Predicting long-term outcome in group treatment of atopic dermatitis.

BACKGROUND: Psychological group treatments are effective adjuncts to dermatological treatments in improving dermatological symptoms and quality of life. However, no data are available on variables that may predict which patients benefit from such group treatments. METHODS: On the basis of data from...

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Main Authors: Stangier, U, Ehlers, A, Gieler, U
Format: Journal article
Language:English
Published: 2004
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author Stangier, U
Ehlers, A
Gieler, U
author_facet Stangier, U
Ehlers, A
Gieler, U
author_sort Stangier, U
collection OXFORD
description BACKGROUND: Psychological group treatments are effective adjuncts to dermatological treatments in improving dermatological symptoms and quality of life. However, no data are available on variables that may predict which patients benefit from such group treatments. METHODS: On the basis of data from the Marburg group treatment study, we explored which variables are associated with successful treatment. Treatment outcome was defined by a marked reduction of dermatological symptoms at 1-year follow-up. RESULTS: Regardless of the treatment condition, a high pretreatment level of scratching, a low serum IgE level, low scores on the internal Health Locus of Control Scale and a high frequency of coping-related cognitions regarding itching predicted good outcome at 1 year. Logistic regression analyses indicated that the predictive power of locus of control and itch-related cognitions differed between different treatment conditions. CONCLUSION: In patients with atopic dermatitis, indication for psychological treatment may be based on the assessment of psychological target problems including excessive scratching and dysfunctional cognitions.
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spelling oxford-uuid:430d7bd4-45f9-45a9-891d-2f2928bff6252022-03-26T14:53:07ZPredicting long-term outcome in group treatment of atopic dermatitis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:430d7bd4-45f9-45a9-891d-2f2928bff625EnglishSymplectic Elements at Oxford2004Stangier, UEhlers, AGieler, U BACKGROUND: Psychological group treatments are effective adjuncts to dermatological treatments in improving dermatological symptoms and quality of life. However, no data are available on variables that may predict which patients benefit from such group treatments. METHODS: On the basis of data from the Marburg group treatment study, we explored which variables are associated with successful treatment. Treatment outcome was defined by a marked reduction of dermatological symptoms at 1-year follow-up. RESULTS: Regardless of the treatment condition, a high pretreatment level of scratching, a low serum IgE level, low scores on the internal Health Locus of Control Scale and a high frequency of coping-related cognitions regarding itching predicted good outcome at 1 year. Logistic regression analyses indicated that the predictive power of locus of control and itch-related cognitions differed between different treatment conditions. CONCLUSION: In patients with atopic dermatitis, indication for psychological treatment may be based on the assessment of psychological target problems including excessive scratching and dysfunctional cognitions.
spellingShingle Stangier, U
Ehlers, A
Gieler, U
Predicting long-term outcome in group treatment of atopic dermatitis.
title Predicting long-term outcome in group treatment of atopic dermatitis.
title_full Predicting long-term outcome in group treatment of atopic dermatitis.
title_fullStr Predicting long-term outcome in group treatment of atopic dermatitis.
title_full_unstemmed Predicting long-term outcome in group treatment of atopic dermatitis.
title_short Predicting long-term outcome in group treatment of atopic dermatitis.
title_sort predicting long term outcome in group treatment of atopic dermatitis
work_keys_str_mv AT stangieru predictinglongtermoutcomeingrouptreatmentofatopicdermatitis
AT ehlersa predictinglongtermoutcomeingrouptreatmentofatopicdermatitis
AT gieleru predictinglongtermoutcomeingrouptreatmentofatopicdermatitis