Predictors of treatment success in children with difficult to treat atopic dermatitis using a personalized integrative multidisciplinary (PIM) treatment programme

Fieten, Karin B.; Schappin, Renske; Zijlstra, Wieneke; Rijssenbeek‐Nouwens, Lucia H.; Meijer, Y.; Pasmans, Suzanne G.M.A.

doi:10.1111/jdv.15244

Cited by 7 publications

(6 citation statements)

References 37 publications

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“…There were six studies that assessed miscellaneous therapies to improve mental health and behavior in people with eczema (Table 7), including standard psychological treatments, such as cognitive behavioral therapy, psychotherapy, and a constellation of psychological treatments. [25][26][27][28][29][30] Evers et al performed a prospective, controlled clinical trial testing the benefit of a constellation of psychological treatments for patients with eczema. 27 The treatment group received a program of cognitive behavioral therapy, relaxation, development of coping skills, and HRT for 4 sessions, while the controls were waitlisted for the program.…”

Section: Miscellaneous Psychotherapeutic Interventions For Eczemamentioning

confidence: 99%

Alternative Psychotherapeutic Approaches to the Treatment of Eczema

Oska¹,

Nakamura²

2022

CCID

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Introduction Patients with eczema suffer from high psychological burden, often caused and exacerbated by chronic pruritus, which leads to a vicious itch-scratch cycle. Although much of the literature focuses on treating the physiological factors that lead to pruritus, little attention has been given to the cognitive, behavioral, and social factors associated with the itch-scratch cycle. We conducted a literature review to investigate whether treatments aimed at psychosocial factors could be effective for patients with eczema. Methods A systematic literature review was conducted through PubMed and EMBASE. Original investigative articles that focused on psychotherapeutic interventions for eczema and/or eczema-related psychological morbidities were reviewed. Results Psychotherapeutic interventions alongside standard medical care are shown to be beneficial compared to conventional treatments alone, both for eczema and for eczema-associated psychological symptoms. Such interventions include meditation and mindfulness, stress-reduction, habit-reversal training, hypnotherapy, music therapy, massage therapy, and standard psychological treatments such as cognitive behavioral therapy. Conclusion It is important to recognize the reciprocal relationship between eczema and psychosocial distress. Alternative treatment options to address psychological factors associated with eczema can improve disease trajectory and quality of life.

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Section: Miscellaneous Psychotherapeutic Interventions For Eczemamentioning

confidence: 99%

Alternative Psychotherapeutic Approaches to the Treatment of Eczema

Oska¹,

Nakamura²

2022

CCID

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“…MDTs involving psychiatrists can significantly improve QoL as measured by the DLQI for patients with psoriasis and atopic dermatitis (AD) 20,24 . Various outcome measures are used in MDT QoL research: the most commonly used QOL measure is the DLQI, but other measures include the dermatology specific Skindex‐29, and disease‐specific QoL measures such as the Psoriasis Disability index (PDI) and the Quality of Life for Atopic Dermatitis (QoLIAD) 18–22 . Where patients are managed by cross‐speciality MDTs (usually dermato‐rheumatology MDTs) often disease‐specific QoL measures relating to both specialities are used 17 …”

Section: Management Approaches That May Improve Qol In Dermatologymentioning

confidence: 99%

“…Psychologists can provide a range of different techniques including educational, training programmes and cognitive behavioural therapy techniques. Where these techniques are applied in addition to basic dermatology care, there are significant improvements in QoL outcomes, [18][19][20][21][22] both for paediatric and adult MDT dermatology care.…”

Section: Management Approaches That May Improve Qol In Dermatologymentioning

confidence: 99%

“…16 Multidisciplinary teams Multidisciplinary teams (MDT) including dermatology health care professionals (HCP) either in isolation or linked to other speciality teams 17 have been shown to improve QoL across a range of different dermatological diseases. Research has tended to focus on common inflammatory dermatoses such as psoriasis [18][19][20] and atopic eczema, 21,22 but has also focused on rarer dermatological diseases such as dermatitis artefacta. 23,24 Patients managed by a MDT show greater improvements in QoL than similar patients managed in general dermatology clinics, for both adult and (particularly) paediatric dermatology.…”

Section: Management Approaches That May Improve Qol In Dermatologymentioning

confidence: 99%

“…20,24 Various outcome measures are used in MDT QoL research: the most commonly used QOL measure is the DLQI, but other measures include the dermatology specific Skindex-29, and disease-specific QoL measures such as the Psoriasis Disability index (PDI) and the Quality of Life for Atopic Dermatitis (QoLIAD). [18][19][20][21][22] Where patients are managed by cross-speciality MDTs (usually dermato-rheumatology MDTs) often disease-specific QoL measures relating to both specialities are used. 17 Although MDTs are well established across Europe, there is little published research concerning their effectiveness, though such evidence may emerge in the future.…”

Section: Management Approaches That May Improve Qol In Dermatologymentioning

confidence: 99%

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Methods to improve quality of life, beyond medicines. Position statement of the European Academy of Dermatology and Venereology Task Force on Quality of Life and Patient Oriented Outcomes

Finlay

Chernyshov

Aragonés

et al. 2020

Acad Dermatol Venereol

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The pharmaceutical approach to skin disease has been hugely successful, but despite effective drugs being available and used, there are still vast numbers of people who continue to have some level of persisting skin disease and continue to experience quality of life (QoL) impairment. So the question that needs to be answered, while we await further advances in our drug‐based armamentarium, is how can we improve patients’ QoL, beyond drugs? A working group was formed from members of the EADV Task Force on QoL and Patient Oriented Outcomes. Participants were asked to suggest all the ways in which they considered patients’ QoL may be improved beyond medicines. Four groups of management approaches that may improve QoL in dermatology were identified: interventions within the dermatology service (hospitalization, multidisciplinary teams, patch testing and establishing relevant allergens and education), external services (corrective make‐up, climatotherapy and balneotherapy), psychological (psychological intervention, cognitive therapy, hypnosis), lifestyle (lifestyle behavioural changes, religion and spirituality and music). The ultimate aim of therapy is to eradicate a disease in an individual and return the person’s life to normal. But until the day comes when this has been achieved for every skin disease and for every patient there will be a need to support and assist many patients in additional non‐pharmaceutical ways. These ‘adjuvant’ approaches receive too little attention while dermatologists and researchers strive for better pharmacological therapy. The different ways in which patients may benefit have been reviewed in our paper, but the reality is that most have a very poor evidence base. The research challenges that we have to meet are to identify those approaches that might be of value and to provide evidence for their optimal use. In the meantime, clinicians should consider the use of these approaches where QoL remains impaired despite optimal use of standard therapy.

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