Abstract
Purpose
Asthma and atopic dermatitis are common chronic diseases and depression is an important comorbidity in allergic diseases. However, the association between maternal depression and child allergic diseases is little known. This study was performed to find out the association between maternal depression and child allergic diseases.
Methods
Data were acquired from 2,737 families who participated in the Fifth Korea National Health and Nutrition Examination Surveys, which was conducted from 2010 through 2012.
Results
The prevalence of childhood asthma was 5.3% and that of childhood atopic dermatitis was 14.1%. The prevalence of maternal depression was 3.9%. In univariate analysis, maternal depressions was associated with maternal smoking, lower education level, lower economic state, lower number of household members, maternal asthma, children's asthma (P<0.05), but marital status, maternal employment status, maternal atopic dermatitis, children's sex, children's age, children's atopic dermatitis, residence area were not related to maternal depression. After adjustment, maternal depression was associated with lower house income, maternal asthma, and children's asthma (P<0.05).
Figures and Tables
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References
1. Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006; 368:733–743.
2. Goodwin RD, Jacobi F, Thefeld W. Mental disorders and asthma in the community. Arch Gen Psychiatry. 2003; 60:1125–1130.
3. Cheng CM, Hsu JW, Huang KL, Bai YM, Su TP, Li CT, et al. Risk of developing major depressive disorder and anxiety disorders among adolescents and adults with atopic dermatitis: a nationwide longitudinal study. J Affect Disord. 2015; 178:60–65.
4. Ho RC, Giam YC, Ng TP, Mak A, Goh D, Zhang MW, et al. The influence of childhood atopic dermatitis on health of mothers, and its impact on Asian families. Pediatr Allergy Immunol. 2010; 21:501–507.
5. Moore K, David TJ, Murray CS, Child F, Arkwright PD. Effect of childhood eczema and asthma on parental sleep and well-being: a prospective comparative study. Br J Dermatol. 2006; 154:514–518.
6. Teyhan A, Galobardes B, Henderson J. Child allergic symptoms and mental well-being: the role of maternal anxiety and depression. J Pediatr. 2014; 165:592–599.e5.
7. Cookson H, Granell R, Joinson C, Ben-Shlomo Y, Henderson AJ. Mothers' anxiety during pregnancy is associated with asthma in their children. J Allergy Clin Immunol. 2009; 123:847–853.e11.
8. Leão LL, Zhang L, Sousa PL, Mendoza-Sassi R, Chadha R, Lovatel R, et al. High prevalence of depression amongst mothers of children with asthma. J Asthma. 2009; 46:388–391.
9. Absolon CM, Cottrell D, Eldridge SM, Glover MT. Psychological disturbance in atopic eczema: the extent of the problem in school-aged children. Br J Dermatol. 1997; 137:241–245.
10. Cluley S, Cochrane GM. Psychological disorder in asthma is associated with poor control and poor adherence to inhaled steroids. Respir Med. 2001; 95:37–39.
11. Lu Y, Mak KK, van Bever HP, Ng TP, Mak A, Ho RC. Prevalence of anxiety and depressive symptoms in adolescents with asthma: a meta-analysis and meta-regression. Pediatr Allergy Immunol. 2012; 23:707–715.
12. Mina S, Jabeen M, Singh S, Verma R. Gender differences in depression and anxiety among atopic dermatitis patients. Indian J Dermatol. 2015; 60:211.
14. Bakhshaie J, Zvolensky MJ, Goodwin RD. Cigarette smoking and the onset and persistence of depression among adults in the United States: 1994-2005. Compr Psychiatry. 2015; 60:142–148.
15. Shahab L, Gilchrist G, Hagger-Johnson G, Shankar A, West E, West R. Reciprocal associations between smoking cessation and depression in older smokers: findings from the English Longitudinal Study of Ageing. Br J Psychiatry. 2015; 207:243–249.
16. Tsoh JY, Humfleet GL, Munoz RF, Reus VI, Hartz DT, Hall SM. Development of major depression after treatment for smoking cessation. Am J Psychiatry. 2000; 157:368–374.
17. Everson SA, Maty SC, Lynch JW, Kaplan GA. Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes. J Psychosom Res. 2002; 53:891–895.
18. Cole MG, Dendukuri N. Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. Am J Psychiatry. 2003; 160:1147–1156.
19. Turney K. Prevalence and correlates of stability and change in maternal depression: evidence from the Fragile Families And Child Wellbeing Study. PLoS One. 2012; 7:e45709.
20. Gray PH, Edwards DM, O'Callaghan MJ, Cuskelly M, Gibbons K. Parenting stress in mothers of very preterm infants: influence of development, temperament and maternal depression. Early Hum Dev. 2013; 89:625–629.
21. Gress-Smith JL, Luecken LJ, Lemery-Chalfant K, Howe R. Postpartum depression prevalence and impact on infant health, weight, and sleep in low-income and ethnic minority women and infants. Matern Child Health J. 2012; 16:887–893.
22. Brown GW, Bifulco A. Motherhood, employment and the development of depression. A replication of a finding? Br J Psychiatry. 1990; 156:169–179.
23. Bulloch AG, Williams JV, Lavorato DH, Patten SB. The relationship between major depression and marital disruption is bidirectional. Depress Anxiety. 2009; 26:1172–1177.
24. Arroyo C, Hu FB, Ryan LM, Kawachi I, Colditz GA, Speizer FE, et al. Depressive symptoms and risk of type 2 diabetes in women. Diabetes Care. 2004; 27:129–133.
25. Katon WJ, Lin EH, Russo J, Von Korff M, Ciechanowski P, Simon G, et al. Cardiac risk factors in patients with diabetes mellitus and major depression. J Gen Intern Med. 2004; 19:1192–1199.
26. Chong MY, Tsang HY, Chen CS, Tang TC, Chen CC, Yeh TL, et al. Community study of depression in old age in Taiwan: prevalence, life events and socio-demographic correlates. Br J Psychiatry. 2001; 178:29–35.
27. Kim JM, Stewart R, Shin IS, Yoon JS, Lee HY. Lifetime urban/rural residence, social support and late-life depression in Korea. Int J Geriatr Psychiatry. 2004; 19:843–851.
28. Bartlett SJ, Krishnan JA, Riekert KA, Butz AM, Malveaux FJ, Rand CS. Maternal depressive symptoms and adherence to therapy in inner-city children with asthma. Pediatrics. 2004; 113:229–237.
29. Martinez KG, Perez EA, Ramirez R, Canino G, Rand C. The role of caregivers' depressive symptoms and asthma beliefs on asthma outcomes among low-income Puerto Rican children. J Asthma. 2009; 46:136–141.