Efficacy of Imagery and Meditation Techniques in Treating Psoriasis

Gaston, Louise; Crombez, Jean-Charles; Joly, Jacques; Hodgins, Sheilagh; Dumont, M

doi:10.2190/pqke-cmam-t4mt-qvbl

Cited by 14 publications

(12 citation statements)

References 43 publications

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“…Studies by Zacharie et al 14 and Price et al 15 using self‐hypnosis along with relaxation also showed favorable results. Kabat‐Zinn et al 12 and Fordham et al 16 in their studies using mindfulness based cognitive therapy, Gaston et al 17 by simple meditation plus imagery and Benhard et al 18 by relaxation and visualization techniques in psoriasis patients, as an adjunct therapy, reported improvement in psoriasis severity and quality of life. Self‐help psychological approaches have the potential to relieve the psychosocial burden and relieve distress associated with disfigurement in psoriasis 15 .…”

Section: Discussionmentioning

confidence: 99%

Relaxation therapy in the management of psoriasis

Neerackal

Latheef

Sukumarakurup

et al. 2020

Dermatologic Therapy

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Several studies have demonstrated a direct link between psoriasis, stress and psychiatric comorbidity. We assessed the effect of relaxation therapy on psoriasis severity, quality of life, stress level and psychiatric comorbidity. Patients were assessed for stress, anxiety, depression, quality of life and severity of disease, using standard instruments. Patients were divided into two as cases and pair matched controls. The first group was given relaxation therapy in addition to the standard dermatology treatment and the second group was given only the standard dermatology treatment. The patients were followed up on first week, second week, first month and second month. Twenty one out of 30 cases (70%) achieved PASI 50 at the end of 2 months. While only 4 out of 30 (13.3%) of the control group achieved the same at the end of the study. There was statistically significant difference between cases and controls in PASI, DLQI, HADS scores with a P value of .000 each at the end of the study. But there was no statistically significant difference in perceived stress score between cases and controls. Psoriasis has significant impact in the quality of life and psychiatric comorbidity. Psychological interventions like relaxation therapy can decrease disease severity and improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Relaxation therapy in the management of psoriasis

Neerackal

Latheef

Sukumarakurup

et al. 2020

Dermatologic Therapy

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“…Subjects who underwent a meditation technique had significant improvement in psoriasis severity compared with the control group. Psychological outcomes were not assessed [58]. Subjects enrolled in an emotional disclosure program had no significant difference in psoriasis severity compared with the control group; however, changes in mood were predictive of psoriasis severity in the intervention group [59].…”

Section: Psychological Interventions In Patients With Psoriasismentioning

confidence: 99%

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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“…Gaston et al [ 87 ] performed a single-blinded, randomised, controlled trial comparing 20 weeks of meditation or meditation plus imagery with a waiting list control group or treatment-free group. A significant improvement in psoriasis severity ( P ≤ 0.01) was seen in the meditation intervention groups, with no additional benefit of imagery.…”

Section: Treatment Of Psychological Distress In Psoriasismentioning

confidence: 99%

Psoriasis and Psycho-Dermatology

Moon

Mizara

McBride

2013

Dermatol Ther (Heidelb)

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IntroductionPsoriasis is a common, long-term skin condition associated with high levels of psychological distress and considerable life impact. The impact of psoriasis, beyond the skin, is often not recognised and under-treated.MethodsThis paper explores the relationship between psychological distress and psoriasis including reference to the ‘brain–skin access’. The life impact of psoriasis is discussed and pharmacological interventions which affect distress associated with psoriasis and psychological interventions are reviewed. Evidence from peer-reviewed journals and controlled trials inform the text.ResultsPsoriasis has a profound impact on mental health and well-being which is under-recognised by clinicians. The sympathetic adrenal medullary axis and hypothalamic pituitary adrenal axis are likely to be involved in the onset of psoriasis and there may also be an effect from inflammation in the skin on the central release of corticotrophin-releasing hormone. Psoriasis can be stigmatising and may affect all aspects of life including relationships, employment, social life and leisure activities. There is some evidence for psychological interventions being effective in the management of distress associated with psoriasis and psoriasis itself. Studies, however, have used disparate outcomes and methods and largely involve low numbers of patients. There is very limited access to psychological support for the patients with psoriasis despite evidence of high levels of psychological distress and considerable life impact.ConclusionsPsoriasis is a long-term skin condition associated with high levels of distress and considerable life impact, both of which are under-recognised. Routine screening for distress with access to effective treatment is required. There is a need for high-quality studies to assess the effect of psychological intervention in patients with psoriasis both to inform guidance and facilitate the provision of effective psychological support services.

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Efficacy of Imagery and Meditation Techniques in Treating Psoriasis

Cited by 14 publications

References 43 publications

Relaxation therapy in the management of psoriasis

Relaxation therapy in the management of psoriasis

Psoriasis, Depression, and Inflammatory Overlap: A Review

Psoriasis and Psycho-Dermatology

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