Institute of Medical Psychology, J-L-University Giessen, Giessen, Germany.
J Psychosom Res. 2010 Apr;68(4):353-8. doi: 10.1016/j.jpsychores.2009.04.014. Epub 2009 Sep 30.
The objective of this study was to prove training-specific effects in children with atopic dermatitis (AD) and their parents concerning coping with the disease after their participation in a training program. In the 1-year follow-up, the changes in the training group were compared to the changes in a waiting control group while controlling the effects of the changes in severity scores.
One hundred eighty-five children aged 8-12 years and their parents participated in the study. Complete data sets at the 1-year follow-up were available for 185 parent-child pairs (102 training group; 83 waiting control group). In addition to the severity of the AD [measured with the Scoring Atopic Dermatitis (SCORAD)], data on children's itching-scratching cognitions and coping behavior and on parents handling their affected children were used in the analysis. To study whether the intervention group experienced an additional psychological benefit, which is not due to the SCORAD values, analyses of covariance with repeated measures with standardized residual change scores of the SCORAD as covariate were calculated.
The intervention group showed greater improvement in children's coping behavior and in parents' handling their affected children. Additional effects of the training program not due to somatic improvement could be seen in the scales of itching-scratching cognitions and in three of four scales on parents dealing with their affected children.
The training program, which was tested in the German Atopic Dermatitis Intervention Study, had effects on almost all explored psychological variables. Therefore, additional psychological benefit in the training group does not only depend on the greater improvement of SCORAD values in this group.
本研究旨在证明特应性皮炎（AD）患儿及其父母在参加培训计划后应对疾病的能力存在特定的培训效果。在为期 1 年的随访中，通过控制严重程度评分变化的影响，将训练组的变化与等待对照组的变化进行比较。
185 名 8-12 岁的儿童及其父母参加了这项研究。在 1 年的随访中，共有 185 对父母-子女（102 名训练组；83 名等待对照组）完成了完整的数据采集。除了 AD 的严重程度（用 Scoring Atopic Dermatitis [SCORAD]测量）外，还使用了儿童瘙痒-搔抓认知和应对行为以及父母处理受影响儿童的数据进行分析。为了研究干预组是否获得了除 SCORAD 值以外的额外心理益处，我们对具有重复测量的协方差分析进行了计算，将 SCORAD 的标准化残差变化分数作为协变量。
干预组在儿童应对行为和父母处理受影响儿童方面的改善更为明显。在瘙痒-搔抓认知量表以及父母处理受影响儿童的四个量表中的三个量表中，还可以看到培训计划的额外效果，而这些效果与躯体改善无关。
在德国特应性皮炎干预研究中进行测试的培训计划对几乎所有探索到的心理变量都有影响。因此，训练组的额外心理益处不仅仅取决于该组 SCORAD 值的更大改善。
