Exposure-based cognitive behavior therapy for atopic dermatitis: an open trial
Open accessAbstract
Atopic dermatitis (AD) is a common and debilitating inflammatory dermatological disorder and is marked by itch and inflamed skin. Scratching, sleep loss, and avoidance of situations associated with more AD symptoms are central hypothesized mechanisms that perpetuate the disorder and cause reduced quality of life. We developed an exposure-based cognitive behavioral treatment (CBT) that entailed mindfulness practice as a means to increase tolerance for aversive experiences during exposure. The aim of the present study was to test the treatment’s acceptability and preliminary efficacy in adults with AD. We used an uncontrolled pretest-posttest design and recruited participants (N = 9) from a university hospital dermatological clinic. The treatment comprised 10 weekly sessions over 10 weeks and assessments of AD symptoms as well as psychiatric symptoms and quality of life were conducted at baseline, posttreatment and 6-month follow-up. The results showed significant and large baseline to posttreatment improvements on self-reported measures of AD symptoms (p = .020) and general anxiety (p = .005), but there was no significant improvement in depression or quality of life. Treatment satisfaction was high and a majority of participants (67%) completed the treatment. We conclude that exposure-based CBT for adult AD can be feasible, acceptable, and potentially efficacious.
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In atopic dermatitis, first results of positive effects in a small patient therapy group were demonstrated.
“In atopic dermatitis first results of positive effects in a small patient therapy group were demonstrated (34).”
From Mindfulness as Predictor of Itch Catastrophizing in Patients With Atopic Dermatitis: Results of a Cross-Sectional Questionnaire Study (2021) · cites this paper as [34]
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- Authors
- Hedman-Lagerlöf, E., Bergman, A., Lindefors, N., & Bradley, M.
- Affiliations
- Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden
- Karolinska Institutet (SE)
- Department of Clinical Neuroscience, Center for Psychiatry Research, Stockholm, Sweden
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2018-09-07
- Volume
- 48
- Issue
- 4
- Pages
- 300-310
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2892201005
- Cited by
- 39
- References
- 41
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 3 · 2021: 7 · 2020: 8 · 2019: 2
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Cognitive Behaviour Therapy (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Hudfonden
- Stockholms Läns Landsting
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- atopic dermatitis, mindfulness, pruritus, scratching behavior, general anxiety, depression, quality of life, treatment acceptability, treatment feasibility
- MeSH terms
- Adult, Anxiety, Depression, Dermatitis, Atopic, Female, Humans, Implosive Therapy, Male, Middle Aged, Quality of Life, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Mindfulness
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