Effect of Psychological Intervention on Quality of Life Among Patients with Psoriasis: A Meta-analysis.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL International Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-06 DOI:10.1007/s12529-024-10315-0

Wenju Wei, Bei Zhang, Tian Liu, Tao Lu

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Abstract

Background: Psychological distress can significantly obstruct the treatment outcomes of patients with psoriasis. This meta-analysis aimed to examine the effects of psychological intervention on the mental health and functional capabilities in patients with psoriasis.

Method: PubMed, EMBASE, and Cochrane Library were searched for relevant studies published up to May 1, 2023. The primary outcome was a change in anxiety, depression, and quality of life (QoL). Standardized mean difference (SMD) was calculated, and 95% confidence interval (CI) was determined for the estimation.

Results: This meta-analysis involved 1048 subjects, including 515 patients who received psychological interventions and 533 patients in control groups who did not receive psychological interventions. The results showed that psychological intervention significantly improved anxiety symptoms (SMD - 0.41; 95%CI - 0.77, - 0.05; I² = 71.5%; P_{Heterogeneity} = 0 .001). There was no significant improvement in the symptoms of depression (SMD - 0.52; 95%CI - 1.13, 0.10; I² = 86%; P_{Heterogeneity} < 0 .001) and QoL (SMD - 0.05; 95%CI - 0.22, 0.11; I² = 39%; P_{Heterogeneity} = 0 .108) in patients who received psychological intervention compared with controls.

Conclusion: Psychological intervention ameliorated anxiety symptoms in patients with psoriasis but had no significant impact on depression or QoL.

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心理干预对银屑病患者生活质量的影响：一项 Meta 分析。

背景：心理困扰会严重影响银屑病患者的治疗效果。本荟萃分析旨在研究心理干预对银屑病患者心理健康和功能能力的影响：方法：检索了 PubMed、EMBASE 和 Cochrane Library 中截至 2023 年 5 月 1 日发表的相关研究。主要结果是焦虑、抑郁和生活质量（QoL）的变化。计算了标准化平均差（SMD），并确定了95%的置信区间（CI）：这项荟萃分析涉及 1048 名受试者，包括 515 名接受心理干预的患者和 533 名未接受心理干预的对照组患者。结果显示，心理干预能明显改善焦虑症状（SMD - 0.41; 95%CI - 0.77, - 0.05; I2 = 71.5%; PH异质性 = 0 .001）。与对照组相比，接受心理干预的患者抑郁症状没有明显改善（SMD - 0.52; 95%CI - 1.13, 0.10; I2 = 86%; PHeterogeneity 2 = 39%; PHeterogeneity = 0 .108）：结论：心理干预可改善银屑病患者的焦虑症状，但对抑郁或生活质量没有显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.