Digital Strategies for Patients With Chronic Dermatosis With Pruritus / Skin Picking Disorder

NCT04731389 | Completed

• 1 other identifier: 37827820.6.0000.5327
• Study Type: interventional
• Target: 163
• Locations: 1 country
• Sites: 1

Brief Summary

Almost 35% of patients treated to dermatosis have some psychiatric disorder. The aim of this study is to evaluate the prevalence and severity of skin picking disorder and other dermatosis, and also test the efficacy of an online-delivered cognitive-behavioral therapy to improve skin picking disorder severity.

Conditions

Skin-Picking; Acne; Dermatosis

Keywords

skin picking; cognitive-behavioral therapy; internet-based therapy; psychodermatosis; acne

Outcome Measures

Primary Outcomes (1)

• Change in Skin Picking Scale Revised

  Improvement in the severity of dermatillomania assessed by the Skin Picking Scale Revised, adapted to the Brazilian population.The scale scores vary from 0-32, with higher scores meaning more severe symptoms.

  6 months and 12 months

Secondary Outcomes (3)

• Change in patient health questionnaire (PHQ-9)

  6 months and 12 months

• Change in General Anxiety Disorder-7 (GAD-7)

  6 months and 12 months

• Change in Dermatology Life Quality Index (DLQI)

  6 months and 12 months

Study Arms (2)

internet CBT

EXPERIMENTAL

Intervention with remote and self-applicable cognitive behavioral therapy, during 4 weeks.

Behavioral: internet-based cognitive-behavioral therapy

Quality of life promotion

ACTIVE COMPARATOR

Control intervention, during 4 weeks.

Behavioral: Quality of life improving intervention

Interventions

internet-based cognitive-behavioral therapy BEHAVIORAL

Composed of 4 modules: the first module will address psychoeducation on dermatillomania, self-monitoring of symptoms and habit reversal techniques; the second module works with anxiety coping techniques (diaphragmatic breathing and muscle relaxation); module 3 addresses cognitive correction techniques, such as stopping thinking, analyzing evidence, reassigning severity and responsibilities; the last module reviews the techniques learned and addresses techniques for preventing symptom relapse. The modules will be applied by the patient in an online format, each module lasts an average of 30 minutes. The platform will send notice by email through automation tools, SMS or message by application to patients to remind them to complete 1 module per week.

Also known as: Active intervention group

internet CBT

Quality of life improving intervention BEHAVIORAL

consisting of videos with guidance on quality of life, with a total of 4 videos of 2 minutes, each being made available in 1 week, consisting of: guidance on sleep hygiene; guidance on healthy eating; guidelines on the practice of physical activity and guidelines on the excessive use of social networks.

Also known as: Active control group

Quality of life promotion

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age from 18 years
• Internet access
• Diagnosis of Skin Picking (dermatillomania)
• Patients may be diagnosed or not with primary dermatoses, such as acne, atopic dermatitis, psoriasis and rosacea

You may not qualify if:

• Dementias
• Acute psychotic disorder, bipolar disorder in acute episode, psychoactive substance use disorder (except tobacco), severe depressive episode or suicidal ideation

Sponsors & Collaborators

• Hospital de Clinicas de Porto Alegre: lead

Study Sites (1)

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, 90.035-903, Brazil

Location

MeSH Terms

Conditions

Excoriation Disorder; Acne Vulgaris; Skin Diseases

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Obsessive-Compulsive Disorder; Anxiety Disorders; Mental Disorders; Disruptive, Impulse Control, and Conduct Disorders; Acneiform Eruptions; Skin and Connective Tissue Diseases; Sebaceous Gland Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: January 22, 2021
• First Posted: February 1, 2021
• Study Start: February 1, 2021
• Primary Completion: August 1, 2021
• Study Completion: November 28, 2021
• Last Updated: November 30, 2021

Record last verified: 2021-11

Locations

BR (1)