Institute of Medical Psychology, University of Gießen, DE-35392 Gießen, Germany.
Acta Derm Venereol. 2013 Jan;93(1):57-61. doi: 10.2340/00015555-1415.
Atopic dermatitis leads to, and can be triggered by, stress. Psychological interventions have been shown to have positive effects on skin status, itch and scratching behaviour. However, it has not been analysed whether stress management leads to a change in physiological stress level and psychophysiological stress reaction under acute stress in this patient group. In this study 28 patients with atopic dermatitis were randomized to an experimental group (cognitive behavioural stress management) or a control group. The endocrine stress level and skin status were measured before and after the stress management programme. A public-speaking paradigm was used to induce acute stress. The study revealed that the experimental group had a tentatively reduced cortisol awakening response after the stress management programme. In addition, the experimental group remained calmer and showed lower salivary cortisol levels under acute stress. Thus, stress management might be a useful addition to standard treatment in patients with atopic dermatitis.
特应性皮炎可由压力引起或导致压力产生，心理干预已被证明对皮肤状况、瘙痒和搔抓行为具有积极影响。然而，目前尚未分析在该患者群体中，急性应激下的压力管理是否会导致生理应激水平和心理生理应激反应发生变化。在这项研究中，28 名特应性皮炎患者被随机分为实验组（认知行为压力管理）或对照组。在压力管理计划前后测量了内分泌应激水平和皮肤状况。采用公开演讲范式诱发急性应激。研究表明，压力管理计划后实验组的皮质醇觉醒反应可能降低。此外，实验组在急性应激下保持更平静，唾液皮质醇水平更低。因此，压力管理可能是特应性皮炎患者标准治疗的有益补充。
