Pain coping skills training in the management of osteoarthritic knee pain: A comparative study

Keefe, Francis J.; Caldwell, David S.; Williams, David A.; Gil, Karen M.; Mitchell, David; Robertson, Cheryl; Martinez, Salutario; Nunley, James A.; Beckham, Jean C.; Crisson, James E.; Helms, Michael J.

doi:10.1016/s0005-7894(05)80188-1

Cited by 310 publications

(184 citation statements)

References 30 publications

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“…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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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

View full text Add to dashboard Cite

show abstract

“…These protocols have been shown to be effective for patients with rheumatoid arthritis and osteoarthritis in randomized, controlled clinical trials (24,25). Recent studies of cognitive-behavioral therapy (CBT) protocols have shown positive findings in patients with FMS (26).…”

Section: Chronic Pain Segmentmentioning

confidence: 99%

The neuroscience and endocrinology of fibromyalgia

Pillemer

Bradley

Crofford

et al. 1997

Arthritis & Rheumatism

199

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“…For arthritis patients, psychological interventions that focus on improving coping skills have demonstrated significant reductions in levels of both psychological and physical disability, as well as pain levels (2,3), across populations that vary in socioeconomic status and medication use. Although coping behaviors may play an important mediating role between the stress of arthritis and its course and progression in individual patients, studies examining the relationships between coping and illness outcomes are few.…”

Section: Coping With Arthritismentioning

confidence: 99%

Coping with arthritis: Current status and critique

Manne

1992

Arthritis & Rheumatism

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Pain coping skills training in the management of osteoarthritic knee pain: A comparative study

Cited by 310 publications

References 30 publications

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

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

The neuroscience and endocrinology of fibromyalgia

Coping with arthritis: Current status and critique

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