Eczeem

Dirven-Meijer, P. C.; Jong-Tieben, L. M. de; Besselink, H. J.; Jongh, T. O. H. de

doi:10.1007/978-90-313-6530-2_8

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Atopic dermatitis (AD) occurs in ~1 to 10 % of all adults ( 1 , 2 ) and is characterized by chronic inflammation of the skin. Skin inflammation results in itch, which results in scratching, and a negative feedback loop causing worsening of the skin condition.…”

Section: Introductionmentioning

confidence: 99%

Reducing scratching behavior in atopic dermatitis patients using the EMDR treatment protocol for urge: A pilot study

Veer¹,

Waalboer-Spuij²,

Hijnen³

et al. 2023

Front. Med.

View full text Add to dashboard Cite

BackgroundItch, and thereby the scratching behavior, is a common complaint in atopic dermatitis. Scratching damages the skin, which in turn worsens the itch. This itch-scratch cycle perpetuates the skin condition and has a major impact on the patient's quality of life. In addition to pharmacological treatment, psychological interventions show promising results in reducing scratching behavior.ObjectivesTo investigate the effect of treatment according the EMDR treatment protocol for urge on scratching behavior of atopic dermatitis patients in a controlled study.MethodsThis study applies a multiple baseline across subjects design. Six patients were randomly allocated to different baseline lengths and all of them started registration of scratching behavior at the same day, using a mobile phone application. Nocturnal scratching was registered by a smart watch application. The total study duration was 46 days and was equal for all patients. Treatment consisted of two sessions using the EMDR treatment protocol for urge. Furthermore, standardized measures were used to assess disease activity, quality of life, and self-control. The nonoverlap of all pairs effect size was calculated for the daily measure data.ResultsOne patient dropped out. Visual inspection suggests that the scratching behavior decreased over time in all patients. Furthermore, a moderate effect size of the treatment is found. During the baseline phase, scratching behavior fluctuated considerably and showed a slight negative trend. Outcomes of disease activity decreased over time and patients' self-control and quality of life improved after treatment. Nocturnal scratching behavior did not change after the intervention.ConclusionThe results of the visual analysis of day time scratching behavior, disease activity, quality of life, and self-control seem promising. These findings pave the way for future research into the effect of the new intervention on other skin conditions suffering from scratching behavior, such as prurigo nodularis.

show abstract

Section: Introductionmentioning

confidence: 99%