Actas Dermo-Sifiliográficas (English Edition) Actas Dermo-Sifiliográficas (English Edition)
Actas Dermosifiliogr 2017;108:392 - Vol. 108 Num.5 DOI: 10.1016/j.adengl.2017.02.023
Commentary
Mothers of Children With Atopic Dermatitis Are Not More Prone to Obsessive-Compulsive Symptoms
No aparecen más síntomas obsesivo-compulsivos en madres de hijos con dermatitis atópica
J. Olivera Pueyo
Programa de Psicogeriatría-Medicina Psicosomática, Hospital San Jorge, Huesca, Spain
Instituto Aragonés de Ciencias de la Salud (IACS), Spain

The authors of this article address an interesting question: the repercussion on mothers of the symptoms experienced by their children with atopic dermatitis. The objective of the study and the hypothesis advanced are interesting, although ultimately the results were not significant except in the case of physical functioning scores. This result may have been due to the fact that, rather than assessing mental suffering or anxiety, the authors chose to assess the symptoms of a specific psychiatric disorder—obsessive-compulsive syndrome. Obsessive-compulsive disorder is classified as a neurotic, stress-related and somatoform disorder in the 10th revision of the International Statistical Classification of Diseases (ICD-10)1 and is included in the section on obsessive compulsive and related disorders in the 5th revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).2 It affects between 1% and 3% of the general population3 and is characterized by the presence of obsessions and/or compulsions. Obsessions are persistent and recurrent thoughts, impulses, or images that the patient experiences as intrusive and unwanted. Compulsions are repetitive behaviors or mental acts that a person feels driven to carry out in response to an obsession or in accordance with rules that he or she must apply rigidly. Obsessions and compulsions give rise to intense anxiety in these patients, being recognized as absurd and inevitable. While stressful situations, such as those described in the article by Gunduz et al.4 in this issue, will exacerbate these symptoms, in theory, this will only happen in individuals who have been diagnosed with obsessive compulsive disorder. However, the exclusion from this study of mothers who had previously taken any neuropsychiatric medication could create a bias that might explain the negative result obtained.

References
1
Organización Mundial de la Salud (OMS). CIE-10. Trastornos mentales y del comportamiento. Descripciones clínicas y pautas para el diagnóstico. Madrid: Meditor; 1994.
2
American Psychiatric Association. Manual diagnóstico y estadístico de los trastornos mentales. DSM-5. 5.ª ed. Madrid: Editorial Médica Panamericana; 2014.
3
M.A. Jenike,L. Baer,W.E. Minichiello
Trastornos obsesivo-compulsivos. Manejo práctico
Ediciones Harcourt SA, (2001)
4
O Gunduz S, Usak E, Ozen S, Gorpelioglu C. Parental Obsessive Compulsive Symptoms and Quality of Life in Children With Atopic Dermatitis. Actas Dermosifiliogr. http://dx.doi.org/10.1016/j.ad.2017.01.004

Please cite this article as: Olivera J. No aparecen más síntomas obsesivo-compulsivos en madres de hijos con dermatitis atópica. Actas Dermosifiliogr. 2017;108:392.

Copyright © 2017. Elsevier España, S.L.U. and AEDV
Actas Dermosifiliogr 2017;108:392 - Vol. 108 Num.5 DOI: 10.1016/j.adengl.2017.02.023