Psychosocial interventions for psoriasis: a Bayesian network meta-analysis
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 Li...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/09546634.2024.2427321 |
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| Summary: | 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. |
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| ISSN: | 0954-6634 1471-1753 |