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J Child Health Care. 2014 Mar;18(1):47-56. doi: 10.1177/1367493512468360. Epub 2013 Feb 21.

Resilience as a protective factor for the behavioral problems in school-aged children with atopic dermatitis.

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  • 1Sungshin Women's University, Republic of Korea.


This study investigates the relationships between resilience and behavioral problems in school-aged children with atopic dermatitis (AD) and identifies factors associated with these behavioral problems. A total of 102 school-aged children suffering from chronic AD were administered a self-report questionnaire on resilience, and the Korean version of the Child Behavior Checklist, to measure their internalizing/externalizing behavioral problems. The means of the internalizing and externalizing behavioral problems of children with AD were 6.58 and 7.26, respectively. Both resilience and economic status were negatively correlated with the internalizing, r = -0.262, p < 0.05, and externalizing, r = -0.248, p < 0.05, behaviors in children. The higher the children's school achievements, the less externalizing behavioral problems were reported, r = -0.327, p < 0.05. Resilience was identified as the single potent variable affecting children's behavioral problems. The higher the children's resilience scores, the lower was the chance of both internalizing, β = -1.648, p = 0.034, and externalizing behavioral problems, β = -1.382, p = 0.041. To prevent possible behavioral problems in children with chronic AD, a care plan enhancing their resilience (i.e. promoting parenting skills and social supports for children) should be developed.


Atopic dermatitis; child behavioral checklist; chronic disease; externalizing behavioral problems; internalizing behavioral problems; resilience; school-aged children

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