Authors:
Dorottya Albert ELTE Eötvös Loránd Tudományegyetem, Pszichológiai Intézet, Budapest, Magyarország

Search for other papers by Dorottya Albert in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0009-0000-7197-6914
and
Adrien Rigó ELTE Eötvös Loránd Tudományegyetem, Pszichológiai Intézet, Budapest, Magyarország

Search for other papers by Adrien Rigó in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-2940-2110
Open access

A tanulmány a krónikus bőrbetegségekben alkalmazott pszichológiai intervenciós módszereket tekinti át. A bevezető röviden kitér a releváns tanulmányok gyűjtésének módjára, s felvázolja, hogy a szisztematikus áttekintő tanulmány és a metaanalízis írása helyett miért esett a választás egy olyan műfajra, amely inkább az egyes terápiás technikák fő hatásmechanizmusait igyekszik fókuszba állítani. Bemutatja a pszichoedukációs programokkal kapcsolatos fő irányelveket, valamint a stresszkezelést is támogató különböző típusú terápiás technikákkal (autogén tréning, progresszív izomrelaxáció, biofeedback, jelentudatosság alapú intervenciók, hipnózis) és a kognitív viselkedésterápia alapú inter-venciókkal kapcsolatos eddigi eredményeket. Igyekszik felvázolni a potenciális hatásmechanizmusokat és a gyakorlatban is használható példákat próbál adni az intervenciók lépéseiből. Az összefoglaló tanulmány felhívja a figyelmet arra, hogy a pszichológiai intervencióknak a bőrtünetekre kifejtett kedvező hatásával kapcsolatban még nem áll rendelkezésünkre elegendő tudományos adat ahhoz, hogy messzemenő következtetéseket vonjunk le. Bár a pszichológiai módszerek az eddigi eredmények és az ismert hatásmechanizmusok alapján fontos kiegészítő eszközei lehetnek a bőrbetegek kezelésének, törekedni kell arra, hogy ez további, módszertanilag megfelelő intervenciós hatékonyságvizsgálatokkal alátámasztásra kerüljön.

This study reviews psychological interventions for chronic skin conditions. The introduction briefly discusses how the relevant studies were collected and outlines why, instead of writing a systematic review and a meta-analysis , a genre was chosen that tries to focus on the main mechanisms of action of each therapeutic technique. It presents some guidelines for psychoeducation programmes, and the findings on different types of therapeutic techniques that also support stress management (autogenic training, progressive muscle relaxation, biofeedback, mindfulness-based interventions, hypnosis) and cognitive behavioral therapy based interventions. It tries to outline the potential mechanisms of the different methods and to give practical examples of the steps of interventions. The paper draws attention to the fact that there is not yet enough scientific data on the beneficial effects of psychological interventions on skin symptoms to draw firm conclusions. Although psychological methods can be an important complementary tool for treating skin disorders, based on the results and known mechanisms of action, efforts should be made to support this with further methodologically appropriate intervention effectiveness studies.

  • Alladin, A. (2010). Cognitive hypnotherapy: An integrated approach to the treatment of emotional disorders. J. Wiley

  • Barbosa, N. S., & Kalaaji, A. N. (2014). CAM use in dermatology. Is there a potential role for honey, green tea, and vitamin C? Complementary Therapies in Clinical Practice, 20(1), 1115.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Baron, S. E., Goodwin, R. G., Nicolau, N., Blackford, S., & Goulden, V. (2005). Use of complementary medicine among outpatients with dermatologic conditions within Yorkshire and South Wales, United Kingdom. Journal of the American Academy of Dermatology, 52(4), 589594.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bewley, A. (2018). Habit reversal therapy quickly and significantly contributes to the management of children with atopic eczema. British Journal of Dermatology, 178(3), 584585.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Black, S., Humphrey, J. H., & Niven, J. S. F. (1963). Inhibition of Mantoux reaction by direct suggestion under hypnosis. British Medical Journal, June 22, 16491652.

    • Search Google Scholar
    • Export Citation
  • Bundy, C., Pinder, B., Bucci, S., Reeves, D., Griffiths, C. E. M., & Tarrier, N. (2013). A novel, web-based, psychological intervention for people with psoriasis: The electronic Targeted Intervention for Psoriasis (eTIPs) study. British Journal of Dermato-logy, 169(2), 329336.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chida, Y., Steptoe, A., Hirakawa, N., Sudo, N., & Kubo, C. (2007). The effects of psychological intervention on atopic dermatitis. International Archives of Allergy and Immunology, 144(1), 19.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cotter, C., Burton, T., Proctor, A., Moss, C., & Flohr, C. (2022). Topical steroid withdrawal syndrome: Time to bridge the gap. British Journal of Dermatology, 187(5), 780781.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Daunton, A., Bridgett, C., & Goulding, J. M. R. (2016). Habit reversal for refractory atopic dermatitis: A review. British Journal of Dermatology, 174(3), 657659.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Delaitre, L., Denis, J., & Maillard, H. (2020). Hypnosis in treatment of atopic dermatitis: A clinical study. International Journal of Clinical and Experimental Hypnosis, 68(4), 412418.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dengrove, E. (1973). The uses of hypnosis in behavior therapy. International Journal of Clinical and Experimental Hypnosis, 21(1), 1317.

  • Duller, P., & Gentry, W. D. (1980). Use of biofeedback in treating chronic hyperhidrosis: A preliminary report. British Journal of Dermatology, 103(2), 143146.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dunbar, A. B., Magid, M., & Reichenberg, J. S. (2018). Habit reversal training for body-focused repetitive behaviors: A practical guide for the dermatologist. Italian Journal of Dermato-logy and Venereology, 153(4), 557566.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ehlers, A., Stangier, U., & Gieler, U. (1995). Treatment of atopic dermatitis: A comparison of psychological and dermatological approaches to relapse prevention. Journal of Consulting and Clinical Psychology, 63(4), 624635.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Evers, A., Duller, P., Jong, E., Otero, M., Verhaak, C., Valk, P., Kerkhof, P., & Kraaimaat, F. (2009). Effectiveness of a multi-disciplinary itch-coping training programme in adults with atopic dermatitis. Acta Dermato Venereologica, 89(1), 5763.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fordham, B., Griffiths, C. E. M., & Bundy, C. (2015). A pilot study examining mindfulness-based cognitive therapy in psoriasis. Psychology, Health & Medicine, 20(1), 121127.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Fortune, D. G., Richards, H. L., Kirby, B., Bowcock, S., Main, C. J., & Griffiths, C. E. M. (2002). A cognitive-behavioural symptom management programme as an adjunct in psoriasis therapy. British Journal of Dermatology, 146(3), 458465.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gallinat, C., Moessner, M., Haenssle, H. A., Winkler, J. K., Backenstrass, M., & Bauer, S. (2019). An Internet-based self-help intervention for skin picking (SaveMySkin): Pilot randomized controlled trial. Journal of Medical Internet Research, 21(9), e15011.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gray, S. G., & Lawlis, G. F. (1982). A case study of pruritic eczema treated by relaxation and imagery. Psychological Reports, 51(2), 627633.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gruzelier, J., Smith, F., Nagy, A., & Henderson, D. (2001). Cellular and humoral immunity, mood and exam stress: The influences of self-hypnosis and personality predictors. International Journal of Psychophysiology, 42(1), 5571.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hedman-Lagerlöf, E., Bergman, A., Lindefors, N., & Bradley, M. (2019). Exposure-based cognitive behavior therapy for atopic dermatitis: An open trial. Cognitive Behaviour Therapy, 48(4), 300310.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hedman-Lagerlöf, E., Fust, J., Axelsson, E., Bonnert, M., Lalouni, M., Molander, O., Agrell, P., Bergman, A., Lindefors, N., & Bradley, M. (2021). Internet-delivered cognitive behavior therapy for atopic dermatitis: A randomized clinical trial. JAMA Dermatology, 157(7), 796804.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Heratizadeh, A., Werfel, T., Wollenberg, A., Abraham, S., Plank-Habibi, S., Schnopp, C., Sticherling, M., Apfelbacher, C., Biedermann, T., Breuer, K., Fell, I., Fölster-Holst, R., Heine, G., Grimm, J., Hennighausen, L., Kugler, C., Reese, I., Ring, J., Schäkel, K., … Wichmann, K. (2017). Effects of structured patient education in adults with atopic dermatitis: Multicenter randomized controlled trial. Journal of Allergy and Clinical Immunology, 140(3), 845853.e3.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hudson, M. P., Thompson, A. R., & Emerson, L.-M. (2020). Compassion-focused self-help for psychological distress associated with skin conditions: A randomized feasibility trial. Psychology & Health, 35(9), 10951114.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hughes, H., Lawlis, G. F., Brown, B. W., & Fulton, J. E. (1983). Treatment of acne vulgaris by biofeedback relaxation and cognitive imagery. Journal of Psychosomatic Research, 27(3), 185191.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jones, V. A., Patel, P. M., Wilson, C., Wang, H., & Ashack, K. A. (2021). Complementary and alternative medicine treatments for common skin diseases: A systematic review and meta-analysis. JAAD International, 2, 7693.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jordan, J. M., & Whitlock, F. A. (1972). Emotions and the skin: The conditioning of scratch responses in cases of atopic dermatitis. British Journal of Dermatology, 86(6), 574585.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., Cropley, T. G., Hosmer, D., & Bernhard, J. D. (1998). Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing photo therapy (UVB) and photo-chemotherapy (PUVA): Psychosomatic Medicine, 60(5), 625632.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kalaaji, A. N., Wahner-Roedler, D. L., Sood, A., Chon, T. Y., Loehrer, L. L., Cha, S. S., & Bauer, B. A. (2012). Use of complementary and alternative medicine by patients seen at the dermatology department of a tertiary care center. Complementary Therapies in Clinical Practice, 18(1), 4953.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Keinan, G., Segal, A., Gal, U., & Brenner, S. (1995). Stress management for psoriasis patients: The effectiveness of biofeedback and relaxation techniques. Stress Medicine, 11(1), 235241.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Klein, A., & Peper, E. (2013). There is hope: Autogenic biofeedback training for the treatment of psoriasis. Biofeedback, 41(4), 194201.

  • Laidlaw, T. M., Richardson, D. H., Booth, R. J., & Large, R. G. (1994). Immediate-type hypersensitivity reactions and hypnosis: Problems in methodology. Journal of Psychosomatic Re-search, 38(6), 569580.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Larsen, M. H., Hagen, K. B., Krogstad, A.-L., Aas, E., & Wahl, A. K. (2014). Limited evidence of the effects of patient education and self-management interventions in psoriasis patients: A systematic review. Patient Education and Counseling, 94(2), 158169.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lipner, S. R., Shukla, S., Stewart, C. R., & Behbahani, S. (2021). Reconceptualizing dermatology patient care and education during the COVID-19 pandemic and beyond. International Journal of Women’s Dermatology, 7(5), 856857.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McMenamy, C. J., Katz, R. C., & Gipson, M. (1988). Treatment of eczema by EMG biofeedback and relaxation training: A multiple baseline analysis. Journal of Behavior Therapy and Experimental Psychiatry, 19(3), 221227.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Melin, L., Frederiksen, T., Noren, P., & Swebilius, B. G. (1986). Behavioural treatment of scratching in patients with atopic dermatitis. British Journal of Dermatology, 115(4), 467474.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mihara, K., Kuratani, K., Matsui, T., Nakamura, M., & Yokota, K. (2004). Vital role of the itch-scratch response in development of spontaneous dermatitis in NC/Nga mice. British Journal of Dermatology, 151(2), 335345.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Miller, G. E., & Cohen, S. (2001). Psychological interventions and the immune system: A meta-analytic review and critique. Health Psychology, 20(1), 4763.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Montgomery, K., Norman, P., Messenger, A. G., & Thompson, A. R. (2016). The importance of mindfulness in psychosocial distress and quality of life in dermatology patients. British Journal of Dermatology, 175(5), 930936.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Montgomery, K., & Thompson, A. R. (2018). The potential role of mindfulness in psychosocial support for dermatology patients. Clinics in Dermatology, 36(6), 743747.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Muftin, Z., Gilbert, P., & Thompson, A. R. (2022). A randomized controlled feasibility trial of online compassion‐focused self‐ help for psoriasis. British Journal of Dermatology, 186(6), 955962.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Naito, A., Laidlaw, T. M., Henderson, D. C., Farahani, L., Dwivedi, P., & Gruzelier, J. H. (2003). The impact of self-hypnosis and Johrei on lymphocyte subpopulations at exam time: A controlled study. Brain Research Bulletin, 62(3), 241253.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Neerackal, R. J., Abdul Latheef, E. N., Sukumarakurup, S., & Jafferany, M. (2020). Relaxation therapy in the management of psoriasis. Dermatologic Therapy, 33(6), Article e14030.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Noren, P., & Melin, L. (1989). The effect of combined topical steroids and habit-reversal treatment in patients with atopic dermatitis. British Journal of Dermatology, 121(3), 359366.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Papadopoulos, L., Bor, R., & Legg, C. (1999). Coping with the disfiguring effects of vitiligo: A preliminary investigation into the effects of cognitive-behavioural therapy. British Journal of Medical Psychology, 72(3), 385396.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Perczel K., & Gál J. (2016). Felnőttkori atopiás dermatitis hipnoterápiás kezelése. Orvosi Hetilap, 157(3), 111115.

  • Pourang, A., Hendricks, A. J., & Shi, V. Y. (2020). Managing dermatology patients who prefer “all natural” treatments. Clinics in Dermatology, 38(3), 348353.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rahman, O., McGuire, J., Storch, E. A., & Lewin, A. B. (2017). Preliminary randomized controlled trial of habit reversal training for treatment of hair pulling in youth. Journal of Child and Adolescent Psychopharmacology, 27(2), 132139.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Reddy, K. K., Grossman, L., & Rogers, G. S. (2013). Common complementary and alternative therapies with potential use in dermatologic surgery: Risks and benefits. Journal of the American Academy of Dermatology, 68(4), e127e135.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ruzyla-Smith, P., Barabasz, A., Barabasz, M., & Warner, D. (1995). Effects of hypnosis on the immune response: B-cells, T-cells, helper and suppressor cells. American Journal of Clinical Hypnosis, 38(2), 7179.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Saxena, S., Zaidi, S. Z. H., Baveja, D., & Singh, A. P. (2020). Acceptance and commitment therapy for acne vulgaris. Delhi Psyciatry Journal, 23(1), 155160.

    • Search Google Scholar
    • Export Citation
  • Schoen, M., & Nowack, K. (2013). Reconditioning the stress response with hypnosis CD reduces the inflammatory cytokine IL-6 and influences resilience: A pilot study. Complementary Therapies in Clinical Practice, 19(2), 8388.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shenefelt, P. (2010). Psychological interventions in the management of common skin conditions. Psychology Research and Behavior Management, 3, 5163.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shenefelt, P. D. (2002). Complementary psychotherapy in derm atology: Hypnosis and biofeedback. Clinics in Dermatology, 20(5), 595601.

  • Shenefelt, P. D. (2003). Biofeedback, cognitive-behavioral methods, and hypnosis in dermatology: Is it all in your mind? Der-matologic Therapy, 16(2), 114122.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shenefelt, P. D. (2013). Anxiety reduction using hypnotic induction and self-guided imagery for relaxation during dermatologic procedures. International Journal of Clinical and Experimental Hypnosis, 61(3), 305318.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shenefelt, P. D. (2017). Use of hypnosis, meditation, and biofeedback in dermatology. Clinics in Dermatology, 35(3), 285291.

  • Shi, C. R., Newman, L. R., Kassamali, B., & Burgin, S. (2022). Maintaining patient involvement in dermatology education during the COVID-19 pandemic: Challenges and solutions. Journal of the American Academy of Dermatology, 86(5), e217e218.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Staab, D., Diepgen, T. L., Fartasch, M., Kupfer, J., Lob-Corzilius, T., Ring, J., Scheewe, S., Scheidt, R., Schmid-Ott, G., Schnopp, C., Szczepanski, R., Werfel, T., Wittenmeier, M., Wahn, U., & Gieler, U. (2006). Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: Multicentre, randomised controlled trial. BMJ, 332(7547), 933938.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Staab, D., Von Rueden, U., Kehrt, R., Erhart, M., Wenninger, K., Kamtsiuris, P., & Wahn, U. (2002). Evaluation of a parental training program for the management of childhood atopic dermatitis: Parent education in atopic dermatitis. Pediatric Allergy and Immunology, 13(2), 8490.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tan, C., Jiang, J., Deng, X., Xiang, W., & Hu, T. (2021). Effect of cognitive behavioral therapy on anxiety and depression in patients with psoriasis: A protocol for systematic review and meta-analysis. Medicine, 100(46), e27720.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Teng, E. J., Woods, D. W., & Twohig, M. P. (2006). Habit reversal as a treatment for chronic skin picking: A pilot investigation. Behavior Modification, 30(4), 411422.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Twohig, M. P., Woods, D. W., Marcks, B. A., & Teng, E. J. (2003). Evaluating the efficacy of habit reversal: comparison with a placebo control. The Journal of Clinical Psychiatry, 64(1), 4048.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Verhoeven, L., Kraaimaat, F., Duller, P., Kerkhof, P. van de, & Evers, A. (2006). Cognitive, behavioral, and physiological reactivity to chronic itching: Analogies to chronic pain. International Journal of Behavioral Medicine, 13(3), 237243.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Zhao, M., Liang, Y., Shen, C., Wang, Y., Ma, L., & Ma, X. (2020). Patient education programs in pediatric atopic dermatitis: A systematic review of randomized controlled trials and meta-analysis. Dermatology and Therapy, 10(3), 449464.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Collapse
  • Expand

Senior editors

Editor(s)-in-Chief: Adrienne STAUDER

Editor(s): Edit CZEGLÉDI

Editorial Board

  • László Csaba DÉGI (Babeş-Bolyai Tudományegyetem, Kolozsvár, Románia)
  • Zsolt DEMETROVICS (Eötvös Loránd University, Budapest)
  • Barna KONKOLŸ THEGE (Waypoint Centre for Mental Health Care, Penetanguishene, Canada)
  • Karolina KÓSA (University of Debrecen, Debrecen)
  • Márta NOVÁK (University of Toronto, University Health Network, Toronto, Canada)
  • Bettina PIKÓ (University of Szeged, Szeged)
  • József RÁCZ (Semmelweis University, Budapest; Eötvös University, Budapest)
  • István TIRINGER (University of Pécs, Pécs)

Editorial Correspondence: Czeglédi, Edit
Institute of Behavioural Sciences
Semmelweis University
Nagyvárad tér 4.
H-1089 Budapest, Hungary
Phone: (36 1) 210 2930 ext. 56151 ---- Fax: (36 1) 210 2955
E-mail: mentalhigiene.pszichoszomatika@gmail.com

Indexing and Abstracting Services:

  • PsychInfo
  • SCOPUS
  • CABELLS Journalytics

 

2023  
Scopus  
CiteScore 0.6
CiteScore rank Q4 (Psychiatry and Mental Health)
SNIP 0.149
Scimago  
SJR index 0.141
SJR Q rank Q4

Mentálhigiéné és Pszichoszomatika
Publication Model Online Only Hybrid
Submission Fee none
Article Processing Charge 900 EUR/article
Printed Color Illustrations 40 EUR (or 10 000 HUF) + VAT / piece
Regional discounts on country of the funding agency World Bank Lower-middle-income economies: 50%
World Bank Low-income economies: 100%
Further Discounts Editorial Board / Advisory Board members: 50%
Corresponding authors, affiliated to an EISZ member institution subscribing to the journal package of Akadémiai Kiadó: 100%
Subscription fee 2025 Online subsscription: 120 EUR / 132 USD
Subscription Information Online subscribers are entitled access to all back issues published by Akadémiai Kiadó for each title for the duration of the subscription, as well as Online First content for the subscribed content.
Purchase per Title Individual articles are sold on the displayed price.

Mentálhigiéné és Pszichoszomatika
Language English
Hungarian
Size B5
Year of
Foundation
2000
Volumes
per Year
1
Issues
per Year
4
Founder Végeken Egészséglélektani Alapítvány
Founder's
Address
H-1089 Budapest, Hungary Nagyvárad tér 4.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 1419-8126 (Print)
ISSN 1786-3759 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Oct 2024 0 400 43
Nov 2024 0 470 29
Dec 2024 0 363 16
Jan 2025 0 134 21
Feb 2025 0 225 24
Mar 2025 0 261 31
Apr 2025 0 0 0