Psychosocial interventions for children with dermatological conditions: systematic review and meta-analysis.

IF 2.1 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Amy E Mitchell, Japheth O Adina, Alina Morawska, Emily Casey
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引用次数: 0

Abstract

Objective: Chronic skin conditions contribute to psychosocial difficulties and reduced child/parent quality of life, impacting condition management and disease control. The objective of this systematic review was to summarize the literature on psychosocial interventions (interventions that therapeutically target psychological/social processes to improve outcomes) for children with chronic dermatological conditions and their families.

Methods: Searches of five electronic databases (CINAHL, PubMed, PsycINFO, Scopus, The Cochrane Library, Web of Science) identified relevant articles published from dates of inception to April 8, 2024, and reference lists were searched for additional relevant articles. Primary outcomes were disease/symptom severity and child quality of life. Interventions could be delivered in any format via controlled or uncontrolled studies. Articles had to report pre-post-intervention data and be published in English.

Results: The review identified 10 eligible studies (reported in 12 papers) involving 2,346 families from seven countries. All reported on interventions for families of children with atopic dermatitis; none examined interventions for any other dermatological conditions. Eight studies evaluated face-to-face group-delivered interventions, and two studies evaluated self-directed online interventions. Meta-analyses revealed a significant effect on disease/symptom severity (standard mean difference = -0.34, 95% confidence interval = -0.53 to -0.15, z = 3.50, p < .001, I2 = 74%) but no significant effect on children's quality of life (standard mean difference = -0.09, 95% confidence interval = -0.26 to 0.09, z = 0.99, p = .32, I2 = 42%). Effects on secondary (parent and family) and other outcomes were mixed.

Conclusions: Psychosocial interventions may help to improve disease/symptom severity and other important outcomes for families of children with atopic dermatitis. Future research should examine efficacy in other pediatric dermatological conditions.

儿童皮肤病的社会心理干预:系统回顾和荟萃分析。
目的:慢性皮肤病会导致心理社会困难,降低儿童/父母的生活质量,影响病情管理和疾病控制。本系统综述的目的是总结关于慢性皮肤病儿童及其家庭的心理社会干预(以心理/社会过程为治疗目标以改善结果的干预措施)的文献。方法:检索5个电子数据库(CINAHL、PubMed、PsycINFO、Scopus、The Cochrane Library、Web of Science),确定从开刊日期到2024年4月8日发表的相关文章,并检索参考文献列表寻找其他相关文章。主要结局是疾病/症状严重程度和儿童生活质量。干预措施可以通过对照或非对照研究以任何形式提供。文章必须报告干预前和干预后的数据,并以英文发表。结果:本综述确定了10项符合条件的研究(12篇论文报道),涉及来自7个国家的2346个家庭。所有关于特应性皮炎患儿家庭干预措施的报告;没有人检查任何其他皮肤病的干预措施。八项研究评估了面对面的群体干预,两项研究评估了自我指导的在线干预。荟萃分析显示对疾病/症状严重程度有显著影响(标准平均差= -0.34,95%可信区间= -0.53至-0.15,z = 3.50, p)。结论:社会心理干预可能有助于改善特应性皮炎患儿家庭的疾病/症状严重程度和其他重要结局。未来的研究应检查在其他儿科皮肤病的疗效。
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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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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