A cognitive-behavioral treatment for rheumatoid arthritis.

O’Leary, Ann; Shoor, Stanford; Lorig, Kate; Holman, Halsted R.

doi:10.1037/0278-6133.7.6.527

Cited by 241 publications

(134 citation statements)

References 29 publications

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“…In 11 trials (44%) (25,26,29,32,35,36,38,41,43,47,48), the assessor (i.e., data collector) was described as blinded to group assignment. Only 1 trial (43) described a proper method of allocation concealment.…”

Section: Resultsmentioning

confidence: 99%

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Astin¹,

Beckner²,

Soeken³

et al. 2002

Arthritis & Rheumatism

294

184

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Objective. To carry out a systematic review of the literature examining the efficacy of psychological interventions (e.g., relaxation, biofeedback, cognitive-behavioral therapy) in the treatment of rheumatoid arthritis (RA). Methods. Studies that met the following criteria were included: random assignment, wait-list or usual care control condition; publication in peer-reviewed journals; treatment that included some psychological component beyond simply providing education information; and separate data provided for patients with RA if subjects with conditions other than RA were included. Two investigators independently extracted data on study design, sample size and characteristics, type of intervention, type of control, direction and nature of the outcome(s). Results. Twenty-five trials met the inclusion criteria. Methodologic quality was assessed, and effect sizes were calculated for 6 outcomes. Significant pooled effect sizes were found postintervention for pain (

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Section: Resultsmentioning

confidence: 99%

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Astin¹,

Beckner²,

Soeken³

et al. 2002

Arthritis & Rheumatism

294

184

View full text Add to dashboard Cite

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“…In our research (8) it is significantly associated with health status in lupus patients. Problem solving was measured by an 11-item coping measure, adapted from the method described by Stone and Neale (51) for rheumatic disease patients (52). This measure assesses the frequency of use of problem-focused and emotionfocused coping strategies in managing common problems of rheumatic disease.…”

Section: Methodsmentioning

confidence: 99%

A randomized clinical trial of a psychoeducational intervention to improve outcomes in systemic lupus erythematosus

Karlson¹,

Liang²,

Eaton³

et al. 2004

Arthritis & Rheumatism

162

157

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Objective. In a cross-sectional study, we previously identified 2 potentially modifiable risk factors for adverse outcomes in systemic lupus erythematosus (SLE): self-efficacy and social support. The goal of this study was to evaluate in a randomized controlled trial a theory-based intervention to improve patient selfefficacy and partner support to manage SLE.Methods. Patients with SLE ages 18 years and older who met the American College of Rheumatology criteria and were able to identify a partner (spouse or family member) were recruited from 2 academic medical centers and randomized into an experimental group or a control group. Patients in the experimental group and their partners received an intervention designed to enhance self-efficacy, couples communication about lupus, social support, and problem solving, in the form of a 1-hour session with a nurse educator followed by monthly telephone counseling for 6 months. Patients in the control group and their partners received an attention placebo, including a 45-minute video presentation about lupus, and monthly telephone calls. Measures of physical and mental health status, disease activity, and psychosocial factors were collected at baseline, 6 months, and 12 months. The effect of the intervention on physical and mental health and disease activity at 6 and at 12 months was modeled with linear regression and adjusted for baseline health status, disease activity, sociodemographic factors, treatment change, and psychosocial factors.Results. One hundred twenty-two patients (plus their partners) were enrolled and randomized as follows: 64 to the experimental intervention and 58 to the attention control group. The participants were predominantly white, approximately half were college educated, and the groups were balanced for sociodemographic factors. At 6 months, significantly higher scores for couples communication (P ‫؍‬ 0.01) and problem-focused coping (P ‫؍‬ 0.03) were seen in the experimental group compared with the control group. At 12 months (6 months after the intervention ended), social support was higher (4.4 versus 4.1; P ‫؍‬ 0.03), self-efficacy was higher (7.2 versus 6.2; P ‫؍‬ 0.02), couples communication was higher (3.5 versus 3.1; P ‫؍‬ 0.03), and fatigue was lower (5.1 versus 6.3; P ‫؍‬ 0.02) in the experimental group compared with the control group. Global mental health status at 12 months, as measured by the Short Form 36 survey, was 69 points in the experimental group compared with 58 points in the control group (P ‫؍‬ 0.04). In multivariate models, adjusting for baseline covariates, scores for couple communication (P ‫؍‬ 0.01) were significantly higher at 6 months, and scores for self-efficacy (P ‫؍‬ 0.004) and global mental health status (P ‫؍‬ 0.03) were significantly higher at 12 months in the experimental group compared with the control group, and the mean score for global physical function was higher by 7 points, which was a clinically meaningful

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“…For example, cognitive behavioral therapy (CBT) for pain management has demonstrated that by improving self-efficacy, patients were more likely to report a reduction in pain and depressive symptoms and take their medication as prescribed (O'Leary, Shoor, Lorig, & Holman, 1988). Furthermore, CBT for children with JRA has been shown to reduce pain after the introduction of various self-regulatory techniques (Walco, Varni, & Ilowite, 1992).…”

Section: Psychological Treatmentmentioning

confidence: 99%

A longitudinal examination of the parent–child distress relationship in children with juvenile rheumatic disease.

Ryan¹,

Ramsey²,

Fedele³

et al. 2010

Rehabilitation Psychology

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Objective: To examine the longitudinal relationships between parent and child distress in a sample of children with juvenile rheumatic diseases (JRDs). Design: Cross-lagged panel correlation analysis tested the temporal precedence of parent distress versus child distress over a 1-year period. Participants: Thirty-seven children (ages 9–17 years; 22 girls) diagnosed with JRD and their parents completed self-report measures on 2 occasions (assessment interval M = 12 months). Primary Outcome Measures: Child Depression Inventory and Brief Symptom Inventory. Results: Significant cross-sectional parent–child distress associations were observed at both time points. Moreover, Time 1 parent distress predicted child distress at Time 2 after child-reported functional ability was controlled; Time 1 child distress was unrelated to Time 2 parent distress. Cross-lagged panel correlations demonstrated the temporal precedence of parent distress relative to child distress in the parent–child distress relationship. Conclusions: These preliminary findings underscore the importance of parent distress in parent–child transactional adjustment, and suggest a predominant role for parent distress in children's adjustment to JRDs.

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A cognitive-behavioral treatment for rheumatoid arthritis.

Cited by 241 publications

References 29 publications

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

A randomized clinical trial of a psychoeducational intervention to improve outcomes in systemic lupus erythematosus

A longitudinal examination of the parent–child distress relationship in children with juvenile rheumatic disease.

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