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Psychosocial interventions for children with dermatological conditions: systematic review and meta-analysis

Amy E Mitchell1,2, Japheth O Adina3, Alina Morawska2

  • 1School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, QLD, Australia.

Journal of Pediatric Psychology
|August 31, 2025
PubMed

Insights

Psychosocial interventions show promise for improving disease severity in children with atopic dermatitis. While quality of life did not significantly improve, these interventions offer benefits for affected families.

Area of Science:

  • Pediatric Dermatology
  • Psychosocial Health
  • Systematic Review

Background:

  • Chronic skin conditions significantly impact children's quality of life and family well-being.
  • Effective management of these conditions is often hindered by psychosocial challenges.

Purpose of the Study:

  • To systematically review existing literature on psychosocial interventions for children with chronic dermatological conditions.
  • To evaluate the impact of these interventions on disease severity and quality of life for children and their families.

Main Methods:

  • A comprehensive search of five electronic databases was conducted up to April 8, 2024.
  • Included studies reported pre-post intervention data on disease severity and child quality of life.
  • Ten eligible studies involving 2,346 families were identified, focusing exclusively on atopic dermatitis.

Main Results:

  • Psychosocial interventions demonstrated a significant positive effect on reducing disease/symptom severity (SMD = -0.34).
  • No significant improvement was observed in children's quality of life (SMD = -0.09).
  • Interventions included face-to-face group sessions and self-directed online programs, with mixed results for secondary outcomes.

Conclusions:

  • Psychosocial interventions may be beneficial for improving disease severity in pediatric atopic dermatitis.
  • Further research is needed to explore the efficacy of these interventions across a broader range of pediatric dermatological conditions.
Abstract

Keywords:
adherence/self-managementchildchronic illnessdermatologyhealth behaviorparentingpsychosocial interventionquality of lifesystematic review/meta-analysis

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