Volume 23, Issue 3 (Pajouhan Scientific Journal, Summer 2025)                   Pajouhan Sci J 2025, 23(3): 228-236 | Back to browse issues page


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Esmaeili M, Mohammadi F, Cheragi F, Khazaei S, Sobhan M, Parvizi M M. Quality of Life of Parents of Children with Epidermolysis Bullosa: A Systematic Review. Pajouhan Sci J 2025; 23 (3) :228-236
URL: http://psj.umsha.ac.ir/article-1-1208-en.html
1- Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Pediatric Nursing, School of Nursing and Midwifery, Mother and Child Care Research Center, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences, Hamadan, Iran , mohammadifateme47@yahoo.com
3- Department of Pediatric Nursing, School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Epidemiology, School of Health, Research Center for Health Sciences, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Dermatology, School of Medicine, Sina (Farshchian) Educational and Medical Center, Hamadan University of Medical Sciences, Hamadan, Iran
6- Molecular Dermatology Research Center, Shiraz University of Medical Science, Shiraz, Iran
Abstract:   (1009 Views)
Background and Objectives: Epidermolysis bullosa is a group of rare genetic disorders that cause blisters on the skin and mucous membranes. This disease significantly impacts not only the affected child but also the parents, affecting their quality of life. Therefore, this study aims to determine the quality of life of parents with children suffering from epidermolysis bullosa.
Materials and Methods: In this systematic review, all observational studies published between 2013 and 2025 in Persian and English databases were collected and examined using the keywords related to quality of life, parents, and epidermolysis bullosa. After eliminating duplicate and irrelevant cases, the quality of studies was assessed using the Newcastle-Ottawa Scale.
Results: A total of 342 articles were identified. After removing 189 duplicates, the titles and abstracts of 153 articles were reviewed. Of these, 138 were excluded since they assessed different concepts in parents of children with epidermolysis bullosa and did not evaluate the parents' quality of life. Additionally, 2 articles were excluded due to the unavailability of full-text versions. Among the remaining 13 articles, 5 received a score of 4 stars according to the Newcastle-Ottawa Scale, indicating low study quality, and were thus excluded from this study. Ultimately, 8 articles remained for comprehensive review and analysis.
Conclusion: The presence of epidermolysis bullosa not only affects the quality of life of the affected children but also imposes significant physical, psychological, social, and economic burdens on their parents and families, collectively diminishing their overall quality of life.
Full-Text [PDF 1092 kb]   (54 Downloads)    
Type of Study: Systematic Review Article | Subject: Psychology and Psychiatry
Received: 2025/06/1 | Accepted: 2025/08/17 | Published: 2025/12/29

References
1. Marchili MR, Spina G, Roversi M, Mascolo C, Pentimalli E, Corbeddu M, et al. Epidermolysis Bullosa in children: the central role of the pediatrician. Orphanet J Rare Dis. 2022;17(1):147. [DOI:10.1186/s13023-021-02144-1] [PMID]
2. Fragkou D, Galanis P, Dimoutsi V. The quality of life of children with epidermolysis bullosa. Arch Hellenic Med. 2020;37(3):315-22.
3. Daae E, Feragen KB, Naerland T, von der Lippe C. When care hurts: parents' experiences of caring for a child with epidermolysis bullosa. Orphanet J Rare Dis. 2024;19(1):492. [DOI:10.1186/s13023-024-03502-5] [PMID]
4. Marty M, Chiaverini C, Milon C, Costa-Mendes L, Kémoun P, Mazereeuw-Hautier J, et al. Perception of oral health-related quality of life in children with epidermolysis bullosa: a quantitative and qualitative study. JDR Clin Trans Res. 2023;8(4):349-55. [DOI:10.1177/23800844221118362] [PMID]
5. Torkaman M, Moeini SM. Designing a smart hospital for epidermolysis bullosa (EB) patients using a biophilic design approach to enhance satisfaction and vitality. In: proceedings of the first international conference on architecture, urban planning, civil engineering, and environment. 2021.
6. Murrell DF, Sprecher E, Bruckner AL, Bodemer C, Cunningham T, Sumeray M, et al. 7. Efficacy of Oleogel-S10 (birch triterpenes) on wound healing and pain in the pediatric epidermolysis bullosa population from the EASE study. J Dermatol Physic Assis. 2022;16(2):50-1.
7. Mauritz PJ, Bolling M, Duipmans JC, Hagedoorn M. Patients' and parents' experiences during wound care of epidermolysis bullosa from a dyadic perspective: a survey study. Orphanet J Rare Dis. 2022;17(1):313. [DOI:10.1186/s13023-022-02462-y] [PMID]
8. Barbosa NG, Silva CB, Carlos DM, Brosso L, Levada AF, Okido ACC. School inclusion of children and adolescents with epidermolysis bullosa: The mothers' perspective. Rev Esc Enferm USP. 2022;56:e20220271. [DOI:10.1590/1980-220x-reeusp-2022-0271pt]
9. Forghani SF, Jahangiri R, Ghasemi F, Shirani R, Bagheri H, Mahmoodi R, et al. Economic burden of epidermolysis bullosa disease in Iran. Med J Islam Rep Iran. 2021;35:146. [DOI:10.47176/mjiri.35.146] [PMID]
10. Chogani F, Parvizi MM, Murrell DF, Handjani F. Assessing the quality of life in the families of patients with epidermolysis bullosa: The mothers as main caregivers. Int J Womens Dermatol. 2021;7(5):721-6. [DOI:10.1016/j.ijwd.2021.08.007] [PMID]
11. Bobes J, Garcia-Portilla MP, Bascaran MT, Saiz PA, Bouzoño M. Quality of life in schizophrenic patients. Dialogues Cli Neurosci. 2007;9(2):215-26. [DOI:10.31887/DCNS.2007.9.2/jbobes] [PMID]
12. Vasilopoulou E, Nisbet J. The quality of life of parents of children with autism spectrum disorder: A systematic review. Res Autism Spectrum Dis. 2016;23:36-49. [DOI:10.1016/j.rasd.2015.11.008]
13. Kotarska K, Nowak MA, Nowak L, Król P, Sochacki A, Sygit K, et al. Physical activity and quality of life of university students, their parents, and grandparents in Poland-selected determinants. Int J Environ Res Public Health. 2021;18(8):3871. [DOI:10.3390/ijerph18083871] [PMID]
14. Garcia Rodrigues M, Rodrigues JD, Pereira AT, Azevedo LF, Pereira Rodrigues P, Areias JC, et al. Impact on the quality of life of parents of children with chronic diseases using psychoeducational interventions - A systematic review with meta-analysis. Patient Educ Couns. 2022;105(4):869-80. [DOI:10.1016/j.pec.2021.07.048] [PMID]
15. Hassanein EE, Adawi TR, Johnson ES. Social support, resilience, and quality of life for families with children with intellectual disabilities. Res Dev Disabil. 2021;112:103910. [DOI:10.1016/j.ridd.2021.103910] [PMID]
16. Aratti A, Zampini L, editors. Caregiver burden, parenting stress and coping strategies: The experience of parents of children and adolescents with osteogenesis imperfecta. Healthcare. 2024;12(10):1018. [DOI:10.3390/healthcare12101018] [PMID]
17. Mauritz PJ, Bolling M, Duipmans JC, Hagedoorn M. The relationship between quality of life and coping strategies of children with EB and their parents. Orphanet J Rare Dis. 2021;16(1):53. [DOI:10.1186/s13023-021-01702-x] [PMID]
18. Toledano-Toledano F, Moral de la Rubia J, Nabors LA, Domínguez-Guedea MT, Salinas Escudero G, Rocha Pérez E, et al. Predictors of quality of life among parents of children with chronic diseases: a cross-sectional study. Healthcare. 2020;8(4):456. [DOI:10.3390/healthcare8040456] [PMID]
19. Butterworth S, Mitchell A, Mason-Whitehead E, Martin K. Epidermolysis bullosa: how social support affects quality of life. Nurs Times. 2019;115(5):48-51.
20. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. [DOI:10.1136/bmj.n71] [PMID]
21. Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2000.
22. Fernández RR, Valero AS. Quality of life index in paediatric patients with epidermolysis bullosa and their primary caregivers. Nure Investig. 2024.
23. Mauritz PJ, Bolling M, Duipmans JC, Hagedoorn M. The relationship between quality of life and coping strategies of children with EB and their parents. Orphanet J Rare Dis. 2021;16(1):53. [DOI:10.1186/s13023-021-01702-x] [PMID]
24. Sureshjani LB, Keyhanfa G. The effectiveness of life skills training on optimism and quality of life in parents of children with epidermolysis bullosa. In: Proceedings of the 2nd National Congress on Rehabilitation Counseling, Iran; 2024.

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