Open AccessPain management in rheumatoid arthritis patients
Author(s) -
Parker Jerry C.,
Frank Robert G.,
Beck Niels C.,
Smarr Karen L.,
Buescher Keith L.,
Phillips Les R.,
Smith Elaine I.,
Anderson Sharon K.,
Walker Sara E.
Publication year - 1988
Publication title -
arthritis & rheumatism
Language(s) - English
Resource type - Journals
eISSN - 1529-0131
pISSN - 0004-3591
DOI - 10.1002/art.1780310503
Subject(s) - rheumatoid arthritis , medicine , physical therapy , arthritis , dermatology
To examine the effectiveness of a cognitive‐behavioral pain management program for patients with rheumatoid arthritis, three patient groups were studied: a cognitive‐behavioral group (CB), an attention‐placebo group, and a control group. The CB group received a comprehensive, 12‐month pain management program that taught coping strategies such as problem‐solving techniques, relaxation training, strategies for attention diversion, and training in family dynamics and communication. Dependent measures included pain, coping strategies, psychological status, functional status, and disease status. Data analysis at 12 months revealed benefits for the CB group in the area of enhanced coping strategies. Specifically, the CB subjects showed significantly greater use of coping strategies and significantly more confidence in their ability to manage pain. The findings are discussed in terms of the importance of enhanced self‐efficacy and personal control for patients with rheumatoid arthritis.