Psychiatric Treatment of Eczema: A Controlled Trial
Psychiatric Treatment of Eczema: A Controlled Trial
复制标题
湿疹的精神治疗：对照试验
作者：
D. G. Brown;F. Bettley
72名湿疹患者被随机分配到两个治疗组中的一个：A组，仅接受皮肤病治疗，B组，接受相同的皮肤病治疗加精神病治疗，尽可能限制在4个月内。病例在6个月的皮肤病学评估中随访，57例（79%）随访18个月。研究结果表明，在存在明显的情绪障碍，皮疹前长达一年的新的心理或心理生理症状，以及高动机的情况下，短暂的精神治疗可以改善湿疹的结局（18个月时明确的比例约为两倍），而在没有这些治疗的情况下，这种治疗可能会使其恶化，特别是在短期内。
Seventy-two patients with eczema were randomly allotted to one of two treatment groups: A, those receiving dermatological treatment only, and B, those receiving the same dermatological treatment plus psychiatric treatment, limited where possible to four months. Cases were followed up at six-monthly dermatological assessments, 57 (79%) for 18 months. The findings suggest that in the presence of overt emotional disturbance, of new psychological or psychophysiological symptoms preceding the rash by up to a year, and of high motivation for it, brief psychiatric treatment improves the outcome in eczema (the proportion clear at 18 months was about doubled), whereas in their absence such treatment may worsen it, especially in the short term.