Spouse-assisted coping skills training in the management of osteoarthritic knee pain

Keefe, Francis J.; Caldwell, David S.; Baucom, Donald H.; Salley, Al; Robinson, Elwood; Timmons, Kelly Cahill; Beaupre, Pat; Weisberg, James N.; Helms, Michael J.

doi:10.1002/1529-0131(199608)9:4<279::aid-anr1790090413>3.0.co;2-6

Cited by 270 publications

(222 citation statements)

References 32 publications

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“…It may be beneficial to provide a brief psychoeducational intervention for spouses of women with IC/PBlS on their response to expressions of spousal pain, which could be delivered by an attending nurse or from within a support group setting. This type of couple psychotherapy has been examined in arthritis patients and has shown positive effects [21,22]. However, future research is needed to identify any differences between arthritis and IC/PBlS samples that may create the need for a different therapeutic approach from this earlier model.…”

Section: Discussionmentioning

confidence: 99%

Spousal support decreases the negative impact of pain on mental quality of life in women with interstitial cystitis/painful bladder syndrome

Ginting

Tripp²,

Nickel

et al. 2010

BJU International

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Study Type – Symptom prevalence (case series)Level of Evidence 4What’s known on the subject? and What does the study add?Research has demonstrated that significant others influence the course of pain experienced by individuals with chronic pain. Generally, spousal responses to pain behaviour are associated with higher levels of pain, disability, and depression.The present research discusses novel findings regarding how spousal responses to patient pain behaviour influences the impact of pain on mental quality of life in women with IC/PBS. These findings go beyond correlations, and begin to untangle the circumstances under which pain influences mental quality of life. Women with IC/PBS would benefit from spouse‐led distraction as a way to help them cope with their pain.OBJECTIVE• To examine whether spousal responses to patient pain would alter the association between pain and patient health‐related quality of life (HRQL), depression and disability.METHODS• Ninety‐six women with IC/PBlS (mean age = 50.6 (13.8); mean time since diagnosis = 6.2 years) completed questionnaires on demographics, depressive symptoms (Center for Epidemiological Studies‐Depression Scale), disability (Pain Disability Index), HRQL (Medical Outcomes Study Short Form 12) and a measure of perceived spousal responses to their pain (Multidimensional Pain Inventory).• A repeated measures multivariate analysis of variance examined association changes between pain and adjustment variables at high, moderate and low levels of negative, solicitous and distracting spousal responses.RESULTS• The association between pain and all outcome variables did not vary as a function of levels of solicitous and negative spousal responses.• However, the association between pain and mental HRQL was stronger at lower levels (β=−1.25) of distracting responses than it was at moderate (β=−0.66) and higher (β=−0.06) levels.CONCLUSION• Distracting spousal responses act to ‘buffer’ the deleterious effects of pain on mental HRQL for women suffering from IC/PBlS. Spousal support training may be a useful HRQL intervention.

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Section: Discussionmentioning

confidence: 99%

Spousal support decreases the negative impact of pain on mental quality of life in women with interstitial cystitis/painful bladder syndrome

Ginting

Tripp²,

Nickel

et al. 2010

BJU International

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“…Keefe et al (39) evaluated the effects of a spouse-assisted pain coping skills training (CST) intervention on pain, psychological disability, physical disability, pain coping, and pain behavior in patients with osteoarthritis of the knees. Their data analysis revealed that at the completion of treatment, patients in the spouse-assisted CST condition and patients who received CST without spouse involvement had significantly better scores on most outcome variables compared with patients in the arthritis educationspousal support control condition.…”

Section: P † ⌬Mean (Sd)mentioning

confidence: 99%

“…A beneficial effect of spouse participation is only seen in programs that have included a strong behavioral component (39,47). 564 …”

Section: P † ⌬Mean (Sd)mentioning

confidence: 99%

“…On the contrary, we found that involvement of significant others lowered the effects of patients participating in patient education programs. However, in our program significant others were not taught principles of reinforcement and skills designed to reinforce adaptive pain coping of the patient, and there was no specific attention for family and marital relationships and the effects of arthritis on these relationships, as was done in the behavioral interventions of Radojevic et al (47) and Keefe et al (39).…”

Section: Riemsma Et Almentioning

confidence: 99%

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Group education for patients with rheumatoid arthritis and their partners

Riemsma

Taal

Rasker

2003

Arthritis & Rheumatism

102

128

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Objective. To determine the effects of group education followed by booster sessions for people with rheumatoid arthritis (RA), and to determine whether participation of a significant other influenced the effects. Methods. A total of 218 RA patients, each of them with a partner, took part in the study. Two-thirds of the patients received a 5-week group self-management education program, with booster sessions after 3, 6, and 9 months; half of them received the intervention with a partner, and half without. One-third of the patients received the same educational materials without group sessions. Data were collected 1 week before the group sessions began and 2, 6, and 12 months later. The assessments included health behavior, arthritis self-efficacy, health status, and social interactions. Results. After 12 months, self-efficacy scores for coping with other symptoms were significantly higher for patients participating in the group education without a partner and significantly lower for patients participating in the group education with a partner. Fatigue increased in patients participating in the group education with a significant other and decreased in patients participating in the group education without a significant other. No other effects were found on health status, health behavior, or social interactions. Conclusion. Our findings suggest that participation of a significant other in psychoeducational programs does not have only positive effects. Instead of stimulating patients to adopt beneficial health behaviors and increase their self-efficacy expectations, participation of a significant other led in our program to decreases in self-efficacy and increased fatigue, whereas patients participating in group education without partners showed increases in self-efficacy and decreased fatigue. Booster sessions did not seem to influence results. KEY WORDS. Rheumatoid arthritis; Spouses; Patient education; Self management. INTRODUCTIONRheumatoid arthritis (RA) is a chronic, disabling disease characterized by chronic inflammation of joints, in most patients resulting in progressive joint destruction with deformities and various degrees of incapacitation (1). Disease activity can vary considerably, even from day to day. The unpredictable and painful course of the disease causes a lot of stress for patients, which has great impact on their quality of life (2).People with arthritis can play an important part in the management of their disease. Patient education can help them to develop the necessary self-management skills and prepare them to make decisions about adjustments in their treatment regimen (3,4). Several studies have shown that patient education can increase knowledge and lead to improvements in self management practices and health status (3,5-10). However, a review of group education for RA patients showed that benefits were limited. Group education interventions for RA patients less often showed beneficial effects on health behavior and physical and psychosocial health status than group interventions for popu...

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“…Involvement of the partner in behavioral treatments for pain has long been recommended [6] and is frequently incorporated into multidisciplinar y pain treatment programs [57,58] . Several controlled studies have documented that partner involvement in cognitive-behavioral treatment resulted in significant improvement in psychological and physical functioning in patients with chronic arthritic pain [59,60] . Table 1 summarizes controlled trials of CBT in adults with IBS.…”

Section: Cognitive-behavioral Interventions For Chronic Somatic Pain mentioning

confidence: 99%

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

Levy

Langer

Whitehead³

2007

WJG

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This paper reviews empirical work on cognitive and social learning contributions to the etiology and treatment of illness behavior associated with functional abdominal pain and inflammatory bowel disease. A particular emphasis is placed on randomized controlled trials, the majority of which are multi-modal in orientation, incorporating elements of cognitive behavioral therapy, social learning, and relaxation. Based on this review, we offer methodological and clinical suggestions: (1) Research investigations should include adequate sample sizes, long-term follow-up assessments, and a credible, active control group. (2) Standard gastrointestinal practice should include, when appropriate, learning opportunities for patients and family members, for example, instruction regarding the encouragement of wellness behavior.

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Spouse-assisted coping skills training in the management of osteoarthritic knee pain

Cited by 270 publications

References 32 publications

Spousal support decreases the negative impact of pain on mental quality of life in women with interstitial cystitis/painful bladder syndrome

Spousal support decreases the negative impact of pain on mental quality of life in women with interstitial cystitis/painful bladder syndrome

Group education for patients with rheumatoid arthritis and their partners

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

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