Cognitive behavioral treatment of a veteran population with moderate to severe rheumatoid arthritis

Appelbaum, Kenneth A.; Blanchard, Edward B.; Hickling, Edward J.; Alfonso, Maria

doi:10.1016/s0005-7894(88)80019-4

Cited by 68 publications

(28 citation statements)

References 10 publications

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“…These protocols typically involved some combination of relaxation, imagery, stress management, or the teaching of cognitive coping skills. Five studies (24,25,27,32,46) also included biofeedback as 1 of the treatment components. Five studies employed more traditional psychotherapeutic interventions, both group based (29,34) and individual (26,47,48), and the intervention in 2 studies (30,43) involved subjects' writing or speaking about difficult emotional or stressful experiences.…”

Section: Resultsmentioning

confidence: 99%

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Astin¹,

Beckner²,

Soeken³

et al. 2002

Arthritis & Rheumatism

292

184

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Objective. To carry out a systematic review of the literature examining the efficacy of psychological interventions (e.g., relaxation, biofeedback, cognitive-behavioral therapy) in the treatment of rheumatoid arthritis (RA). Methods. Studies that met the following criteria were included: random assignment, wait-list or usual care control condition; publication in peer-reviewed journals; treatment that included some psychological component beyond simply providing education information; and separate data provided for patients with RA if subjects with conditions other than RA were included. Two investigators independently extracted data on study design, sample size and characteristics, type of intervention, type of control, direction and nature of the outcome(s). Results. Twenty-five trials met the inclusion criteria. Methodologic quality was assessed, and effect sizes were calculated for 6 outcomes. Significant pooled effect sizes were found postintervention for pain (

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Section: Resultsmentioning

confidence: 99%

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Astin¹,

Beckner²,

Soeken³

et al. 2002

Arthritis & Rheumatism

292

184

View full text Add to dashboard Cite

show abstract

“…In the morbidly obese OA patient, pain catastrophizing could be addressed using two interventions based on cognitivebehavioural theory -pain coping skills training (33)(34)(35)(36)(37)(38)(39)(40) and lifestyle behavioural weight management (41)(42)(43). Pain coping skills training educates patients about the effects that thoughts, feelings and behaviours can have on pain, and teaches them skills for managing pain and decreasing pain catastrophizing.…”

Section: Discussionmentioning

confidence: 99%

Pain Catastrophizing in Borderline Morbidly Obese and Morbidly Obese Individuals with Osteoarthritic Knee Pain

Somers

Keefe

Carson

et al. 2008

Pain Research and Management

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OBJECTIVE: There is limited information about how morbidly obese osteoarthritis (OA) patients cope with the pain they experience. Pain catastrophizing is an important predictor of pain and adjustment in persons with persistent pain. This may be particularly relevant in the morbidly obese (body mass index [BMI] of 40 kg/m 2 or greater) OA population at risk for increased pain. The present study first examined whether borderline morbidly obese and morbidly obese OA patients report higher levels of pain catastrophizing than a sample of OA patients in the overweight and obese category (BMI between 25 kg/m 2 and 34 kg/m 2 ). Next, it examined how pain catastrophizing is related to important indexes of pain and adjustment in borderline morbidly obese and morbidly obese OA patients. METHODS: Participants included 43 individuals with knee OA who were borderline morbidly obese or morbidly obese (BMI of 38 kg/m 2 or greater). Participants completed self-report measures of pain catastrophizing, pain, psychological distress, quality of life, binge eating and eating self-efficacy. RESULTS: The sample of borderline morbidly obese and morbidly obese OA patients reported significantly higher levels of pain catastrophizing (P=0.007) than a comparison sample of overweight and obese OA patients. Results suggested that patients who engaged in a high level of pain catastrophizing reported having much more intense and unpleasant pain, higher levels of binge eating, lower self-efficacy for controlling their eating and lower weight-related quality of life (P<0.05 for all). CONCLUSIONS: Pain catastrophizing is related to pain and adjustment in borderline morbidly obese and morbidly obese OA patients. Clinicians working with this population should consider assessing pain catastrophizing in the patients they treat.Key Words: Morbidly obese; Osteoarthritis; Pain catastrophizing La dramatisation de la douleur chez les personnes à la limite de l'obésité morbide ou présen-tant une morbidité morbide et souffrant de douleurs causées par l'arthrose du genou OBJECTIF : On possède peu d'information sur la manière dont les obèses morbides atteints d'arthrose affrontent les douleurs dont ils souffrent. La dramatisation de la douleur est un important prédicteur de la douleur et de l'adaptation chez les personnes souffrant de douleurs persistantes. Ce peut être particulièrement pertinent chez les patients atteints d'arthrose présentant une obésité morbide (indice de masse corporelle [IMC] d'au moins 40 kg/m 2 ) vulnérables à une douleur plus marquée. Dans la présente étude, les auteurs ont d'abord évalué si les patients atteints d'arthrose à la limite de l'obésité morbide ou présentant une obésité morbide déclaraient un plus fort taux de dramatisation de la douleur qu'un échantillon de patients atteints d'arthrose obèses ou faisant de l'embonpoint (IMC de 25 kg/m 2 à 34 kg/m 2 ). Ils ont ensuite examiné dans quelle mesure la dramatisation de la douleur est reliée aux importants indices de la douleur et de l'adaptation chez les patients atteints d'ar...

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“…Outcomes in the Arthritis Foundation instrument include number of days (range=0-14) of pain experienced, average pain intensity (0-10) [36], and mood change (1)(2)(3)(4)(5) in the past two weeks, as well as level of tension during the past 30 days (0-20) [31]. The instrument contains a five-item set of questions that inquire about participants' reasons for not exercising (e.g., exercise is not fun); affirmative responses were summed to create a summary score (0-5).…”

Section: Methodsmentioning

confidence: 99%

“…Other questions include change (over the past 2 weeks) in arthritis symptoms (1)(2)(3)(4)(5), health limitations (0-16), which captures the extent to which a person's health limits their ability to do certain activities of daily living, fatigue (0-10), and stiffness (0-10) [33]. The physical and psychosocial outcomes were assessed at 6 weeks only.…”

Section: Methodsmentioning

confidence: 99%

Measuring the Value of Program Adaptation: A Comparative Effectiveness Study of the Standard and a Culturally Adapted Version of the Arthritis Self-Help Program

et al. 2013

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Background: Arthritis remains an important public health problem. Questions/Purposes: This study aims to determine the effects of an adapted (vs. the original) Arthritis Self-Help Program (ASHP) among older adults. Specifically, this study sought to determine (1) whether the adapted ASHP improved attendance, retention, and adherence with the use of self-management exercises, and (2) if the original ASHP's beneficial outcomes were maintained following program adaptation. Patient and Methods: Individuals age ≥60 with self-reported arthritis were recruited from eight New York City senior centers. Participants were assessed at baseline to assess their demographic and clinical status and at 6 and 24 weeks to ascertain study outcomes using validated measures. Results: Two-hundred-one participants (64 non-Hispanic African Americans, 86 Hispanics, and 51 non-Hispanic Whites) enrolled. Participants in the adapted (vs. original) ASHP had better average attendance in the six session program (4.7 vs. 3.2 classes attended, p<0.01) and program retention (93% vs. 74%, p<0.01). Adherence with use of the selfmanagement exercises (number of days using endurance, stretching, and relaxation exercises) was similar in both groups. Significant positive physical/psychosocial outcomes were documented in both the adapted and original program. Conclusion: The adapted ASHP improved program attendance and retention while maintaining improvements in physical and psychosocial functions. These results support future efforts to employ controlled designs to quantify the benefits of adapted evidence-based programs to ensure that adaptation maintains program effectiveness.

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Cognitive behavioral treatment of a veteran population with moderate to severe rheumatoid arthritis

Cited by 68 publications

References 10 publications

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Pain Catastrophizing in Borderline Morbidly Obese and Morbidly Obese Individuals with Osteoarthritic Knee Pain

Measuring the Value of Program Adaptation: A Comparative Effectiveness Study of the Standard and a Culturally Adapted Version of the Arthritis Self-Help Program

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