Ehlers A, Stangier U, Gieler U
Department of Psychiatry, University of Oxford, Great Britain.
J Consult Clin Psychol. 1995 Aug;63(4):624-35. doi: 10.1037//0022-006x.63.4.624.
A randomized controlled trial compared the effectiveness of 4 group treatments for atopic dermatitis, a chronic skin disorder characterized by severe itching and eczema: dermatological educational program (DE), autogenic training as a form of relaxation therapy (AT), cognitive-behavioral treatment (BT), and the combined DE and BT treatments (DEBT). BT comprised relaxation, self-control of scratching, and stress management. Group treatments were also compared with standard medical care (SMC). Assessments at 1-year follow-up showed that the psychological treatments (AT, BT, and DEBT) led to significantly larger improvement in skin condition than intensive (DE) or standard (SMC) dermatological treatment, accompanied by significant reductions in topical steroids used. The results corroborate preliminary reports that psychological interventions are useful adjuncts to dermatological treatment in atopic dermatitis.
一项随机对照试验比较了4种针对特应性皮炎（一种以严重瘙痒和湿疹为特征的慢性皮肤病）的分组治疗方法的有效性：皮肤病学教育项目（DE）、作为放松疗法形式的自生训练（AT）、认知行为疗法（BT）以及DE和BT联合治疗（DEBT）。BT包括放松、搔抓的自我控制和压力管理。分组治疗还与标准医疗护理（SMC）进行了比较。1年随访评估显示，心理治疗（AT、BT和DEBT）比强化（DE）或标准（SMC）皮肤病学治疗在皮肤状况改善方面显著更大，同时外用类固醇的使用显著减少。结果证实了初步报告，即心理干预是特应性皮炎皮肤病学治疗的有用辅助手段。
