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

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◆ 논문 초록 (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.

◆ 원문 정보
저자: von Spreckelsen R, Emmert H, Hartmann J, Hübenthal M, Weidinger S et al.
저널: J Dtsch Dermatol Ges
연도: 2026
DOI: 10.1111/ddg.70020

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