Psychological Therapies in Management of Psoriatic Skin Disease: A Systematic Review.
Identifieur interne : 000486 ( Main/Exploration ); précédent : 000485; suivant : 000487Psychological Therapies in Management of Psoriatic Skin Disease: A Systematic Review.
Auteurs : Azam A. Qureshi [États-Unis] ; Olabola Awosika [États-Unis] ; Francesca Baruffi [États-Unis] ; Monica Rengifo-Pardo [États-Unis] ; Alison Ehrlich [États-Unis]Source :
- American journal of clinical dermatology [ 1179-1888 ] ; 2019.
Descripteurs français
- KwdFr :
- Entretien motivationnel (MeSH), Essais contrôlés randomisés comme sujet (MeSH), Humains (MeSH), Médecine factuelle (méthodes), Méditation (MeSH), Psoriasis (psychologie), Psoriasis (thérapie), Qualité de vie (MeSH), Résultat thérapeutique (MeSH), Thérapie cognitive (MeSH), Éducation du patient comme sujet (MeSH).
- MESH :
- méthodes : Médecine factuelle.
- psychologie : Psoriasis.
- thérapie : Psoriasis.
- Entretien motivationnel, Essais contrôlés randomisés comme sujet, Humains, Méditation, Qualité de vie, Résultat thérapeutique, Thérapie cognitive, Éducation du patient comme sujet.
English descriptors
- KwdEn :
- Cognitive Behavioral Therapy (MeSH), Evidence-Based Medicine (methods), Humans (MeSH), Meditation (MeSH), Motivational Interviewing (MeSH), Patient Education as Topic (MeSH), Psoriasis (psychology), Psoriasis (therapy), Quality of Life (MeSH), Randomized Controlled Trials as Topic (MeSH), Treatment Outcome (MeSH).
- MESH :
- methods : Evidence-Based Medicine.
- psychology : Psoriasis.
- therapy : Psoriasis.
- Cognitive Behavioral Therapy, Humans, Meditation, Motivational Interviewing, Patient Education as Topic, Quality of Life, Randomized Controlled Trials as Topic, Treatment Outcome.
Abstract
BACKGROUND
Psoriasis is a chronic, immune-mediated skin disease shown to have a multifaceted relationship with psychological factors. Because these factors have been shown to both worsen and result from psoriasis, an increasing number of studies have sought to investigate the efficacy of various psychological interventions in psoriasis management.
METHODS
A systematic review of PubMed
RESULTS
A total of 28 reports studying 27 unique sets of patients receiving psychological therapies in psoriasis management were identified, including three case reports and series and 24 clinical trials, investigating 1522 patients in total. Cognitive behavioral therapy and its variants, biofeedback, meditation and mindfulness-based therapies, hypnosis, music resonance therapy, motivational interviewing, emotional disclosure, and educational and multidisciplinary approaches have been studied in the treatment of psoriasis. Although 16 randomized controlled trials were included in this review, literature is limited by heterogeneity of methodology, analyses, and outcomes. Only 4 of 27 studies (three of which investigated cognitive behavioral therapy) were rated a level of evidence of 1+ or greater. Studies, overall, have sample sizes often < 50 patients, lack follow-up past 12 months, and have attrition rates > 20%.
CONCLUSIONS
Based on assigned levels of evidence, the most promising methods of psychological intervention in psoriasis include cognitive behavioral therapy, mindfulness-based therapies, motivational interviewing, and educational and interdisciplinary interventions. Further study is needed to determine the efficacy, practicality, and economic feasibility of these treatment options for patients with psoriasis.
DOI: 10.1007/s40257-019-00437-7
PubMed: 30937679
Affiliations:
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Baruffi</name><affiliation wicri:level="2"><nlm:affiliation>George Washington University School of Medicine and Health Sciences, Washington, DC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>George Washington University School of Medicine and Health Sciences, Washington, DC</wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Rengifo Pardo, Monica" sort="Rengifo Pardo, Monica" uniqKey="Rengifo Pardo M" first="Monica" last="Rengifo-Pardo">Monica Rengifo-Pardo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology, George Washington Medical Faculty Associates, 2150 Pennsylvania Ave., NW, Suite 2B-430, Washington, DC, 20037, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, George Washington Medical Faculty Associates, 2150 Pennsylvania Ave., NW, Suite 2B-430, Washington, DC, 20037</wicri:regionArea><wicri:noRegion>20037</wicri:noRegion></affiliation></author><author><name sortKey="Ehrlich, Alison" sort="Ehrlich, Alison" uniqKey="Ehrlich A" first="Alison" last="Ehrlich">Alison Ehrlich</name><affiliation wicri:level="2"><nlm:affiliation>George Washington University School of Medicine and Health Sciences, Washington, DC, USA. aehrlich@mfa.gwu.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>George Washington University School of Medicine and Health Sciences, Washington, DC</wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology, George Washington Medical Faculty Associates, 2150 Pennsylvania Ave., NW, Suite 2B-430, Washington, DC, 20037, USA. aehrlich@mfa.gwu.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, George Washington Medical Faculty Associates, 2150 Pennsylvania Ave., NW, Suite 2B-430, Washington, DC, 20037</wicri:regionArea><wicri:noRegion>20037</wicri:noRegion></affiliation></author></analytic><series><title level="j">American journal of clinical dermatology</title><idno type="eISSN">1179-1888</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cognitive Behavioral Therapy (MeSH)</term><term>Evidence-Based Medicine (methods)</term><term>Humans (MeSH)</term><term>Meditation (MeSH)</term><term>Motivational Interviewing (MeSH)</term><term>Patient Education as Topic (MeSH)</term><term>Psoriasis (psychology)</term><term>Psoriasis (therapy)</term><term>Quality of Life (MeSH)</term><term>Randomized Controlled Trials as Topic (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Entretien motivationnel (MeSH)</term><term>Essais contrôlés randomisés comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Médecine factuelle (méthodes)</term><term>Méditation (MeSH)</term><term>Psoriasis (psychologie)</term><term>Psoriasis (thérapie)</term><term>Qualité de vie (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Thérapie cognitive (MeSH)</term><term>Éducation du patient comme sujet (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Evidence-Based Medicine</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Médecine factuelle</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Psoriasis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Psoriasis</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Psoriasis</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Psoriasis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cognitive Behavioral Therapy</term><term>Humans</term><term>Meditation</term><term>Motivational Interviewing</term><term>Patient Education as Topic</term><term>Quality of Life</term><term>Randomized Controlled Trials as Topic</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Entretien motivationnel</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Méditation</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Thérapie cognitive</term><term>Éducation du patient comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Psoriasis is a chronic, immune-mediated skin disease shown to have a multifaceted relationship with psychological factors. Because these factors have been shown to both worsen and result from psoriasis, an increasing number of studies have sought to investigate the efficacy of various psychological interventions in psoriasis management.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A systematic review of PubMed</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 28 reports studying 27 unique sets of patients receiving psychological therapies in psoriasis management were identified, including three case reports and series and 24 clinical trials, investigating 1522 patients in total. Cognitive behavioral therapy and its variants, biofeedback, meditation and mindfulness-based therapies, hypnosis, music resonance therapy, motivational interviewing, emotional disclosure, and educational and multidisciplinary approaches have been studied in the treatment of psoriasis. Although 16 randomized controlled trials were included in this review, literature is limited by heterogeneity of methodology, analyses, and outcomes. Only 4 of 27 studies (three of which investigated cognitive behavioral therapy) were rated a level of evidence of 1+ or greater. Studies, overall, have sample sizes often < 50 patients, lack follow-up past 12 months, and have attrition rates > 20%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Based on assigned levels of evidence, the most promising methods of psychological intervention in psoriasis include cognitive behavioral therapy, mindfulness-based therapies, motivational interviewing, and educational and interdisciplinary interventions. Further study is needed to determine the efficacy, practicality, and economic feasibility of these treatment options for patients with psoriasis.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30937679</PMID><DateCompleted><Year>2020</Year><Month>02</Month><Day>10</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1179-1888</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>5</Issue><PubDate><Year>2019</Year><Month>Oct</Month></PubDate></JournalIssue><Title>American journal of clinical dermatology</Title><ISOAbbreviation>Am J Clin Dermatol</ISOAbbreviation></Journal><ArticleTitle>Psychological Therapies in Management of Psoriatic Skin Disease: A Systematic Review.</ArticleTitle><Pagination><MedlinePgn>607-624</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s40257-019-00437-7</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Psoriasis is a chronic, immune-mediated skin disease shown to have a multifaceted relationship with psychological factors. Because these factors have been shown to both worsen and result from psoriasis, an increasing number of studies have sought to investigate the efficacy of various psychological interventions in psoriasis management.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A systematic review of PubMed<sup>®</sup> and Scopus<sup>®</sup> databases was performed for studies investigating psychological interventions in psoriasis management published from 1 January 1990 through 4 November 2018. Primary articles published in English and conveying physical treatment outcomes were included, whereas articles not describing clinical outcomes were excluded. Studies supporting intervention efficacy were graded with a level of evidence according to the Scottish Intercollegiate Guidelines Network levels of evidence.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 28 reports studying 27 unique sets of patients receiving psychological therapies in psoriasis management were identified, including three case reports and series and 24 clinical trials, investigating 1522 patients in total. Cognitive behavioral therapy and its variants, biofeedback, meditation and mindfulness-based therapies, hypnosis, music resonance therapy, motivational interviewing, emotional disclosure, and educational and multidisciplinary approaches have been studied in the treatment of psoriasis. Although 16 randomized controlled trials were included in this review, literature is limited by heterogeneity of methodology, analyses, and outcomes. Only 4 of 27 studies (three of which investigated cognitive behavioral therapy) were rated a level of evidence of 1+ or greater. Studies, overall, have sample sizes often < 50 patients, lack follow-up past 12 months, and have attrition rates > 20%.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Based on assigned levels of evidence, the most promising methods of psychological intervention in psoriasis include cognitive behavioral therapy, mindfulness-based therapies, motivational interviewing, and educational and interdisciplinary interventions. Further study is needed to determine the efficacy, practicality, and economic feasibility of these treatment options for patients with psoriasis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Qureshi</LastName><ForeName>Azam A</ForeName><Initials>AA</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-9419-3557</Identifier><AffiliationInfo><Affiliation>University of Maryland School of Medicine, Baltimore, MD, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Awosika</LastName><ForeName>Olabola</ForeName><Initials>O</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-6018-8488</Identifier><AffiliationInfo><Affiliation>Department of Dermatology, Henry Ford Medical Center, Detroit, MI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baruffi</LastName><ForeName>Francesca</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>George Washington University School of Medicine and Health Sciences, Washington, DC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rengifo-Pardo</LastName><ForeName>Monica</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-3518-6867</Identifier><AffiliationInfo><Affiliation>Department of Dermatology, George Washington Medical Faculty Associates, 2150 Pennsylvania Ave., NW, Suite 2B-430, Washington, DC, 20037, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ehrlich</LastName><ForeName>Alison</ForeName><Initials>A</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-4062-5289</Identifier><AffiliationInfo><Affiliation>George Washington University School of Medicine and Health Sciences, Washington, DC, USA. aehrlich@mfa.gwu.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Dermatology, George Washington Medical Faculty Associates, 2150 Pennsylvania Ave., NW, Suite 2B-430, Washington, DC, 20037, USA. aehrlich@mfa.gwu.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Am J Clin Dermatol</MedlineTA><NlmUniqueID>100895290</NlmUniqueID><ISSNLinking>1175-0561</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="N">Cognitive Behavioral Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019122" MajorTopicYN="N">Meditation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062405" MajorTopicYN="N">Motivational Interviewing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011565" MajorTopicYN="N">Psoriasis</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30937679</ArticleId><ArticleId IdType="doi">10.1007/s40257-019-00437-7</ArticleId><ArticleId IdType="pii">10.1007/s40257-019-00437-7</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li><li>Maryland</li><li>Michigan</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Qureshi, Azam A" sort="Qureshi, Azam A" uniqKey="Qureshi A" first="Azam A" last="Qureshi">Azam A. Qureshi</name></region><name sortKey="Awosika, Olabola" sort="Awosika, Olabola" uniqKey="Awosika O" first="Olabola" last="Awosika">Olabola Awosika</name><name sortKey="Baruffi, Francesca" sort="Baruffi, Francesca" uniqKey="Baruffi F" first="Francesca" last="Baruffi">Francesca Baruffi</name><name sortKey="Ehrlich, Alison" sort="Ehrlich, Alison" uniqKey="Ehrlich A" first="Alison" last="Ehrlich">Alison Ehrlich</name><name sortKey="Ehrlich, Alison" sort="Ehrlich, Alison" uniqKey="Ehrlich A" first="Alison" last="Ehrlich">Alison Ehrlich</name><name sortKey="Rengifo Pardo, Monica" sort="Rengifo Pardo, Monica" uniqKey="Rengifo Pardo M" first="Monica" last="Rengifo-Pardo">Monica Rengifo-Pardo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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