Effectiveness of a multidisciplinary itch-coping training programme in adults with atopic dermatitis

Acta Derm Venereol. 2009;89(1):57-63. doi: 10.2340/00015555-0556.

Abstract

The short- and longer-term effectiveness of a brief, multidisciplinary itch-coping group training scheme in adults with atopic dermatitis was evaluated. Clinical severity scores (Eczema Area and Severity Index) and validated self-report measures were obtained in a waiting-list control condition (n=30) and a treatment condition (n=61) at pre- and post-treatment and in the treatment condition at 3- and 12-month follow-ups. Relative to the control condition, all post-treatment measures showed improvements in terms of enhanced skin status, reduced itching and scratching and improved itch-coping patterns. In the treatment condition, the changes were sustained or further improved at both follow-ups. Also, the dermatological healthcare use was significantly reduced during the follow-up periods, in terms of fewer visits to the dermatologist and decreased use of topical corticosteroids and itch-relieving medication (histamine antagonists). The brief multidisciplinary itch-coping programme in adults with atopic dermatitis considerably reduced itch-scratching patterns, improved their skin status and reduced the use of dermatological care, both in the short and longer term.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Behavior Therapy / methods*
  • Dermatitis, Atopic / therapy*
  • Dermatologic Agents / administration & dosage
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Patient Satisfaction
  • Treatment Outcome

Substances

  • Dermatologic Agents