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对皮肤剥皮障碍的非药物治疗选择进行系统审查
Harrison Loftus1, Caroline Cassidy1, Lisa Mun1
1Central Michigan University College of Medicine, Mount Pleasant, MI, USA.
Clinical and experimental dermatology
|August 31, 2024
概括
认知行为疗法 (CBT),ACT增强的群体行为疗法 (AE-GBT),在线自助和表达性写作显示出治疗皮肤挑选障碍 (SPD) 的希望. 这些非药理学方法为管理这种情况提供了有效的选择.
科学领域:
- 神经精神病学是一种神经精神病学.
- 心理皮肤学 心理皮肤学
背景情况:
- 皮肤挑障碍 (SPD) 是一种神经精神疾病,导致严重的痛苦和损伤.
- 目前对SPD的治疗方案尚未明确,评估治疗方法的文献有限.
研究的目的:
- 审查和比较最近关于SPD非药物治疗的出版物.
- 为当前针对皮肤剥皮障碍的非药物干预提供最新指南.
主要方法:
- 2017年至2023年期间发表的非药理学SPD治疗研究的系统文献综述.
- 在PubMed,CINAHL Plus和Scopus上进行了搜索,使用了"皮肤","","治疗"和"精神皮肤病学"等术语.
- 包括11项涉及2068名参与者的研究,采用各种设计,如RCT和单个案例研究.
主要成果:
- 认知行为疗法 (CBT),习惯逆转疗法,ACT增强的群体行为疗法 (AE-GBT),在线自助模块和表达式写作展示了最有效的结果.
- 在SPD的参与者中观察到显著的改善,验证了非药物治疗的疗效.
- CBT,AE-GBT,在线自助和表达性写作成为SPD的主要非药物治疗方法.
结论:
- 非药物治疗,特别是CBT,AE-GBT,在线自助和表达性写作,对于管理SPD是有效的.
- 这些治疗方式可以根据个体患者的需要进行个性化.
- 限制包括样本规模小,缺乏对照组,长期数据有限,以及审查的研究中性别多样性不足.
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