Psychological Therapies and Mind-Body Techniques in the Management of Dermatologic Diseases: A Systematic Review.


Journal

American journal of clinical dermatology
ISSN: 1179-1888
Titre abrégé: Am J Clin Dermatol
Pays: New Zealand
ID NLM: 100895290

Informations de publication

Date de publication:
Nov 2022
Historique:
accepted: 18 07 2022
pubmed: 10 8 2022
medline: 20 10 2022
entrez: 9 8 2022
Statut: ppublish

Résumé

There is a clear link between skin disease and psychological factors and this relationship works both ways: skin diseases can cause psychological distress and psychological issues can worsen skin disease. There are a number of therapies that approach this problem from the psychological side and may be useful, especially as adjunctive therapies in select patients. The aim of this review was to determine the efficacy of various psychological therapies and mind-body techniques in the management of common dermatologic diseases in individuals of all ages. A systematic review of PubMed, Elsevier, and Wiley was performed for studies investigating psychological and mind-body interventions in the management of various skin diseases. Both physical and non-physical treatment outcomes were considered. Studies were evaluated for both risk of bias and overall quality of evidence. A total of 40 articles studying unique sets of dermatological patients receiving psychological therapies or mind-body interventions were identified. Of the 40 included articles encompassing 3112 patients, 18 investigated these interventions in psoriasis management while 15 focused on atopic dermatitis. The remaining studies investigated vitiligo (2), pruritus (2), acne vulgaris (2), and acne excoriée (1). Based on the analysis of included studies and an assessment of their quality of evidence, the most promising interventions are cognitive behavioral therapy, mindfulness-based interventions, and habit reversal therapy.

Sections du résumé

BACKGROUND BACKGROUND
There is a clear link between skin disease and psychological factors and this relationship works both ways: skin diseases can cause psychological distress and psychological issues can worsen skin disease. There are a number of therapies that approach this problem from the psychological side and may be useful, especially as adjunctive therapies in select patients.
OBJECTIVE OBJECTIVE
The aim of this review was to determine the efficacy of various psychological therapies and mind-body techniques in the management of common dermatologic diseases in individuals of all ages.
METHODS METHODS
A systematic review of PubMed, Elsevier, and Wiley was performed for studies investigating psychological and mind-body interventions in the management of various skin diseases. Both physical and non-physical treatment outcomes were considered. Studies were evaluated for both risk of bias and overall quality of evidence.
RESULTS RESULTS
A total of 40 articles studying unique sets of dermatological patients receiving psychological therapies or mind-body interventions were identified. Of the 40 included articles encompassing 3112 patients, 18 investigated these interventions in psoriasis management while 15 focused on atopic dermatitis. The remaining studies investigated vitiligo (2), pruritus (2), acne vulgaris (2), and acne excoriée (1).
CONCLUSIONS CONCLUSIONS
Based on the analysis of included studies and an assessment of their quality of evidence, the most promising interventions are cognitive behavioral therapy, mindfulness-based interventions, and habit reversal therapy.

Identifiants

pubmed: 35945404
doi: 10.1007/s40257-022-00714-y
pii: 10.1007/s40257-022-00714-y
doi:

Types de publication

Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

755-773

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

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Auteurs

Brandon Rafidi (B)

Northwestern University Feinberg School of Medicine Chicago, Chicago, IL, USA. brandon-rafidi@northwestern.edu.

Koushik Kondapi (K)

Northwestern University Feinberg School of Medicine Chicago, Chicago, IL, USA.

Molly Beestrum (M)

Galter Health Sciences Library, Chicago, IL, USA.

Saihej Basra (S)

Northwestern University Feinberg School of Medicine Chicago, Chicago, IL, USA.

Peter Lio (P)

Department of Dermatology, Feinberg School of Medicine, Chicago, IL, USA.

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