The importance of enhancing self‐efficacy in rheumatoid arthritis

Smarr, Karen L.; Parker, Jerry C.; Wright, Gail E.; Stucky-Ropp, Reneé C.; Buckelew, Susan P.; Hoffman, Robert W.; O’Sullivan, Frank X.; Hewett, John E.

doi:10.1002/art.1790100104

Cited by 118 publications

(85 citation statements)

References 28 publications

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“…Increases in self-efficacy that arise over the course of training in self-management or pain coping skills significantly predicted enhancements in RA pain, health status, and depression [38].…”

Section: B Disease Activity In the Clinical Setting And Associatedmentioning

confidence: 95%

Psychological Factors Associated with Response to Treatment in Rheumatoid Arthritis

Santiago

Geenen²,

J.W.G.³

et al. 2014

CPD

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This paper presents a comprehensive review of research relating psychological domains with response to therapy in patients with rheumatoid arthritis. A holistic approach to the disease was adopted by incorporating not only disease activity but also dimensions of the impact of disease on patients' lives. Psychological distress, including depression and anxiety, is common among patients with rheumatoid arthritis and has a significant negative impact on response to therapy and on patients' abilities to cope with chronic illness. Evidence regarding the influence of positive psychological dimensions such as acceptance, optimism, and adaptive coping strategies is scarce. The mechanisms involved in these interactions are incompletely understood, although changes in neuro-endocrine-immune pathways, which are common to depression and rheumatoid arthritis, seem to play a central role. Indirect psychological influences on therapeutic efficacy and long-term effectiveness include a myriad of factors such as adherence, placebo effects, cognition, coping strategies, and family and social support. Data suggest that recognition and appropriate management of psychological distress may improve response to treatment and significantly reduce disease burden.

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Section: B Disease Activity In the Clinical Setting And Associatedmentioning

confidence: 95%

Psychological Factors Associated with Response to Treatment in Rheumatoid Arthritis

Santiago

Geenen²,

J.W.G.³

et al. 2014

CPD

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“…Techniques that typify self-regulation interventions (goal setting, selfmonitoring, and receiving feedback) have each been linked in previous research to increased self-efficacy, which has in turn been linked to improvements in psychological variables among patients with RA (66). Achievement of behavioral goals, which are believed to directly affect the course of arthritis, empowers patients and may subsequently reduce worry and negative thoughts about living with RA.…”

mentioning

confidence: 99%

Psychological interventions for rheumatoid arthritis: Examining the role of self‐regulation with a systematic review and meta‐analysis of randomized controlled trials

Knittle¹,

Maes²,

Gucht³

2010

Arthritis Care & Research

133

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Objective. To examine the efficacy of psychological interventions for rheumatoid arthritis (RA), and to determine whether self-regulation interventions demonstrate efficacy superior to that of other psychological treatments. Methods. Only randomized controlled trials testing a face-to-face psychological intervention among patients with RA were included. Two independent investigators extracted pertinent study data, rated each study on a scale of methodologic quality, and assessed each treatment condition for its inclusion of 5 behavior-change techniques derived from selfregulation theory (goal setting, planning, self-monitoring, feedback, and relapse prevention). Results. Twenty-seven trials were included, and cumulative effect sizes were calculated for the 5 outcomes. Significant effect sizes (Hedges' g) were found at posttreatment for physical activity (0.45), pain (0.18), disability (0.32), depressive symptoms (0.23), and anxiety (0.17). At followup (range 2-14 months), significant effect sizes were obtained for physical activity (0.36), pain (0.13), disability (0.15), and depressive symptoms (0.32). Comparative analyses revealed that interventions utilizing more self-regulation techniques reduced depressive symptoms and anxiety significantly more than interventions utilizing fewer such techniques. Additionally, depressive symptoms were reduced significantly more among recently diagnosed RA patients than among those with longstanding RA. Conclusion. Psychological interventions are beneficial for many patients with RA, particularly when it comes to increasing physical activity levels. Intervention techniques derived from self-regulation theory appear to play a role in reducing depressive symptoms and anxiety among patients with RA.

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“…Lorig et a1 (44) have shown that self-efficacy is a critical element in successful patient education programs for persons with arthritis. Similarly, Smarr et a1 (45) have shown that changes in self-efficacy are closely related to positive outcomes following cognitive-behavioral interventions for persons with RA.…”

Section: Helplessness Seligman and Maiermentioning

confidence: 88%

Assessment of psychological outcomes and quality of life in the rheumatic diseases

Parker

Wright

1997

Arthritis & Rheumatism

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The importance of enhancing self‐efficacy in rheumatoid arthritis

Cited by 118 publications

References 28 publications

Psychological Factors Associated with Response to Treatment in Rheumatoid Arthritis

Psychological Factors Associated with Response to Treatment in Rheumatoid Arthritis

Psychological interventions for rheumatoid arthritis: Examining the role of self‐regulation with a systematic review and meta‐analysis of randomized controlled trials

Assessment of psychological outcomes and quality of life in the rheumatic diseases

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