylett, Ann K.; Richards, Helen L.; Ling, Tsui C.; Rhodes, Lesley E.

doi:10.1111/j.1600-0781.2012.00691.x

Cited by 15 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly to data seen in adults, high‐scoring domains in children included impact on outdoor activities, school or holidays, and clothing, rather than skin symptoms . The exception was EPP, which also scored highly on symptoms …”

Section: Resultsmentioning

confidence: 84%

“…Eleven studies were of cross‐sectional design, along with five cohort studies, three randomized controlled trials and one case–control study . Of the 20 studies, four were rated poor quality, 14 fair quality and two good quality (Tables S5–7; see Supporting Information). The results below are presented organized by tool as our aim was to identify tool usage.…”

Section: Resultsmentioning

confidence: 99%

“…The Dermatology Life Quality Index (DLQI) was used in 14 studies (Table ; and Table S4; see Supporting Information) . Six studies used the Children's Dermatology Life Quality Index (CDLQI) and three used Skindex (16‐ and 29‐item versions) . The Erythropoietic Protoporphyria Quality‐of‐Life (EPP‐QoL) tool was used in two studies, and EuroQol and Family Dermatology Life Quality Index in one study .…”

Section: Resultsmentioning

confidence: 99%

“…In the only study of children with a range of photodermatoses, postal questionnaires were analysed from 38 children aged 4–16 years (69% response) . The mean ± SD CDLQI score was 10·2 ± 7·3 (range 0–27) and positively correlated with the number of months of the year affected.…”

Section: Resultsmentioning

confidence: 99%

“…Behavioural modification is often necessary to avoid triggering or exacerbation by ultraviolet and/or visible radiation, such as minimizing time outdoors, seeking shade, avoiding certain indoor lighting, using protective clothing and frequent sunscreen application. These measures can be highly restrictive for patients, affecting employment, schooling, and social and family activities . Despite this, there are limited data describing the impact of photosensitivity disorders on QoL and psychological health.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Quality of life and psychological impact in the photodermatoses: a systematic review

et al. 2019

View full text Add to dashboard Cite

Summary Background The photodermatoses affect large proportions of the population but their impact on quality of life (QoL) and psychological health has not been reviewed. Several tools are available to evaluate QoL and psychological impacts. Objectives To systematically review current literature to identify tools used to assess QoL and psychological impacts in patients with photodermatoses, and to summarize the reported findings. Methods A systematic search of PubMed, OVID Medline, PsycInfo and CINAHL was performed for articles investigating QoL and/or psychological impact in patients with photodermatoses, published between 1960 and September 2018. Results Twenty studies were included: 19 incorporated QoL assessment while three evaluated psychological morbidity. Six QoL tools were found to be used: Dermatology Life Quality Index (DLQI), Children's DLQI, Family DLQI, Skindex (16‐ and 29‐item versions), Erythropoietic Protoporphyria Quality of Life (EPP‐QoL) and EuroQol. Between 31% and 39% of photosensitive patients reported a very large impact on QoL (DLQI > 10). Employment and education, social and leisure activities, and clothing choices were particularly affected. Only one tool was specifically designed for a photodermatosis (EPP‐QoL). Four tools were used to evaluate psychological impact: the Hospital Anxiety and Depression Scale, Fear of Negative Evaluation, brief COPE and Illness Perception Questionnaire‐Revised. Levels of anxiety and depression were approximately double British population data. Patients with facial involvement, female gender and younger age at onset showed more psychological morbidity. Conclusions Several tools have been used to assess QoL in the photodermatoses, and confirm substantial impact on QoL. Development of specific, validated QoL measures would address their unique impacts. Research delineating their psychological comorbidity is sparse and requires further exploration. What's already known about this topic? The photodermatoses negatively impact quality of life (QoL) and cause psychological distress, but no reviews of this area appear in the literature. What does this study add? Few studies have explored the psychological and social impacts of the photodermatoses. There are no fully validated QoL tools specific to the photodermatoses. Around one‐third of adult and child patients with photosensitivity experience very or extremely large impact on QoL, with particular effect on clothing choices, employment and social and leisure activities. Studies suggest anxiety and depression levels in these patients are around double those in the U.K. general population. More attention is required on these ‘hidden’ conditions.

show abstract

Section: Resultsmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Quality of life and psychological impact in the photodermatoses: a systematic review

et al. 2019

View full text Add to dashboard Cite

show abstract

Cutaneous Photosensitivity Diseases

Ibbotson

Dawe

2016

Rook's Textbook of Dermatology, Ninth Edition

View full text Add to dashboard Cite

The photodermatoses are a diverse group of diseases, some of which, such as polymorphic light eruption, are very common and others, such as hydroa vacciniforme or xeroderma pigmentosum, are rare. It is essential not to miss the diagnosis of these conditions and referral to a specialist photodiagnostic centre is advised for many patients. Management depends on the diagnosis but includes prevention and disease suppression. Photoprotection is a mainstay approach for the photodermatoses but is often not sufficient for disease control. Desensitization using photo(chemo)therapy regimens may be feasible and systemic therapies are sometimes needed. Photosensitivity, particularly if chronic and severe, can be associated with significant psychological morbidity, which must be considered. Awareness of the possibility of vitamin D deficiency is also required.

show abstract