title: Psychiatric disorders and symptoms severity in preschool children with atopic eczema.
abstract: BACKGROUND
  To compare with a control group the frequency of psychiatric disorders and severity of psychiatric symptoms in preschool children with atopic eczema.
  
  
  METHODS
  The study included children between the ages of 3-5 who were diagnosed to have atopic eczema. The parents of the children with atopic eczema were interviewed in person and were asked to fill in "The Early Childhood Inventory-4" form. This form assesses the psychiatric disorders and symptoms severity in children between the ages of 3-5.
  
  
  RESULTS
  The atopic eczema group included 80 patients (38 male, 42 female) with a mean age of 48.4 ± 15.7 months and the control group included 74 patients (41 male, 33 female) with a mean age of 49.9 ± 15.19 months. It was established that 68.8% of the group with atopic eczema received at least one psychiatric diagnosis. Between the psychiatric disorders, ADHD (Odds ratio: 2.57, 95% CI: 1.049-6.298, p=0.035), enuresis and encopresis (Odds ratio: 2.39, 95% CI: 1.121-5.097, p=0.022) and attachment disorder (Odds ratio: 2.03, 95% CI: 1.046-3.953, p=0.035) were found to be significantly higher when compared with the healthy control group. When the groups were compared in terms of psychiatric symptom severity scores calculated by using ECI-4, ADHD severity (p=0.043), conduct disorder severity (p=0.001), anxiety disorders severity (p<0.001), eating disorders severity (p=0.011) and tic disorder severity (p=0.01) were found to be higher in the atopic eczema group.
  
  
  CONCLUSIONS
  Psychiatric illnesses are frequent in preschool children with atopic eczema.
authors.affiliation: Department of Pediatric Allergy and Immunology, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Catal
authors.affiliation: Department of Pediatric Allergy and Immunology, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Topal
authors.affiliation: Department of Child and Adolescent Psychiatry, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Soylu
authors.affiliation: Department of Child and Adolescent Psychiatry, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Ozel Ozcan
authors.affiliation: Department of Pediatric Allergy and Immunology, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey. Electronic address: drmhc@hotmail.com.
authors.forename: M H
authors.initials: MH
authors.lastname: Celiksoy
authors.affiliation: Department of Pediatric Allergy and Immunology, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Babayiğit
authors.affiliation: Department of Pediatric Allergy and Immunology, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: H T E
authors.initials: HT
authors.lastname: Karakoç
authors.affiliation: Department of Pediatric Allergy and Immunology, Adnan Menderes University, Faculty of Medicine, Aydın, Turkey.
authors.forename: D
authors.initials: D
authors.lastname: Erge
authors.affiliation: Department of Pediatric Allergy and Immunology, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey.
authors.forename: R
authors.initials: R
authors.lastname: Sancak
mesh_terms: D002648:Child; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000453:epidemiology*; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology
keywords: Atopic eczema; Attachment disorder; Attention deficit hyperactivity disorder; ECI-4; Encopresis; Enuresis