Chronic itch is one of the most difficult to treat symptoms in atopic dermatitis (eczema). Many children with eczema suffer from a chronic focus (rumination) on itch. Brief Cognitive Behavioral Therapy (CBT) intervention is effective to treat rumination on pain in other chronic diseases, and would likely be successful to treat itch in eczema, but has received little attention. In this proposal we will develop an “Itch CBT” intervention specific for itch rumination in eczema. After developing a standard protocol based on input from patients, parents, clinicians and the National Eczema Association, we will then pilot the intervention in our multidisciplinary eczema clinic. The intervention will take ~45 minutes during a clinic visit, with 1 follow up phone call a month later to review. Three months later, we will further assess how much the intervention decreased itch and improved other quality of life concerns (anxiety, sleep and pain). Future directions will include making the Itch CBT protocol widely available, and securing an NIH grant to test the efficacy in a larger study.
|Effective start/end date||1/1/19 → 6/30/22|
- National Eczema Association for Science & Education (NEA18-RG115)
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