BRIEF REPORT Pediatric Dermatology Vol. 32 No. 4 e188–e190, 2015
Body Image in Children with Morphea: A Systematic Review Abstract: This systematic review was conducted to evaluate the present state of body image research in children with morphea and the extent of body image distress in this population. Only five studies met inclusion criteria. Disease-related skin changes in children with morphea typically were associated with, at most, mild levels of body image distress.
This systematic literature review evaluated the state of body image research in children with morphea. PubMed, PsycINFO, and CINAHL were searched
for articles published before October 2014 that evaluated body image in children with morphea. Search terms included combinations of morphea (morphea OR localized scleroderma OR linear scleroderma) and body image (body image OR self image OR appearance). Articles examining skin disease– related quality of life were included if the measure contained a subscale assessing body image. RESULTS Five articles (1–5) met inclusion criteria (Fig. 1). Table 1 shows patient characteristics. Uziel et al (1) used the Harter Self-Perception Profile for Children to evaluate self-worth in 47 children with morphea. Most patients had average or above average scores in the physical appearance domain on the Harter questionnaire, indicative of levels of self-worth similar to those of healthy children. Palmero et al (2) studied 17 children with morphea who had surgery to reduce facial asymmetry. Of 10
Figure 1. Search and selection of eligible articles.
DOI: 10.1111/pde.12611
e188
© 2015 Wiley Periodicals, Inc.
Brief Report e189
TABLE 1. Characteristics of Participants of Studies Included in the Systematic Review Author
Study design
Country
Sample size, N
Uziel et al (1) Palmero et al (2) Orzechowski et al (3)
Cross-sectional
Canada
Retrospective chart review Cross-sectional
Baildam et al (4) Das et al (5)
Cross-sectional Cross-sectional
Method of diagnosis
Age, years
Female, %
Disease duration, months
Morphea, %
47
NR
11.7
53
54
100
Canada
17
NR
18.65
65
NR
100
United States
86
28
JLS: 15 AD: 11 Healthy controls: 10 13
JLS: 21 AD: 13 Healthy controls: 26 68
JLS: 79 AD: 63 Healthy controls: N/A 30
37
United Kingdom United States
Pediatric rheumatologist and pediatric dermatologist Consultant rheumatologist Clinician with expertise in morphea
Children: ≤17 Adults: ≥18
84
Children: 31 Adults: 92
100
277*
86
NR, not reported; JLS, juvenile localized scleroderma (morphea); AD, atopic dermatitis. *Seventy-five patients were
Body Image in Children with Morphea: A Systematic Review Abstract: This systematic review was conducted to evaluate the present state of body image research in children with morphea and the extent of body image distress in this population. Only five studies met inclusion criteria. Disease-related skin changes in children with morphea typically were associated with, at most, mild levels of body image distress.
This systematic literature review evaluated the state of body image research in children with morphea. PubMed, PsycINFO, and CINAHL were searched
for articles published before October 2014 that evaluated body image in children with morphea. Search terms included combinations of morphea (morphea OR localized scleroderma OR linear scleroderma) and body image (body image OR self image OR appearance). Articles examining skin disease– related quality of life were included if the measure contained a subscale assessing body image. RESULTS Five articles (1–5) met inclusion criteria (Fig. 1). Table 1 shows patient characteristics. Uziel et al (1) used the Harter Self-Perception Profile for Children to evaluate self-worth in 47 children with morphea. Most patients had average or above average scores in the physical appearance domain on the Harter questionnaire, indicative of levels of self-worth similar to those of healthy children. Palmero et al (2) studied 17 children with morphea who had surgery to reduce facial asymmetry. Of 10
Figure 1. Search and selection of eligible articles.
DOI: 10.1111/pde.12611
e188
© 2015 Wiley Periodicals, Inc.
Brief Report e189
TABLE 1. Characteristics of Participants of Studies Included in the Systematic Review Author
Study design
Country
Sample size, N
Uziel et al (1) Palmero et al (2) Orzechowski et al (3)
Cross-sectional
Canada
Retrospective chart review Cross-sectional
Baildam et al (4) Das et al (5)
Cross-sectional Cross-sectional
Method of diagnosis
Age, years
Female, %
Disease duration, months
Morphea, %
47
NR
11.7
53
54
100
Canada
17
NR
18.65
65
NR
100
United States
86
28
JLS: 15 AD: 11 Healthy controls: 10 13
JLS: 21 AD: 13 Healthy controls: 26 68
JLS: 79 AD: 63 Healthy controls: N/A 30
37
United Kingdom United States
Pediatric rheumatologist and pediatric dermatologist Consultant rheumatologist Clinician with expertise in morphea
Children: ≤17 Adults: ≥18
84
Children: 31 Adults: 92
100
277*
86
NR, not reported; JLS, juvenile localized scleroderma (morphea); AD, atopic dermatitis. *Seventy-five patients were
