Anxiety level and severity of skin condition predicts outcome of psychotherapy in atopic dermatitis patients

Linnet, Jakob; Jemec, Gregor B. E.

doi:10.1046/j.1365-4362.2001.01272.x

Cited by 75 publications

(76 citation statements)

References 13 publications

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“…In the case of nine papers (Cooper, Murray, Wilson, & Romaniuk, 2003;de Jonghe et al, 2004;Hamilton et al, 2000;Linnet and Jemec, 2001;Maina et al, 2005;Monsen & Monsen, 2000;Shapiro et al, 1994/Hardy et al, 1995Svartberg, Stiles, & Seltzer, 2004;Winston et al, 1994), ratings were completed by two coders because of overlap of studies in the authors' respective databases. Interrater reliability was computed for categorical data with the kappa coefficient, and all values (range ϭ 0.84 to 1.0) were in the excellent range (Ͼ0.74; Fleiss, 1981).…”

Section: Data Extractionmentioning

confidence: 99%

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

et al. 2012

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The aim of this research was to examine the extent to which the use of research-specific procedures in psychodynamic psychotherapy impacts upon treatment effectiveness and which variables moderate this potential relationship. Effects of audio/video recording of sessions, use of treatment manuals, and checks of treatment fidelity were examined. A meta-analysis was conducted on randomized controlled trials of psychodynamic psychotherapy. Forty-six independent treatment samples totaling 1615 patients were included. The magnitude of change between pretreatment and posttreatment aggregated across all studies (45 treatment samples) for overall outcome was large (d ϭ 1.01), and further improvement was observed between posttreatment and an average 12.8-month follow-up (d ϭ 0.18). Subgroup analyses comparing studies that used research-specific procedures and those that did not revealed that for posttreatment data no differences in treatment effects were found. However, the use of treatment manuals and fidelity checks were significantly associated with improvement between the end of treatment and follow-up assessment. Within the limitations of analyses, this data offered preliminary evidence that use of research-specific procedures does not contribute in a negative manner to posttreatment outcomes in psychodynamic psychotherapy, and their use contributes to positive differences that emerge with time. These findings, although observational in nature, make a case for reconsidering how dimensions of clinical utility and experimental control may be integrated in psychodynamic psychotherapy to enable further elucidation of principles that evidently work.

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Section: Data Extractionmentioning

confidence: 99%

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

et al. 2012

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“…However, even though there have been conducted studies concerning the influence of stress and psychological interventions reducing the stress level on AD patients' condition, they are usually not related to particular aspects of skin structure and function. Former studies evaluated some forms of psychotherapy like: individual behavioral therapy (which reduced significantly eczema severity and scratching behavior), group autogenic training and cognitive-behavioral therapy (significant effect on eczema severity, scratching, itching intensity and using topical steroids) and brief individual dynamic psychotherapy (positive effect on eczema severity) [12,[15][16][17][18]. Influence of structured educational programs consisted of clinical, nutritional and psychological topics (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Taking into consideration both the stress impact on the course of the disease and numerous psychological problems with which AD patients have to cope in everyday life [14], it might have been expected that proper holistic management involving educational sessions would have a beneficial effect not only on patients' psychological state but also on their skin condition. Although prior studies proved a significant ameliorating effect of psychological interventions on eczema severity, itch intensity and scratching behaviour in patients with AD, studies on coping with the impact of educational interventions on the skin barrier of these patients are still lacking [12,[15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Psychological stress and transepidermal water loss in atopic dermatitis: preliminary results

Kępska¹,

Haftek²,

Nosbaum³

et al. 2012

pdia

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A Ad dd dr re es ss s f fo or r c co or rr re es sp po on nd de en nc ce e: : Prof. Anna Zalewska-Janowska MD, PhD, Department of Psychodermatology, Chair of Clinical Immunology and Microbiology, Medical University of Lodz, 251 Pomorska, Poland, phone: +48 42 Original paper A b s t r a c t I In nt tr ro od du uc ct ti io on n: : Atopic dermatitis (AD) is an inflammatory skin disease in which activation of specific T cells directed towards environmental allergens plays an important role. Environmental allergens' penetration through the skin is facilitated by the skin barrier impairment what causes xerosis and transepidermal water loss (TEWL) increase. As AD is a chronic disease, there are many factors responsible for exacerbations during the course of the disease, including environmental stress. A Ai im m: : Evaluation of the correlation between the level of psychological stress and epidermal barrier function in AD patients. M Ma at te er ri ia al l a an nd d m me et th ho od ds s: : Eight AD patients were included in the study during which two consultations were performed in one month's time. During each visit patients completed psychological questionnaires and had TEWL of uninvolved skin measured. The TEWL was also evaluated before and after the educational session which took place during the first visit. R Re es su ul lt ts s: : The study did not show any statistically significant correlation between the level of psychological stress, epidermal barrier function (measured by TEWL) and AD severity both at the beginning of the study (before and after the educational session) and a month later (all p > 0.05). C Co on nc cl lu us si io on ns s: : Negative observations could result from a small number of participants and a short follow-up period. However, consecutive studies excluding these limitations may play an important role in understanding the influence of stress on the skin barrier in atopic dermatitis and have reliable clinical implications. K Ke ey y w wo or rd ds s: : atopic dermatitis, transepidermal water loss, stress, education, psychodermatology.

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“…This reaction has been seen in response to stress in adult patients with atopic dermatitis, a chronic skin disorder that causes pruritis (i.e., itching); an increase in HPA, SAM, and inflammatory reactions are present in response to emotional stress (Buske-Kirschbaum, Geiben, Hollig, Morschhauser, & Hellhammer, 2002). Children and adults diagnosed with atopic dermatitis have higher levels of anxiety than those without, and psychotherapy has been found to not only relieve the psychological distress, but also the skin condition (Linnet & Jemec, 2001). Drugs with anxiolytic effects may also be helpful in the management of stress-induced pruritis in individuals with atopic dermatitis (Hashizume & Takigawa, 2006).…”

Section: Food Allergies and Psychological Distressmentioning

confidence: 99%

Psychosocial Distress and Anxiety in Food-Allergic Youth: Identification and Risk Factors

Chow¹

2013

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Anxiety level and severity of skin condition predicts outcome of psychotherapy in atopic dermatitis patients

Cited by 75 publications

References 13 publications

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures.

Psychological stress and transepidermal water loss in atopic dermatitis: preliminary results

Psychosocial Distress and Anxiety in Food-Allergic Youth: Identification and Risk Factors

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