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Psychology Research and Behavior Management Volume 12, 2019 - Issue
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Review

The efficacy of psychological interventions on psoriasis treatment: a systematic review and meta-analysis of randomized controlled trials

Yi Xiao1 Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China, [email protected]; [email protected];2 Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China, [email protected]; [email protected];3 Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China, [email protected]; [email protected]
,
Xingyu Zhang4 Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
,
Dan Luo4 Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
,
Yehong Kuang1 Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China, [email protected]; [email protected];2 Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China, [email protected]; [email protected];3 Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China, [email protected]; [email protected]
,
Wu Zhu1 Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China, [email protected]; [email protected];2 Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China, [email protected]; [email protected];3 Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China, [email protected]; [email protected]
,
Xiang Chen1 Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China, [email protected]; [email protected];2 Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China, [email protected]; [email protected];3 Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China, [email protected]; [email protected]Correspondence[email protected] [email protected]
&
Minxue Shen1 Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China, [email protected]; [email protected];2 Hunan Engineering Research Center of Skin Health and Disease, Central South University, Changsha, China, [email protected]; [email protected];3 Hunan Key Laboratory of Skin Cancer and Psoriasis, Central South University, Changsha, China, [email protected]; [email protected]Correspondence[email protected] [email protected]
 show all
Pages 97-106 | Published online: 07 Feb 2019

Figures & data

Figure 1 Selection process for study inclusion in the systematic review and meta-analysis.

Abbreviations: BSA, body surface area; PASI, Psoriasis Area and Severity Index; SAPASI, Self-administered Psoriasis Area and Severity Index.
Figure 1 Selection process for study inclusion in the systematic review and meta-analysis.

Table 1 Characteristics of included studies

Figure 2 Pooled estimates of the efficacy of the psychological intervention by outcome measures.

Note: (A) PASI and (B) SAPASI.
Abbreviations: PASI, Psoriasis Area and Severity Index; SAPASI, Self-administered Psoriasis Area and Severity Index.
Figure 2 Pooled estimates of the efficacy of the psychological intervention by outcome measures.

Figure 3 Subgroup analysis by the method of intervention.

Notes: (A) CBT. (B) Non-CBT psychological intervention.
Abbreviation: CBT, cognitive behavioral therapy.
Figure 3 Subgroup analysis by the method of intervention.

Figure 4 Subgroup analysis by the use of systemic treatment among those receiving CBT.

Notes: (A) Some received systemic treatment. (B) No systemic treatment.
Abbreviation: CBT, cognitive behavioral therapy.
Figure 4 Subgroup analysis by the use of systemic treatment among those receiving CBT.

Figure 5 Subgroup analysis by the severity of psoriasis before intervention.

Notes: (A) Moderate-to-severe or baseline mean PASI >8. (B) Mild or baseline mean PASI ≤8.
Abbreviation: PASI, Psoriasis Area and Severity Index.
Figure 5 Subgroup analysis by the severity of psoriasis before intervention.

Figure 6 Subgroup analysis by the location of intervention.

Notes: (A) In-person intervention. (B) Remote intervention.
Figure 6 Subgroup analysis by the location of intervention.

Table 2 Methodological quality of included studies

Figure S1 Pooled estimates and 95% CIs in sensitivity analysis.

Note: Each bar signifies the pooled estimate when deleting the corresponding study.

Figure S1 Pooled estimates and 95% CIs in sensitivity analysis.Note: Each bar signifies the pooled estimate when deleting the corresponding study.

Figure S2 Funnel plot to assess the publication bias.

Figure S2 Funnel plot to assess the publication bias.

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