Can psychotherapy help patients with psoriasis?

Price, M.L.; Mottahedin, I.; Mayo, P. R.

doi:10.1111/j.1365-2230.1991.tb00319.x

Cited by 58 publications

(46 citation statements)

References 12 publications

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“…Self-hypnosis, relaxation techniques, and support group sessions in patients with psoriasis reduced anxiety and neuroticism, and increased self-esteem. However, there was no significant reduction in psoriasis severity [56].…”

Section: Psychological Interventions In Patients With Psoriasismentioning

confidence: 97%

Psoriasis, Depression, and Inflammatory Overlap: A Review

et al. 2017

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Psoriasis has an enormous impact on patients' lives and is frequently associated with depression. Depression in psoriasis may be attributed, at least in part, to elevated proinflammatory cytokines rather than the psychosocial impact of psoriasis itself. Biologics that target inflammatory cytokines treat the clinical manifestations of psoriasis, but may also play a role in reducing associated depression. Multiple biologics have decreased symptoms of depression during clinical trials in psoriasis; however, these studies used a variety of depression screening tools, which limits comparison. Furthermore, it is difficult to distinguish whether improved depression is the result of the direct anti-inflammatory effect of the biologic, or the indirect effect of improved psoriasis leading to better psychological status. Future studies evaluating depression in patients with psoriasis could benefit from a standardized depression screening tool to mitigate discrepancies and facilitate comparison across treatment types. Here, we highlight the inflammatory overlap between psoriasis and depression by examining the pathophysiology of depression, and reviewing psoriasis clinical studies that assessed depression as an outcome measure.

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Section: Psychological Interventions In Patients With Psoriasismentioning

confidence: 97%

Psoriasis, Depression, and Inflammatory Overlap: A Review

et al. 2017

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“…According to the results of this study, psycho logical interventions could have a substantial effect in re ducing the high levels of distress found in many people with psoriasis. Although there are studies assessing the effects of such interventions as stress management in help ing patients to cope with the events which may exacerbate psoriasis [13,14], there is also a need to institute and as sess interventions which are designed to reduce social dif ficulties.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Disease Severity, Disability and Psychological Distress in Patients Undergoing PUVA Treatment for Psoriasis

Root

Kent

Al-Abadie³

1994

Dermatology

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Background: Patients suffering from severe psoriasis report high levels of personal distress and disability as a result of their disease. Objective: The purpose of this study was to examine the relationship between disease severity, personal distress and disability. Methods: Twenty-two patients provided a self-rating of disease severity and completed the Psoriasis Disability Index (PDI) and the General Health Questionnaire (GHQ). A dermatologist provided a clinical assessment from the case notes. Results: Although the clinical assessment was not related to patient ratings, patientrated severity scores, GHQ and PDI were correlated with each other. GHQ could only be predicted by disease severity when it was mediated by PDI scores. Conclusions: These results indicated that psoriasis affects psychological distress through its effects on the patients’ everyday lives.

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“…Physicians should refer to a mental health specialist when necessary [17] . Peer support groups are another potential resource as they have been proven to decrease anxiety in adults with psoriasis [43] . These support groups would likely help adolescents feel less isolated and stigmatized.…”

Section: Ways To Improve Hrql In Adolescents With Psoriasismentioning

confidence: 99%

Systematic Review of Health-Related Quality of Life in Adolescents with Psoriasis

et al. 2016

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Background: Many cases of psoriasis begin in adolescence. The affected adolescents face the combined physical and psychosocial challenges of their disease-free peers with the added complexity of a visible disease. Objective: To review the impact of psoriasis on the health-related quality of life (HRQL) in adolescents as compared to their peers with other chronic diseases and to determine the best tools to measure HRQL in this population. Methods: A systematic literature review was completed using PubMed. Results: 256 publications were screened for inclusion, 37 were relevant to objectives and included in the systematic review. Most studies are pediatric psoriasis studies with an adolescent subgroup, very few are dedicated to solely addressing HRQL in adolescents with psoriasis. Adolescents with psoriasis face both the challenges similar to an adult psoriasis population in addition to the complexities inherent to healthy adolescents. Studies often use a general pediatric HRQL measure, PedsQL 4.0, or a dermatology-specific measure adapted from an adult questionnaire. Only one psoriasis-specific measurement tool exists, and it is specifically for scalp psoriasis. Conclusion: Both dermatologists and primary care physicians should treat the visible cutaneous lesions and disease comorbidities and address the psychosocial impact of psoriasis in their adolescent patients. Use of both a general and dermatology-specific HRQL questionnaire may allow physicians to better identify the impact of the disease and recognize improvement or impairment over time.

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Can psychotherapy help patients with psoriasis?

Cited by 58 publications

References 12 publications

Psoriasis, Depression, and Inflammatory Overlap: A Review

Psoriasis, Depression, and Inflammatory Overlap: A Review

The Relationship between Disease Severity, Disability and Psychological Distress in Patients Undergoing PUVA Treatment for Psoriasis

Systematic Review of Health-Related Quality of Life in Adolescents with Psoriasis

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