I cannot fully address your query because the **specific randomized controlled trial you referenced** (DOI: 10.1111/ddg.70020) does not appear to be present in the provided search results. However, the search results do contain relevant research on psychological interventions and schema therapy for psoriasis and atopic dermatitis. ## Key Findings from Available Research **Schema-Level Vulnerabilities:** Psoriasis patients show distinct emotional patterns compared to healthy individuals, particularly three core schemas: **Emotional Deprivation, Insufficient Self-Control, and Emotional Inhibition**[2]. These reflect ongoing difficulties in managing emotions, which may maintain skin symptoms over time[2][4]. **Psychological Interventions Show Promise:** Multiple approaches have demonstrated effectiveness: - Cognitive behavioral therapy (CBT) and stress management programs significantly reduce itch[1] - Family constellation seminars improved itch severity, sleep quality, and emotional well-being in 66–92% of participants[1] - Relaxation therapy decreased itch and improved sleep in atopic dermatitis patients[1] **Clinical Implementation Recommended:** Researchers suggest integrating psychological screening into dermatology clinics using brief questionnaires[2]. A collaborative care model—where dermatologists identify at-risk patients and mental health professionals provide follow-up support—appears most feasible[2]. To obtain the full analysis of the specific pilot study you mentioned, you would need to access the original publication directly or provide additional search results containing that particular trial.
Originaltitel: Psychoeducational schema therapy for psoriasis and atopic dermatitis: a randomized controlled pilot crossover trial