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Psychological Therapies and Mind–Body Techniques in the Management of Dermatologic Diseases: A Systematic Review

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Abstract

Background

There is a clear link between skin disease and psychological factors and this relationship works both ways: skin diseases can cause psychological distress and psychological issues can worsen skin disease. There are a number of therapies that approach this problem from the psychological side and may be useful, especially as adjunctive therapies in select patients.

Objective

The aim of this review was to determine the efficacy of various psychological therapies and mind–body techniques in the management of common dermatologic diseases in individuals of all ages.

Methods

A systematic review of PubMed, Elsevier, and Wiley was performed for studies investigating psychological and mind–body interventions in the management of various skin diseases. Both physical and non-physical treatment outcomes were considered. Studies were evaluated for both risk of bias and overall quality of evidence.

Results

A total of 40 articles studying unique sets of dermatological patients receiving psychological therapies or mind–body interventions were identified. Of the 40 included articles encompassing 3112 patients, 18 investigated these interventions in psoriasis management while 15 focused on atopic dermatitis. The remaining studies investigated vitiligo (2), pruritus (2), acne vulgaris (2), and acne excoriée (1).

Conclusions

Based on the analysis of included studies and an assessment of their quality of evidence, the most promising interventions are cognitive behavioral therapy, mindfulness-based interventions, and habit reversal therapy.

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Authors and Affiliations

  1. Department of Dermatology, Feinberg School of Medicine, Chicago, IL, USA

    Peter Lio

  2. Galter Health Sciences Library, Chicago, IL, USA

    Molly Beestrum

  3. Northwestern University Feinberg School of Medicine Chicago, Chicago, IL, USA

    Brandon Rafidi, Koushik Kondapi & Saihej Basra

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Correspondence to Brandon Rafidi.

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Author contributions

B.R. created the idea for the article and was involved in every component of its creation including the screening, data abstraction, review of quality of evidence, and writing of the manuscript. K.K. contributed to the title/abstract screening, the full-text screening, and review of quality of evidence. M.B. contributed to the methods section (including creating a search strategy and running the searches in databases). S.B. Contributed to data abstraction and review of quality of evidence. P.L. provided revisions, edits, and guidance throughout the creation of the paper.

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Rafidi, B., Kondapi, K., Beestrum, M. et al. Psychological Therapies and Mind–Body Techniques in the Management of Dermatologic Diseases: A Systematic Review. Am J Clin Dermatol 23, 755–773 (2022). https://doi.org/10.1007/s40257-022-00714-y

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