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Parent‐child stress, quality of life, and relationships in pediatric atopic dermatitis: An actor‐partner interdependence model

Abstract

Objective

This study investigated the interdependence between children with atopic dermatitis (AD) and their parent caregivers, focusing on perceived stress, health-related quality of life (HRQoL), and perceived parent-child relationships.

Background

AD is a chronic skin condition affecting approximately 20% of children globally, significantly impacting both affected children and their parent caregivers. Understanding the dynamics between these groups is crucial for effective management strategies.

Method

The study recruited 186 dyads of parent caregivers and children aged 6-12 with AD in Hong Kong. Data were collected on perceived stress levels, HRQoL, and the quality of parent-child relationships.

Results

Significant actor effects indicated that perceived stress was associated with lower individual HRQoL and poorer relational perceptions in both parents and children. Partner effects revealed that higher parental stress was linked to lower child-reported HRQoL, and higher child stress was associated with poorer parent-reported relationship quality. Strong correlations were observed between parent and child HRQoL and between both parties’ views of the relationship.

Conclusion and Implications

These findings underscore the reciprocal influence between children with AD and their parent caregivers, highlighting the need for a family-centered approach in managing AD. Integrating clinical interventions with rigorous research can contribute to improving outcomes and enhancing the well-being of families facing the challenges associated with AD.

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Posted in: Journal Article Abstracts on 12/30/2025 | Link to this post on IFP |
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