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A pilot study examining mindfulness-based cognitive therapy in psoriasis.

B Fordham1, C E M Griffiths, C Bundy

  • 1a Centre for Dermatology Research, Manchester Academic Health Science Centre , University of Manchester , Manchester , UK.

Psychology, Health & Medicine
|April 2, 2014
PubMed
Summary

Mindfulness therapy significantly improved psoriasis severity and quality of life (QoL) in a pilot study. This adjunctive treatment shows promise for managing psoriasis symptoms and enhancing patient well-being.

Keywords:
mindfulness-based cognitive therapypsoriasisstress

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Area of Science:

  • Dermatology
  • Psychology
  • Mind-Body Medicine

Background:

  • Psoriasis is linked to significant emotional distress, including anxiety and depression, and impaired quality of life (QoL).
  • Stress is a commonly identified trigger for psoriasis flare-ups.
  • Mindfulness-based cognitive therapy has demonstrated efficacy in reducing stress and distress, and improving QoL in various populations.

Purpose of the Study:

  • To investigate the effectiveness of mindfulness as an adjunctive therapy for individuals with psoriasis.
  • To test the hypothesis that mindfulness can reduce stress, thereby improving psoriasis severity, QoL, and emotional distress.

Main Methods:

  • A pilot randomized controlled trial involving 29 participants with psoriasis.
  • Participants were assigned to an eight-week mindfulness treatment group or a control group receiving standard care.
  • Self-reported measures of psoriasis severity, perceived stress, distress (anxiety and depression), and QoL were assessed at baseline and post-intervention.

Main Results:

  • The mindfulness group showed statistically significant reductions in psoriasis severity (Self-Assessed Psoriasis Area Severity Index) and QoL impairment (Dermatology Life Quality Index) compared to the control group.
  • No significant differences were observed between groups regarding perceived stress (Perceived Stress Scale) or distress levels (Hospital Anxiety Depression Scale).
  • Adjunctive mindfulness therapy led to significant improvements in psoriasis severity and QoL.

Conclusions:

  • Mindfulness therapy, when used as an adjunct to standard care, significantly improves psoriasis severity and quality of life in individuals with the condition.
  • These pilot findings support the need for a larger, full-scale randomized controlled trial to further evaluate the efficacy of mindfulness for psoriasis management.
  • Mindfulness may be a valuable complementary approach for managing the multifaceted impact of psoriasis on patients' lives.