Psychosocial interventions for psoriasis: a Bayesian network meta-analysis.

Lingling Lu, Yujuan Xu, Meiling Shi, Aimin Liu
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Abstract

Background: Psoriasis impacts patients' mental and physical health, prompting interest in psychosocial interventions.

Aim: To compare and rank different psychosocial interventions for psoriasis and their effects on well-being and mental health.

Methods: A systematic search was conducted using Cochrane Library, EMBASE, Medline, and PsycINFO (via the OVID) from their inception to 6 February 2024. Trials investing in psychosocial therapy in psoriasis patients were included using A random-effects network meta-analysis (NMW) within a Bayesian framework focusing on dermatology life quality index (DLQI), depression, and anxiety, along with adherence to treatment. The risk of bias was assessed by the Cochrane Handbook.

Results: Thirteen studies with 6 treatments and 1233 patients were included. The quality of the included studies was low. For DLQI, 9 studies were eligible, mindfulness + treatment as usual (TAU) was better than TAU (MD = -7.21, 95%CI [-14.89, 0.54]). Cognitive behavioral therapy (CBT) + TAU were more effective in improving HADS-anxiety (MD = -2.17, 95%CI [-3.86, -0.49]) and HADS-depression (MD = -1.58, 95%CI [-3.65, 0.68]). Regarding adherence, CBT + TAU (MD = 0.84, 95%CI [-0.62, 2.27]) ranked first, followed by motivational interviewing + TAU.

Conclusion: We confirmed the effectiveness of psychosocial interventions on patients' well-being and mental health and recommended several interventions for clinical practice. However, the results should be cautiously interpreted, due to lacking high-quality and more replication studies.

社会心理干预治疗牛皮癣:贝叶斯网络荟萃分析。
背景:牛皮癣影响患者的身心健康,促使人们对社会心理干预产生兴趣。目的:比较和排名不同的社会心理干预银屑病及其对幸福感和心理健康的影响。方法:系统检索Cochrane Library, EMBASE, Medline和PsycINFO(通过OVID),从它们成立到2024年2月6日。在贝叶斯框架内,使用随机效应网络荟萃分析(NMW)纳入了投资于牛皮癣患者心理社会治疗的试验,重点关注皮肤病学生活质量指数(DLQI)、抑郁和焦虑,以及治疗依从性。偏倚风险通过Cochrane手册进行评估。结果:纳入13项研究,6种治疗方法,1233例患者。纳入研究的质量较低。DLQI有9项研究符合条件,正念+常规治疗(TAU)优于TAU (MD = -7.21, 95%CI[-14.89, 0.54])。认知行为疗法(CBT) + TAU在改善hads -焦虑(MD = -2.17, 95%CI[-3.86, -0.49])和hads -抑郁(MD = -1.58, 95%CI[-3.65, 0.68])方面更有效。依从性方面,CBT + TAU (MD = 0.84, 95%CI[-0.62, 2.27])排名第一,其次是动机访谈+ TAU。结论:我们证实了心理社会干预对患者福祉和心理健康的有效性,并为临床实践推荐了几种干预措施。然而,由于缺乏高质量和更多的重复性研究,结果应谨慎解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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