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A Novel, Web-Based, Psychological Intervention for People with Psoriasis: The Electronic Targeted Intervention for Psoriasis (eTIPs) Study.

Bundy, C; Pinder, B; Bucci, S; Reeves, D; Griffiths, C E M; Tarrier, N

The British journal of dermatology. 2013;.

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Abstract

BACKGROUND: Psychological morbidity and reduced quality of life are common and linked with non-adherence to medication in psoriasis. Access to psychological therapy is often poor with long waiting times. Cognitive behavioural therapy (CBT) is a well accepted therapy for psychological disorders and is particularly effective when tailored to address condition-specific concerns. OBJECTIVES: To determine whether an electronic CBT intervention for Psoriasis (eTIPs) would reduce distress, improve quality of life and clinical severity in psoriasis patients. METHODS: A wait-list randomised trial of immediate intervention versus usual care. Self-assessed psoriasis severity (SAPASI), distress - Hospital Anxiety & Depression Scale (HADS) and quality of life - Dermatology Life Quality Index (DLQI) were measured before and after intervention. Analysis was based on complete cases and all cases using multiple imputation to substitute missing values RESULTS: Anxiety scores between groups significantly reduced (p<0.05)for complete cases only: the mean and SD scores were, intervention 7.6(3.6) at baseline and at follow up 6.1(3.5) versus control at baseline: 8.3(3.5) and after intervention 8.1(4.4), p.004. Depression scores did not improve, the experimental group scores at baseline were 5.0(4.2) and after intervention 4.0(3.7) v control group at baseline 5.2(3.4) and after intervention 4.9(3.8). Psoriasis severity scores did not improve: baseline scores for the experimental group were 7.5(6.0) and after intervention 6.5(8.5) v the control group before 8.3(6.3) and after 7.6(6.1) p=ns. Quality of life scores improved in both analyses (p<0.05), the intervention group scores before were 6.6(4.2) and after intervention 5.0(5.1) v control before 7.4(4.4) and after intervention 7.7(4.5), p.042). CONCLUSIONS: This first on-line CBT intervention for people with skin disease showed improvement in anxiety and quality of life in patients with psoriasis. The results are limited by the large number of missing data and at this stage on-line delivery cannot substitute for established methods of delivery for CBT.

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Digital Object Identifier:
10.1111/bjd.12350
Pubmed Identifier:
23551271
Access state:
Active

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Record metadata

Manchester eScholar ID:
uk-ac-man-scw:198823
Created by:
Griffiths, Christopher
Created:
24th June, 2013, 11:28:55
Last modified by:
Griffiths, Christopher
Last modified:
1st March, 2014, 13:21:44

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