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CC BY-NC-ND 4.0 · Sleep Sci
DOI: 10.1055/s-0044-1787275
Short Communications

Atopic Dermatitis, Sleep, and the COVID-19 Pandemic

Priscila Vernizi Roth 
Department of Pediatrics, Complexo do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Renata Drizlionoks 
Department of Pediatrics, Complexo do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Rafaela Cachiolo Antunes 
Department of Pediatrics, Complexo do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Ana Chrystina Souza Crippa 
Department of Pediatrics, Complexo do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Mariana Aparecida Pasa Morgan 
Department of Pediatrics, Complexo do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Vânia Oliveira de Carvalho 
Department of Pediatrics, Complexo do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil
› Author Affiliations Funding The authors declare that they have not received funding from agencies in the public, private or non-profit sectors to conduct the present study.
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Abstract

Objective To investigate sleep disorders among children with atopic dermatitis (AD), before and during the coronavirus disease 2019 (COVID-19) pandemic.

Materials and Methods The present longitudinal, prospective study included 26 patients with AD, and the Sleep Disturbance Scale for Children (SDSC) questionnaire and questions about sleep hygiene were used. The severity of AD was determined by the Patient-Oriented Eczema Measure (POEM). The first evaluation was conducted before the pandemic (in 2019) and the second, during the pandemic, from September to December 2020.

Results Sleep disorder was present in 17 (65.38%) patients in the 1st evaluation, and in 11 (42.30%) in the 2nd (p = 0.04). In the 1st evaluation, disorders of initiating and maintaining sleep (DIMSs) were more frequent in patients with moderate-to-severe AD (83.33%). During the pandemic, 6 patients (23.07%) reported improvement in sleep quality.

Conclusion Sleep quality was negatively influenced by the severity of AD. During the COVID-19 pandemic, there was improvement in sleep quality, despite the absence of changes in disease severity.

Keywords

atopic dermatitis - COVID-19 pandemic - sleep disorders


Publication History

Received: 14 September 2023

Accepted: 15 February 2024

Article published online:
29 May 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Kong TS, Han TY, Lee JH, Son SJ. Correlation between Severity of Atopic Dermatitis and Sleep Quality in Children and Adults. Ann Dermatol 2016; 28 (03) 321-326
    CrossrefPubMedGoogle Scholar
  • 2 Fishbein AB, Vitaterna O, Haugh IM. et al. Nocturnal eczema: Review of sleep and circadian rhythms in children with atopic dermatitis and future research directions. J Allergy Clin Immunol 2015; 136 (05) 1170-1177
    CrossrefPubMedGoogle Scholar
  • 3 Ramirez FD, Chen S, Langan SM. et al. Association of Atopic Dermatitis With Sleep Quality in Children. JAMA Pediatr 2019; 173 (05) e190025
    CrossrefPubMedGoogle Scholar
  • 4 Reuveni H, Chapnick G, Tal A, Tarasiuk A. Sleep fragmentation in children with atopic dermatitis. Arch Pediatr Adolesc Med 1999; 153 (03) 249-253
    CrossrefPubMedGoogle Scholar
  • 5 Chang YS, Chiang BL. Sleep disorders and atopic dermatitis: A 2-way street?. J Allergy Clin Immunol 2018; 142 (04) 1033-1040
    CrossrefPubMedGoogle Scholar
  • 6 Camfferman D, Kennedy JD, Gold M, Martin AJ, Lushington K. Eczema and sleep and its relationship to daytime functioning in children. Sleep Med Rev 2010; 14 (06) 359-369
    CrossrefPubMedGoogle Scholar
  • 7 El Halal CDS, Nunes ML. Sleep and weight-height development. J Pediatr (Rio J) 2019; 95 (Suppl. 01) 2-9
    CrossrefPubMedGoogle Scholar
  • 8 Ehsan Z, Ishman SL, Kimball TR, Zhang N, Zou Y, Amin RS. Longitudinal Cardiovascular Outcomes of Sleep Disordered Breathing in Children: A Meta-Analysis and Systematic Review. Sleep 2017; 40 (03) zsx015
    CrossrefPubMedGoogle Scholar
  • 9 Baptista AS, Prado IM, Perazzo MF. et al. Can children's oral hygiene and sleep routines be compromised during the COVID-19 pandemic?. Int J Paediatr Dent 2021; 31 (01) 12-19
    CrossrefPubMedGoogle Scholar
  • 10 Marques de Miranda D, da Silva Athanasio B, Sena Oliveira AC, Simoes-E-Silva AC. How is COVID-19 pandemic impacting mental health of children and adolescents?. Int J Disaster Risk Reduct 2020; 51: 101845
    CrossrefPubMedGoogle Scholar
  • 11 Moore SA, Faulkner G, Rhodes RE. et al. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act 2020; 17 (01) 85
    CrossrefPubMedGoogle Scholar
  • 12 Engzell P, Frey A, Verhagen MD. Learning loss due to school closures during the COVID-19 pandemic. Proc Natl Acad Sci U S A 2021; 118 (17) e2022376118
    CrossrefPubMedGoogle Scholar
  • 13 Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl (Stockh) 1980; 59: 44-47
    CrossrefGoogle Scholar
  • 14 Charman CR, Venn AJ, Williams HC. The patient-oriented eczema measure: development and initial validation of a new tool for measuring atopic eczema severity from the patients' perspective. Arch Dermatol 2004; 140 (12) 1513-1519
    CrossrefPubMedGoogle Scholar
  • 15 Ferreira VR. Escala de Distúrbios do Sono em Crianças: Tradução, adaptação cultural e validação [dissertation]. São Paulo, SP: Universidade Federal de São Paulo; 2009
    Google Scholar
  • 16 Bruni O, Ottaviano S, Guidetti V. et al. The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res 1996; 5 (04) 251-261
    CrossrefPubMedGoogle Scholar
  • 17 Bawany F, Northcott CA, Beck LA, Pigeon WR. Sleep Disturbances and Atopic Dermatitis: Relationships, Methods for Assessment, and Therapies. J Allergy Clin Immunol Pract 2021; 9 (04) 1488-1500
    CrossrefPubMedGoogle Scholar
  • 18 Klein JM, Gonçalves A. Problemas de sono-vigília em crianças: um estudo da prevalência. Psico-USF 2008; 13: 51-58
    CrossrefGoogle Scholar
  • 19 Saito M, Kikuchi Y, Lefor AK, Hoshina M. Mental health in Japanese children during school closures due to the COVID-19. Pediatr Int 2022; 64 (01) e14718
    CrossrefPubMedGoogle Scholar
  • 20 Leung DYM. New insights into atopic dermatitis: role of skin barrier and immune dysregulation. Allergol Int 2013; 62 (02) 151-161
    CrossrefPubMedGoogle Scholar
  • 21 Geoghegan JA, Irvine AD, Foster TJ. Staphylococcus aureus and Atopic Dermatitis: A Complex and Evolving Relationship. Trends Microbiol 2018; 26 (06) 484-497
    CrossrefPubMedGoogle Scholar
  • 22 Irwin MR. Sleep disruption induces activation of inflammation and heightens risk for infectious disease: Role of impairments in thermoregulation and elevated ambient temperature. Temperature 2022; 10 (02) 198-234
    CrossrefPubMedGoogle Scholar
  • 23 Reid P, Lewis-Jones MS. Sleep difficulties and their management in preschoolers with atopic eczema. Clin Exp Dermatol 1995; 20 (01) 38-41
    CrossrefPubMedGoogle Scholar