Table 4 Psychosocial adaptation interventions of skin disease

Rzepecki et al.(2018)

Vitiligo

Adjuvant care:

group therapy

cognitive behavioral therapy

self-help programs

Nagarajan et al.(2018)

Psoriasis and control,(n = 52VS52)

Video-assisted teaching program regarding psoriasis on the level of knowledge and relaxation therapy

3 months

Improving the knowledge and quality of life of patients with psoriasis.

Keyworth et al.(2018)

Psoriasis (n = 217)

Health risk communication: message framing theory

Gain-frame messages and loss-frame messages

Alcohol reduction: loss-framed messages appear to be more effective for cardiovascular disease risk reduction information.

Psoriasis symptom reduction: gain-framed messages are more effective.

Messages about cardiovascular disease result in higher emotional responses compared to messages about psoriasis symptom reduction.

Paul et al.(2018)

Psoriasis (n = 94)

Mindfulness-based cognitive therapy (MBCT) (n = 25)

Mindfulness-based self-compassion therapy (MBSCT) (n = 25)

Self-help MBSCT (MBSCT-SH) (n = 22)

Treatment-as-usual (TAU) (n = 22)

12 months

Improving the long-term psychological and physical outcomes of individuals with psoriasis.

Zill et al.(2018)

Psoriasis

Cognitive behavioral techniques:

Mindfulness and meditation

Emotional writing

Individual and group setting

Most studies reported positive but nonsignificant effects on the different patient-reported outcomes.

Heratizadeh et al.(2017)

Atopic dermatitis

intervention group (n = 168)

intervention group (n = 168)

Educational training: a comprehensive 12-h training manual

12 months

Itching (catastrophizing cognitions):Juckreiz- Kognitions -Fragebogen questionnaire

Social anxiety: Marburger Hautfragebogen questionnaire

Subjective burden by symptoms of the disease: Skindex-29 questionnaire

Improvement of disease signs and symptoms: SCORAD index

Hashimoto

et al.(2017)

Atopic dermatitis

(n = 12)

Psychological and educational interventions: The psychological interventions included supportive, cognitive, behavioral, and psychodynamic psychotherapies, cognitive-behavioral therapy, and physical training such as progressive muscle relaxation. Lectures, audiotapes, books, videotapes, and question-and-answer sessions for the educational interventions contained information on the disease, treatment options, and strategies for management and prevention.

The data did not have sufficient power to provide evidence-based conclusions.

Van et al.

(2016)

Psoriasis

care as usual (CAU, n = 66) (ICBT+ CAU (n = 65)

Internet-based cognitive behavioral therapy (ICBT)

6 months

Results underline the promise of therapist-guided, individually tailored ICBT to improve physical functioning and reduce the impact of psoriasis on daily activities in patients with a psychological risk profile. Establishing a good therapeutic relationship early on may be an important factor that influences treatment outcomes in personalized ICBT interventions. Further research is needed to evaluate ICBT effectiveness in additional samples and to explore its underlying mechanisms.

Jha et al.(2016)

Vitiligo (n = 13)

Behavior therapy techniques:

Psycho-education

Breathing/relaxation and imagery

Self-statements

Exposure and desensitization

3 months

The feasibility of such therapy would depend upon the willingness and ability of both the dermatologist and the patient to set aside the time required.

Interventions with less frequent sessions of shorter duration may ensure better patient compliance.

Shah et al.(2014)

Vitiligo

CBSH+(n = 24)

CBSH (n = 25)

Control (n = 26)

Cognitive behavioral self-help intervention (CBSH) had three parts:

Psycho-education, including a description of how social anxiety is likely to be maintained in vitiligo;

Symptom monitoring with an emphasis on the recognition of self-focused attention and triggers of anxiety;

Guided imagery based relaxation and techniques for switching attention.

2 months

The findings demonstrate that augmented CBSH provides a relatively simple and accessible intervention that can result in a clinically significant reduction in social anxiety. The augmented intervention has potential and might be further developed and evaluated in subsequent trials.

Bundy et al.(2013)

Psoriasis

eTIPs (n = 67)

Control (n = 68)

Electronic Cognitive behavioral therapy intervention for Psoriasis (eTIPs), 6-week programme

6 months

This first online CBT intervention for people with skin disease showed improvement in anxiety and quality of life in patients with psoriasis.