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<p>This study aimed to investigate the prevalence of Cognitive Disengagement Syndrome (CDS) symptoms in children diagnosed with atopic dermatitis (AD) and to examine their associations with attention-deficit/hyperactivity symptoms and emotional, behavioral, and social functioning. A cross-sectional design was used with 182 children aged 7–13 years: 88 with AD and 94 healthy controls matched for age and sociodemographic factors. Parent-reported measures included the Barkley Child Attention Scale (BCAS), the Turgay DSM-IV-Based Disruptive Behavior Disorders Rating Scale (T-DSM-IV-S), and the Strengths and Difficulties Questionnaire (SDQ). Children with AD showed significantly higher BCAS daydreaming and sluggishness scores than controls (<i>p</i> &lt; 0.001), suggesting greater CDS symptom tendencies in this group. In attention scores were significantly higher in the AD group (<i>p</i> &lt; 0.001), while hyperactivity/impulsivity scores did not differ (<i>p</i> = 0.777). SDQ inattention-hyperactivity (<i>p</i> = 0.022), emotional problems (<i>p</i> &lt; 0.001), and total difficulties (<i>p</i> &lt; 0.001) were also higher in the AD group. The proportion of children with CDS symptoms but without ADHD symptoms was greater in the AD group (<i>p</i> = 0.002). Children with AD exhibited higher levels of CDS symptoms accompanied by attentional, emotional, and behavioral difficulties. Recognizing these neuropsychological characteristics alongside dermatologic management may contribute to more comprehensive care. However, the cross-sectional design and reliance on parent-reported data should be considered when interpreting the findings.</p>

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Cognitive disengagement syndrome symptoms in pediatric atopic dermatitis: behavioral and emotional correlates

  • 期刊论文

  • 发表日期：

    2025年12月20日

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  • Elif Abanoz,
  • Ibrahim Tiryaki,
  • Ali Güven Say,
  • Ahmet Ucar,
  • Ayla Uzun Cicek,
  • Ozlem Sireli,
  • Selma Bakar Dertlioglu

摘要

This study aimed to investigate the prevalence of Cognitive Disengagement Syndrome (CDS) symptoms in children diagnosed with atopic dermatitis (AD) and to examine their associations with attention-deficit/hyperactivity symptoms and emotional, behavioral, and social functioning. A cross-sectional design was used with 182 children aged 7–13 years: 88 with AD and 94 healthy controls matched for age and sociodemographic factors. Parent-reported measures included the Barkley Child Attention Scale (BCAS), the Turgay DSM-IV-Based Disruptive Behavior Disorders Rating Scale (T-DSM-IV-S), and the Strengths and Difficulties Questionnaire (SDQ). Children with AD showed significantly higher BCAS daydreaming and sluggishness scores than controls (p < 0.001), suggesting greater CDS symptom tendencies in this group. In attention scores were significantly higher in the AD group (p < 0.001), while hyperactivity/impulsivity scores did not differ (p = 0.777). SDQ inattention-hyperactivity (p = 0.022), emotional problems (p < 0.001), and total difficulties (p < 0.001) were also higher in the AD group. The proportion of children with CDS symptoms but without ADHD symptoms was greater in the AD group (p = 0.002). Children with AD exhibited higher levels of CDS symptoms accompanied by attentional, emotional, and behavioral difficulties. Recognizing these neuropsychological characteristics alongside dermatologic management may contribute to more comprehensive care. However, the cross-sectional design and reliance on parent-reported data should be considered when interpreting the findings.