Bullying in Children With Congenital Ichthyosis.

IF 1.2 4区医学 Q3 DERMATOLOGY

Pediatric Dermatology Pub Date : 2025-04-06 DOI:10.1111/pde.15920

Andrea M Rustad, Hannah Soltani, Lynna J Yang, Jenna E McKenney, Ziyou Ren, Stephanie M Rangel, Amy S Paller

{"title":"Bullying in Children With Congenital Ichthyosis.","authors":"Andrea M Rustad, Hannah Soltani, Lynna J Yang, Jenna E McKenney, Ziyou Ren, Stephanie M Rangel, Amy S Paller","doi":"10.1111/pde.15920","DOIUrl":null,"url":null,"abstract":"Background/objectives: Bullying of children with chronic disorders is associated with an increased risk of depression, anxiety, poor self-esteem, and suicidal ideation. Congenital ichthyoses are genodermatoses with extensive visible scaling and inflammation. Bullying is a frequent concern of families with ichthyosis but is rarely discussed or investigated.Methods: Bullying experience and the impact on children with ichthyosis and their caregivers were investigated utilizing survey methodology and validated questionnaires. Correlations were explored between demographic and ichthyosis characteristics, bullying exposure (Child Adolescent Bullying Scale-9), child and caregiver psychosocial functioning (Patient-Reported Outcomes Measurement Information System tools), and family quality of life (Family Dermatology Life Quality Index).Results: Overall, 49 dyads completed the survey, with a mean child age of 12 years, 43% female, and 35% non-white. Lamellar (27%), epidermolytic (16%), and with confetti (12%) ichthyosis subtypes were most common. Child-reported bullying exposure correlated strongly with poor peer relationships (r = -0.63) and moderately with stigma (r = 0.53). Caregiver depression and anxiety scores were moderately correlated with caregiver's perception of child's bullying (r = 0.46 and r = 0.52, respectively). Poor family quality of life (QoL) was moderately correlated with proxy severity, caregiver depression and anxiety, poor peer relationships, and poor mobility.Conclusions: Recognition of bullying and its potential impact on QoL is an important component of exploring the psychosocial impact of ichthyosis and providing holistic care.","PeriodicalId":19819,"journal":{"name":"Pediatric Dermatology","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Dermatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/pde.15920","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background/objectives: Bullying of children with chronic disorders is associated with an increased risk of depression, anxiety, poor self-esteem, and suicidal ideation. Congenital ichthyoses are genodermatoses with extensive visible scaling and inflammation. Bullying is a frequent concern of families with ichthyosis but is rarely discussed or investigated.

Methods: Bullying experience and the impact on children with ichthyosis and their caregivers were investigated utilizing survey methodology and validated questionnaires. Correlations were explored between demographic and ichthyosis characteristics, bullying exposure (Child Adolescent Bullying Scale-9), child and caregiver psychosocial functioning (Patient-Reported Outcomes Measurement Information System tools), and family quality of life (Family Dermatology Life Quality Index).

Results: Overall, 49 dyads completed the survey, with a mean child age of 12 years, 43% female, and 35% non-white. Lamellar (27%), epidermolytic (16%), and with confetti (12%) ichthyosis subtypes were most common. Child-reported bullying exposure correlated strongly with poor peer relationships (r = -0.63) and moderately with stigma (r = 0.53). Caregiver depression and anxiety scores were moderately correlated with caregiver's perception of child's bullying (r = 0.46 and r = 0.52, respectively). Poor family quality of life (QoL) was moderately correlated with proxy severity, caregiver depression and anxiety, poor peer relationships, and poor mobility.

Conclusions: Recognition of bullying and its potential impact on QoL is an important component of exploring the psychosocial impact of ichthyosis and providing holistic care.

查看原文本刊更多论文

先天性鱼鳞病儿童的欺凌行为。

背景/目的：欺凌患有慢性疾病的儿童会增加患抑郁症、焦虑症、自尊心差和自杀倾向的风险。先天性鱼鳞病是一种遗传性皮肤病，具有广泛的可见鳞屑和炎症。欺凌是鱼鳞病患者家庭经常关注的问题，但却很少被讨论或调查：方法：采用调查方法和有效问卷对鱼鳞病儿童及其照顾者遭受欺凌的经历和影响进行了调查。研究探讨了人口统计学和鱼鳞病特征、受欺凌情况（儿童青少年欺凌量表-9）、儿童和照顾者的社会心理功能（患者报告结果测量信息系统工具）以及家庭生活质量（家庭皮肤病生活质量指数）之间的相关性：共有 49 对夫妇完成了调查，儿童平均年龄为 12 岁，43% 为女性，35% 为非白人。最常见的鱼鳞病亚型为片状鱼鳞病（27%）、表皮溶解性鱼鳞病（16%）和鱼鳞斑（12%）。儿童报告的受欺凌情况与不良同伴关系密切相关（r = -0.63），与污名化程度适中（r = 0.53）。照顾者的抑郁和焦虑得分与照顾者对儿童受欺凌的看法呈中度相关（r = 0.46 和 r = 0.52）。家庭生活质量（QoL）差与代理严重程度、照顾者抑郁和焦虑、同伴关系差和行动不便呈中度相关：结论：认识到欺凌及其对生活质量的潜在影响，是探索鱼鳞病的社会心理影响和提供整体护理的重要组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Dermatology 医学-皮肤病学

CiteScore

3.20

自引率

6.70%

发文量

269

审稿时长

1 months

期刊介绍： Pediatric Dermatology answers the need for new ideas and strategies for today''s pediatrician or dermatologist. As a teaching vehicle, the Journal is still unsurpassed and it will continue to present the latest on topics such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine, and therapeutic advances. As important progress is made in any area involving infants and children, Pediatric Dermatology is there to publish the findings.