Psychoeducational schema therapy for psoriasis and atopic dermatitis: a randomized controlled pilot crossover trial

IF 5 4区医学 Q1 DERMATOLOGY

Journal Der Deutschen Dermatologischen Gesellschaft Pub Date : 2026-10-05 Epub Date: 2026-03-19 DOI:10.1111/ddg.70020

Regina von Spreckelsen, Hila Emmert, Jan Hartmann, Matthias Hübenthal, Stephan Weidinger, Ulrich Mrowietz, Eva M. J. Peters, Sascha Gerdes

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引用次数: 0

Abstract

Background and objectives

Atopic dermatitis and psoriasis are chronic inflammatory skin diseases often linked to psychological stress. Integrative care models are lacking. This randomized pilot study aimed to develop and test a psychoeducational intervention for dermatology patients.

Patients and methods

Patients with a PHQ-2 score ≥ 3 at an outpatient inflammation center were randomized into an intervention or control group. The intervention group received three standardized educational sessions focusing on maladaptive schemas, coping strategies, psychoeducation, and emotion-focused techniques (e.g. chair-dialogues, imaginary rescripting).

Results

19 patients received the intervention; 13 were in the control group. Post-intervention, significant improvements were observed in dermatological quality of life (DLQI), subjective well-being (WHO-5), and depressive symptoms (PHQ-9, BDI-II). Psychological benefits were largely independent of disease severity (PASI, EASI). Qualitative feedback highlighted usability, learning specific techniques, and a trusting therapeutic relationship.

Conclusions

A brief psychoeducational intervention significantly reduced psychological stress in dermatology outpatients. Further studies are needed to evaluate long-term effects and broader implementation.

查看原文本刊更多论文

心理教育图式治疗银屑病和特应性皮炎：一项随机对照先导交叉试验。

背景和目的：特应性皮炎和牛皮癣是一种慢性炎症性皮肤病，常与心理压力有关。缺乏综合护理模式。本随机试点研究旨在开发和测试皮肤病患者的心理教育干预。患者和方法：门诊炎症中心PHQ-2评分≥3的患者随机分为干预组和对照组。干预组接受了三个标准化的教育课程，重点是适应不良模式、应对策略、心理教育和以情绪为中心的技巧（如椅子对话、想象重写）。结果：19例患者接受了干预；对照组13例。干预后，在皮肤生活质量（DLQI）、主观幸福感（WHO-5）和抑郁症状（PHQ-9、BDI-II）方面观察到显著改善。心理益处在很大程度上与疾病严重程度无关（PASI， EASI）。定性反馈强调可用性、学习特定技术和信任治疗关系。结论：短暂的心理教育干预可显著降低皮肤科门诊患者的心理压力。需要进一步的研究来评估长期影响和更广泛的实施。

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 Der Deutschen Dermatologischen Gesellschaft 医学-皮肤病学

CiteScore

3.50

自引率

25.00%

发文量

406

审稿时长

1 months

期刊介绍： The JDDG publishes scientific papers from a wide range of disciplines, such as dermatovenereology, allergology, phlebology, dermatosurgery, dermatooncology, and dermatohistopathology. Also in JDDG: information on medical training, continuing education, a calendar of events, book reviews and society announcements. Papers can be submitted in German or English language. In the print version, all articles are published in German. In the online version, all key articles are published in English.