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      Aspectos neuropsicológicos e socioemocionais em crianças com dermatite atópica Translated title: Neuropsychological and socioemotional aspects in children with atopic dermatitis

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          Abstract

          A dermatite atópica (DA) é uma doença de etiologia multifatorial que causa inflamação da pele e leva ao aparecimento de lesões e à coceira. O objetivo deste estudo foi investigar os aspectos neuropsicológicos e socioemocionais em crianças com DA e seus pais. Realizou-se revisão da literatura nas bases de dados SciELO, PubMed e LILACS, incluindo artigos publicados a partir de 2001 em português e inglês. Foram selecionados 23 artigos, sendo 13 referentes à relação entre DA e aspectos neuropsicológicos e socioemocionais das crianças e 10 relativos ao impacto da doença nos pais. Constatou-se que a DA influencia negativamente a qualidade de vida e a qualidade do sono da criança, bem como está relacionada a sintomas de ansiedade e a outros distúrbios psicológicos. Observaram-se efeitos positivos em todos os programas de educação parental. Entende-se que os aspectos psicofisiológicos tanto das crianças quanto dos seus pais necessitam ser considerados nos tratamentos.

          Translated abstract

          Atopic dermatitis (AD) is a multifactorial disease that causes inflammation of the skin and leads to the appearance of lesions and itching. The aim of this study was to investigate the neuropsychological and socioemotional development of children with AD and their parents. A literature review was conducted using the SciELO, PubMed and LILACS databases, including articles in English and Portuguese published since 2001. We selected 23 articles: 13 on the relationship between AD and the children's psychophysiological and socioemotional factors, 10 on the disease's impact on their parents. It was found that AD has a negative influence on the child's quality of life and sleep quality and is related to symptoms of anxiety and other psychological disorders. The studies found positive effects from all parental education programs. It was found that the psychophysiological aspects presented by both children and their parents need to be considered during treatment.

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          Most cited references33

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          Mental health comorbidity in patients with atopic dermatitis.

          Recent data, primarily from Europe, suggest that children with atopic dermatitis (AD) might be at increased risk of mental health disorders.
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            The Family Dermatology Life Quality Index: measuring the secondary impact of skin disease.

            Skin diseases are known to have a major impact on the lives of patients and their families. Many instruments are available to measure the health-related quality of life (HRQoL) of patients but no measure has been developed so far to quantify the secondary impact on family members of the patients.
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              Neural basis of contagious itch and why some people are more prone to it.

              Watching someone scratch himself can induce feelings of itchiness in the perceiver. This provides a unique opportunity to characterize the neural basis of subjective experiences of itch, independent of changes in peripheral inputs. In this study, we first established that the social contagion of itch is essentially a normative response (experienced by most people), and that the degree of contagion is related to trait differences in neuroticism (i.e., the tendency to experience negative emotions), but not to empathy. Watching video clips of someone scratching (relative to control videos of tapping) activated, as indicated by functional neuroimaging, many of the neural regions linked to the physical perception of itch, including anterior insular, primary somatosensory, and prefrontal (BA44) and premotor cortices. Moreover, activity in the left BA44, BA6, and primary somatosensory cortex was correlated with subjective ratings of itchiness, and the responsivity of the left BA44 reflected individual differences in neuroticism. Our findings highlight the central neural generation of the subjective experience of somatosensory perception in the absence of somatosensory stimulation. We speculate that the habitual activation of this central "itch matrix" may give rise to psychogenic itch disorders.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                psd
                Psicologia, Saúde & Doenças
                Psic., Saúde & Doenças
                Sociedade Portuguesa de Psicologia da Saúde (Lisboa, , Portugal )
                1645-0086
                March 2019
                : 20
                : 1
                : 47-58
                Affiliations
                [3] Lisboa orgnameUniversidade Católica Portuguesa Portugal
                [4] Porto Alegre São Paulo orgnameUniversidade Federal de Ciências da Saúde de Porto Alegre orgdiv1Departamento de Psicologia Brasil
                [2] orgnameUniversidade La Salle Brasil
                [1] orgnameFaculdade Juscelino Kubistchek orgdiv1Instituto Brasileiro de Ciências Médicas Juscelino Kubistchek Brasil
                Article
                S1645-00862019000100004
                10.15309/19psd200104
                0821e959-cd5b-492e-ad02-f5eca29640ac

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 17 June 2018
                : 05 March 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 41, Pages: 12
                Product

                SciELO Portugal


                atopic dermatitis,children,eczema,socioemotional aspects,neuropsychological aspects,crianças,dermatite atópica,aspectos socioemocionais,aspectos neuropsicológicos

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