Clinical and social problems of compliance in pediatric dermatology


The article is dedicated to the clinical and social analysis of problems concerning patient's and parent's compliance as well as investigation of the impact of various factors to treatment compliance in pediatric dermatology settings. For this purpose specially designed questionnaires for the participants of development of the treatment compliant behavior were used: physicians, pediatric patients of 13 to 18 years old suffering of chronic dermatoses, and their parents.
There are the following main predictors of low compliance among dermatological pediatric population: psychological problems of patients; an attitude of a patient and his/her family to the treatment of the disease; lack of confidence among patient in the provided therapy (only 20.2% of adolescents and 56.4% of their parents always accurately follow the prescribed treatment); incomplete awareness of patients and their parents regarding the disease (30.9% of parents noted that by their opinion they are adequately informed concerning the disease of their child); duration of therapy, which could be not always effective or legitimating expectations of patients; inter-individual relationship impairment within the triad of practitioner-child-parents. Taking into account the circumstances, professional and personal qualities of the attendant physician, the adherence by him/her the principles of medical ethics are of primary importance for better treatment compliance.


  1. Савинова А. В. Приверженность пациентов в системе факторов безопасности оказания акушерско-гинекологической помощи. Сборник материалов XVI Российского национального конгресса «Человек и лекарство». 2009; 402-403.
  2. Маслак Е. Е., Куюмджиди Н. В., Каменнова Е. Н. Грудное вскармливание, комплаентность родителей и развитие кариеса зубов у детей раннего возраста. Dental Forum 2009; 4(32): 35-36.
  3. Суркова Е. В., Мельникова О. Г. Некоторые аспекты приверженности медикаментозной терапии у больных сахарным диабетом 2-го типа. Трудный пациент. 2008; 6 (11): 35-38.
  4. Horvathova H., Kimlikova K., Balazovjech I., Kyselovic I. Compliance and the therapeutic effect in patients with arterial hypertension. Bratisl Lek Listy 2003; 104 (4-5): 149-154.
  5. Кочергин Н. Г. Псориаз, приверженность лечению и кальципотриол+ бетаметазона дипропионат. Клин. дерматол. и вене- рол. 2010; 3: 42-46.
  6. Коляденко В. Г., Федоренко А. Е., Головченко Д. Я. Медицинская деонтология в дерматологии и венерологии. Киев: «ЗДОРОВЬЯ»; 1989.
  7. Кунгуров Н. В., Кохан М. М., Жукова М. М. и др. Угревая сыпь как медико-социальная проблема юношества. Уральский медицинский журнал. 2004; 3: 4-8.
  8. Dreno B. Assessing Quality of Life in Patients with Acne Vulgaris. Implications for Treatment. Am J Clin Dermatol 2006; 7 (2): 99-106.
  9. Grillo М., R. N., Gassner L., Marshman G. et al. Pediatric Atopic Eczema: The Impact of an Educational Intervention. Pediatric Dermatol 2006; 23 (5): 428-436.

Copyright (c) 2011 Gorlanov I.A., Mikirtichan G.L., Zaslavskiy D.V., Khaurova T.V., Murashkin N.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 60448 от 30.12.2014.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies