Tailored Therapist-guided Internet-based Cognitive-behavioural Treatment for Psoriasis and Rheumatoid Arthritis: Two Case Reports

Koulil, Saskia Spillekom‐van; Ferwerda, M.; Beugen, Sylvia van; Middendorp, Henriët van; Kerkhof, P.C.M. van de; Riel, P.L.C.M. van; Evers, Andrea W M

doi:10.2340/00015555-2803

Cited by 8 publications

(42 citation statements)

References 42 publications

(53 reference statements)

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“…In addition, our findings revealed that it is important to have a clear-cut plan B if the technology or internet connection fails, as it could leave the patient vulnerable. In line with findings from studies on telemental health [ 11 ] and internet-based cognitive behavioral therapy [ 48 ], this study found that videoconferencing facilitated the therapeutic alliance as well as same-room counselling.…”

Section: Discussionsupporting

confidence: 86%

The Use of Telehealth for Psychological Counselling of Vulnerable Adult Patients With Rheumatic Diseases or Diabetes: Explorative Study Inspired by Participatory Design

Rothmann¹,

Mouritsen²,

Ladefoged³

et al. 2022

JMIR Hum Factors

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Background Video consultation is increasingly used in different health care settings to reach patients. However, little is known about telehealth in psychological counselling for vulnerable patients with somatic and chronic conditions such as rheumatoid arthritis and diabetes. Objective This study aimed to develop and pilot test a telepsychology module for inclusion in the app My Hospital (Mit Sygehus) to provide remote psychological counselling to vulnerable adults with either rheumatic diseases or diabetes. Methods With inspiration from participatory design, the content of the telepsychology module was developed through user involvement and evaluated by individual interviews with patients and psychologists as well as questionnaires. Results We developed a module with our patient partners that targeted patients with rheumatic diseases and diabetes in relation to the psychological challenges of living with chronic diseases. The module included information, tools, exercises, and videoconferencing. In total, 16 patients and 3 psychologists participated in the pilot test. Psychological counselling was described by 4 themes: “The good relation despite physical distance,” “The comfort of being at home,” “The pros of saving time on transport and energy,” and “A therapeutic alliance at a distance.” Conclusions Psychological counselling in relation to somatic care can be provided by videoconferencing supported by web-based or mobile delivery of tailored information, tools, and exercises without compromising on the quality of care. To ensure a good alliance between the patient and psychologist, a first face-to-face meeting is important. The home location provided patients with a safe environment and increased accessibility and reduced travel time to the hospital.

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Section: Discussionsupporting

confidence: 86%

The Use of Telehealth for Psychological Counselling of Vulnerable Adult Patients With Rheumatic Diseases or Diabetes: Explorative Study Inspired by Participatory Design

Rothmann¹,

Mouritsen²,

Ladefoged³

et al. 2022

JMIR Hum Factors

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“… van Beugen et al, 2016 [ 63 ] ICBT and standard care Prospective RCT 6 mo 131: 65 Therapy 66 Control 67M/64F 52.69 // 53.45 18.03 y // 15.16 y Standard care PASI, SAPASI, ISDL, RAND-36 Larger improvements in ICBT compared to CAU regarding physical functioning and impact on daily activities, though not in psychological functioning, at 6-mo follow-up. Spillekom-Van Koulil, 2018 [ 64 ] ICBT Case report 5 mo/6 mo 2 1M/1F 64/26 28 y/1 y N/A NS Improved physical and psychological wellbeing, sustained at 6-mo follow-up. Bundy et al, 2013 [ 65 ] eTIPs—CBT Prospective RCT 6 w 126: 61 Therapy 65 Control 59M/67F 45 >16 y usual care PASI, HADS, DLQI No significant difference in PASI scores after intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Mindfulness-based cognitive therapy MBCT and its variants, mindfulness-based self-compassion therapy (MBSCT), and self-help MBSCT (MBSCT-SH), have yielded positive results, though mixed in comparison with treatment as usual [ 61 , 62 ]. Similarly, internet-based cognitive behavioral therapy (ICBT) managed to improve physical functioning and diminish the impact of psoriasis on everyday activities in patients presenting a psychological risk profile, and also enhanced and maintained psychological wellbeing [ 63 , 64 ]. Based on the RCT by Bundy et al, a web-based online electronic Targeted Intervention for Psoriasis (eTIPs), also a form of cognitive-behavioral therapy, did not achieve a significantly different result when compared to standard care, yet, as the authors mentioned, the results were constrained by a large quantum of missing data [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Mind-Body Interventions as Alternative and Complementary Therapies for Psoriasis: A Systematic Review of the English Literature

2021

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Objective: Conventional therapeutic methods for psoriasis include topical and systemic drugs, phototherapy, and biologic agents. Despite the fact that these treatment methods, and especially biologic agents, are met with a considerable reduction in disease activity, they can sometimes be costly and are nonetheless accompanied by high risks of adverse events, ranging from mild to debilitating. Therefore, complementary and alternative medicine (CAM), especially mind-and-body interventions, such as acupuncture, psychotherapy, climatotherapy, and cupping may provide a cheaper and potentially beneficial outcome for these patients. Methods: We performed a systematic review of articles pertaining to acupuncture, cupping, psychotherapy and meditation, as well climatotherapy and balneotherapy in the management of psoriasis, by using the PubMED, Medline and Google Academic research databases and reference cross-checking. Results: 12 articles on acupuncture, 9 on dry or wet cupping, 27 concerning meditation, hypnosis or psychotherapy, and 34 regarding climate therapy or balneotherapy were found. Discussion and Conclusions: Currently, there is a lack of evidence in the English literature to support acupuncture as an effective alternative therapy for psoriasis, whereas cupping has been described in the majority of instances to result in Koebner phenomenon and clinical worsening. Stress management therapies such as psychotherapy, hypnosis, and meditation have shown promising results as complementary treatment methods. Climatotherapy and balneotherapy have already been proven as effective means of achieving clinical improvement in psoriasis. Further research is still needed to verify the usefulness of the lesser studied treatment methods.

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“…All three studies (47,51,58) measuring affect detected positive results. One study (47) observed significant improvements in mean scores on the emotion subscale of ItchyQoL in people with atopic dermatitis, psoriasis and chronic itch through an educational website called Interactive Toolbox of Comprehensive Health Resources to Enhance Living with Itch (ITCH RELIEF) from baseline to 1 month (33.4 vs. 31.5, p < 0.01).…”

Section: Moodmentioning

confidence: 90%

A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions

et al. 2022

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BackgroundDermatological conditions can have a substantial impact on psychological as well as physical health yet dedicated face-to-face psychological support for patients is lacking. Thus, individuals may require additional support to self-manage dermatological conditions effectively. Digital technology can contribute to long-term condition management, but knowledge of the effectiveness of digital interventions addressing psychological (cognitive, emotional, and behavioural) aspects of dermatological conditions is limited.ObjectivesTo identify, determine the effectiveness, and explore people’s views and experiences of digital interventions supporting the psychological health of people with dermatological conditions.MethodsA mixed methods systematic review informed by JBI methodology. The protocol was registered on PROSPERO. Eight electronic databases were searched for papers written between January 2002 and October 2021. Data screening and extraction were conducted in Covidence. The methodological quality of studies were scrutinised against JBI critical appraisal tools. Intervention characteristics were captured using the Template for Intervention Description and Replication checklist and guide. Data were synthesised using a convergent segregated approach. The results were reported in a narrative summary.ResultsTwenty-three papers were identified from 4,883 references, including 15 randomised controlled trials. Nineteen interventions were condition-specific, 13 were delivered online, 16 involved an educational component, and 7 endorsed established, evidence-based therapeutic approaches. Improvements in knowledge, mood, quality of life, the therapeutic relationship, and reduced disease severity in the short to medium term, were reported, although there was substantial heterogeneity within the literature. Thirteen studies captured feedback from users, who considered various digital interventions as convenient and helpful for improving knowledge, emotion regulation, and personal control, but technical and individual barriers to use were reported. Use of established qualitative methodologies was limited and, in some cases, poorly reported.ConclusionSome web-based digital psychological interventions seem to be acceptable to people living with mainly psoriasis and eczema. Whilst some digital interventions benefitted cognitive and emotional factors, heterogeneity and inconsistencies in the literature meant definitive statements about their effectiveness could not be drawn. Interdisciplinary and patient-centred approaches to research are needed to develop and test quality digital interventions supporting the psychological health of adults living with common and rare dermatological conditions.Systematic review registration[https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=285435], identifier [CRD42021285435].

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Tailored Therapist-guided Internet-based Cognitive-behavioural Treatment for Psoriasis and Rheumatoid Arthritis: Two Case Reports

Cited by 8 publications

References 42 publications

The Use of Telehealth for Psychological Counselling of Vulnerable Adult Patients With Rheumatic Diseases or Diabetes: Explorative Study Inspired by Participatory Design

The Use of Telehealth for Psychological Counselling of Vulnerable Adult Patients With Rheumatic Diseases or Diabetes: Explorative Study Inspired by Participatory Design

Mind-Body Interventions as Alternative and Complementary Therapies for Psoriasis: A Systematic Review of the English Literature

A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions

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