A cognitive-behavioural symptom management programme as an adjunct in psoriasis therapy

Helen Richards, D. G. Fortune, H. L. Richards, B. Kirby, S. Bowcock, C. J. Main, C. E M Griffiths

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: Patients with psoriasis may experience significant psychological and social disabilities. Stress or distress are proposed aggravators of the disease process in psoriasis. Preliminary studies to date have suggested that adjunctive psychological therapies may be effective in the clinical management of psoriasis. Objectives: To examine whether a 6-week multidisciplinary management approach, the Psoriasis Symptom Management Programme (PSMP) for patients with psoriasis improves clinical severity of psoriasis and its associated psychological distress and disability. Methods: In a case-control study, patients with psoriasis attending an out-patient psoriasis speciality clinic chose to receive standard psoriasis treatment alone (n = 53) or to enter the PSMP as an adjunct to standard therapy (n = 40). They were assessed at baseline, at the end of the 6-week PSMP and after 6 months follow-up. Results: As compared with standard treatment alone, analysis of covariance indicated that participation in the PSMP resulted in a greater reduction in clinical severity of psoriasis (P = 0.001), anxiety (P = 0.001), depression (P = 0.001), psoriasis-related stress (P = 0.001) and disability (P = 0.04) at 6 weeks and 6 months follow-up. Conclusions: The management of the physical aspects of psoriasis and its psychological effects are significantly improved for patients who opt for a 6-week integrated multidisciplinary approach. Furthermore, the techniques learnt by participation in the PSMP facilitate continued control of psoriasis for at least 6 months.
    Original languageEnglish
    Pages (from-to)458-465
    Number of pages7
    JournalBritish Journal of Dermatology
    Volume146
    Issue number3
    DOIs
    Publication statusPublished - 2002

    Keywords

    • Cognitive-behavioural therapy
    • Psoriasis
    • Psoriasis Symptom Management Programme
    • Psychological disability

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