Does a Program Based on Cognitive Behavioral Therapy Affect Kinesiophobia in Patients Following Total Knee Arthroplasty? A Randomized, Controlled Trial With a 6-Month Follow-Up

No effect of cognitive behavioral patient education for patients with pain catastrophizing before total knee arthroplasty: a randomized controlled trial

“…1st, most of the former studies reporting an effect of a CBT intervention on these factors have included patients with knee OA and only a few studies have included patients scheduled for TKA. Cai et al (2018) found that a CBT program was superior to standard care in reducing kinesiophobia, pain catastrophizing, and knee pain among patients with high levels of kinesiophobia before a TKA. Contrary to this result, Riddle et al (2019) found that an internet-based pain coping skills program for patients with high levels of pain catastrophizing before TKA did not improve pain or functional outcomes more than usual care.…”

“…Recent research on the effect of CBT on pain severity has shown mixed results and meta analyses show that the effect size on pain is small (Dixon et al 2007, Williams et al 2012. Some studies report substantial improvements in patients with knee osteoarthritis (Somers et al 2012, Cai et al 2018 while others report no effect on pain when comparing a CBT group with a usual care group (Helminen et al 2015, Broderick et al 2016, Allen et al 2019, Riddle et al 2019.…”

“…Pain catastrophizing is defined as negative emotional and cognitive responses to actual or anticipated pain (Sullivan et al 1995). A Cochrane Review has shown that cognitive behavioral therapy (CBT) is an effective treatment for many different chronic pain conditions (Williams et al 2012) and interventions such as pain coping skills training based on CBT are shown to reduce pain catastrophizing and improve knee function for patients with knee osteoarthritis (OA) (Somers et al 2012, Broderick et al 2014, Bennell et al 2016, Cai et al 2018.…”

The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

“…Only three studies with patients receiving TKA were included by Bay et al [ 25 ]. Compared to that review, we included fifteen additional RCTs [ 33 , 34 , 37 , 38 , 41 , 44 , 45 , 49 , 53 , 54 , 56 – 58 , 58 , 63 ]. Second, due to the current lack of RCTs on one specific type of intervention focused on psychological distress (for example only pain coping skills training) applied to patients undergoing TKA, we have decided to also include a wider range of study designs to create a complete overview of the perioperative interventions focused on psychological distress that have been used to decrease pain and improve function and/or QoL after surgery.…”

High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery

“…Based on this study, the negative influence of kinesiophobia on the biopsychosocial outcome and physical performance of knee replacement patients at the early stage of rehabilitation should receive further attention. Hence, the identification of patients with elevated levels of kinesiophobia will allow clinicians to set out a personalized treatment plan, in accordance to the specific needs of the patient, which should result in better outcomes following knee replacement surgery [50]. For instance, cognitive-behavioral strategies are reported to be highly successful treatment options for the reduction of symptoms (e.g., pain and disability) induced by the psychological state of a patient [51].…”