Habit reversal for refractory atopic dermatitis: a review

The effectiveness of habit reversal on treatment outcome and quality of life in patients with chronic eczema: a prospective observational study in the U.K.

“…Between 2005 and 2006, a prospective observational study of 43 successive patients with chronic eczema was conducted to evaluate the effectiveness of habit reversal on disease severity and quality of life for up to 12 months. We recently read with interest the review by Daunton et al . on the use of habit reversal in eczema, in which 12 articles were considered, including four case reports, three case series and three randomized controlled trials.…”

“…Our data highlight the great promise held by combining optimal dermatological treatment with behavioural therapy for this condition, and we hope this raises awareness of the value of treating the habitual scratching of chronic eczema. However, we agree with Daunton et al . that larger and more rigorous studies are needed in this field.…”

Consensus‐based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part II

“…Behavioural therapy against itch was studied, showing a significant improvement in symptoms after 1 year . Especially habit reversal techniques improve itch in atopic dermatitis …”

“…[241][242][243] Especially habit reversal techniques improve itch in atopic dermatitis. 244 Autogenic training Together with cognitive behavioural therapy was studied in a standardized educational programme (see chapter 'Education'). 245 Relaxation Relaxation methods may be more effective in reducing disease severity than discussion only.…”

The Eczema Solution. Sue Armstrong-Brown. London: Vermilion, 2002; 128 pp. ISBN: 978-009188284. Price £12.99.

“…The latter is used to combat habitual scratching, which plays a major role in exacerbating and perpetuating AD. There is a limited but compelling evidence base for the efficacy of habit reversal therapy . Real‐world clinical experience supports the view that this approach may be highly effective, safe and cheap, and deliverable by a range of healthcare professionals …”