Psychosocial interventions for psoriasis: a Bayesian network meta-analysis
Background Psoriasis impacts patients’ mental and physical health, prompting interest in psychosocial interventions.Aim To compare and rank different psychosocial interventions for psoriasis and their effects on well-being and mental health.Methods A systematic search was conducted using Cochrane Li...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Journal of Dermatological Treatment |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/09546634.2024.2427321 |
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| author | Lingling Lu Yujuan Xu Meiling Shi Aimin Liu |
| author_facet | Lingling Lu Yujuan Xu Meiling Shi Aimin Liu |
| author_sort | Lingling Lu |
| collection | DOAJ |
| description | Background Psoriasis impacts patients’ mental and physical health, prompting interest in psychosocial interventions.Aim To compare and rank different psychosocial interventions for psoriasis and their effects on well-being and mental health.Methods A systematic search was conducted using Cochrane Library, EMBASE, Medline, and PsycINFO (via the OVID) from their inception to 6 February 2024. Trials investing in psychosocial therapy in psoriasis patients were included using A random-effects network meta-analysis (NMW) within a Bayesian framework focusing on dermatology life quality index (DLQI), depression, and anxiety, along with adherence to treatment. The risk of bias was assessed by the Cochrane Handbook.Results Thirteen studies with 6 treatments and 1233 patients were included. The quality of the included studies was low. For DLQI, 9 studies were eligible, mindfulness + treatment as usual (TAU) was better than TAU (MD = −7.21, 95%CI [−14.89, 0.54]). Cognitive behavioral therapy (CBT) + TAU were more effective in improving HADS-anxiety (MD = −2.17, 95%CI [−3.86, −0.49]) and HADS-depression (MD = −1.58, 95%CI [−3.65, 0.68]). Regarding adherence, CBT + TAU (MD = 0.84, 95%CI [−0.62, 2.27]) ranked first, followed by motivational interviewing + TAU.Conclusion We confirmed the effectiveness of psychosocial interventions on patients’ well-being and mental health and recommended several interventions for clinical practice. However, the results should be cautiously interpreted, due to lacking high-quality and more replication studies. |
| format | Article |
| id | doaj-art-ea2dc5ef50a84820ba72fc8c8a0d1005 |
| institution | DOAJ |
| issn | 0954-6634 1471-1753 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj-art-ea2dc5ef50a84820ba72fc8c8a0d10052025-08-20T02:57:01ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2024.2427321Psychosocial interventions for psoriasis: a Bayesian network meta-analysisLingling Lu0Yujuan Xu1Meiling Shi2Aimin Liu3Hangzhou Third People’s Hospital, Hangzhou, P. R. ChinaDepartment of Gynaecology and Obstetrics, Changshu Hospital of Chinese Medicine, Suzhou, P. R. ChinaJinjihu Community Health Service Center of Suzhou Industrial, Suzhou, P. R. ChinaDepartment of Dermatology, Henan Province Hospital of Traditional Chinese Medicine, The Second Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, P. R. ChinaBackground Psoriasis impacts patients’ mental and physical health, prompting interest in psychosocial interventions.Aim To compare and rank different psychosocial interventions for psoriasis and their effects on well-being and mental health.Methods A systematic search was conducted using Cochrane Library, EMBASE, Medline, and PsycINFO (via the OVID) from their inception to 6 February 2024. Trials investing in psychosocial therapy in psoriasis patients were included using A random-effects network meta-analysis (NMW) within a Bayesian framework focusing on dermatology life quality index (DLQI), depression, and anxiety, along with adherence to treatment. The risk of bias was assessed by the Cochrane Handbook.Results Thirteen studies with 6 treatments and 1233 patients were included. The quality of the included studies was low. For DLQI, 9 studies were eligible, mindfulness + treatment as usual (TAU) was better than TAU (MD = −7.21, 95%CI [−14.89, 0.54]). Cognitive behavioral therapy (CBT) + TAU were more effective in improving HADS-anxiety (MD = −2.17, 95%CI [−3.86, −0.49]) and HADS-depression (MD = −1.58, 95%CI [−3.65, 0.68]). Regarding adherence, CBT + TAU (MD = 0.84, 95%CI [−0.62, 2.27]) ranked first, followed by motivational interviewing + TAU.Conclusion We confirmed the effectiveness of psychosocial interventions on patients’ well-being and mental health and recommended several interventions for clinical practice. However, the results should be cautiously interpreted, due to lacking high-quality and more replication studies.https://www.tandfonline.com/doi/10.1080/09546634.2024.2427321Psoriasispsychosocial interventionefficacymental healthnetwork meta-analysis |
| spellingShingle | Lingling Lu Yujuan Xu Meiling Shi Aimin Liu Psychosocial interventions for psoriasis: a Bayesian network meta-analysis Journal of Dermatological Treatment Psoriasis psychosocial intervention efficacy mental health network meta-analysis |
| title | Psychosocial interventions for psoriasis: a Bayesian network meta-analysis |
| title_full | Psychosocial interventions for psoriasis: a Bayesian network meta-analysis |
| title_fullStr | Psychosocial interventions for psoriasis: a Bayesian network meta-analysis |
| title_full_unstemmed | Psychosocial interventions for psoriasis: a Bayesian network meta-analysis |
| title_short | Psychosocial interventions for psoriasis: a Bayesian network meta-analysis |
| title_sort | psychosocial interventions for psoriasis a bayesian network meta analysis |
| topic | Psoriasis psychosocial intervention efficacy mental health network meta-analysis |
| url | https://www.tandfonline.com/doi/10.1080/09546634.2024.2427321 |
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