A randomized trial of three psychosocial treatments for the symptoms of rheumatoid arthritis.

Seminars in Arthritis and Rheumatism
Arthur J BarskyKathryn G Wilk

Abstract

To assess and compare the benefits of 3 psychosocial treatments for rheumatoid arthritis (RA). RA patients were randomized to cognitive-behavior therapy (CBT), relaxation response training (RR), or arthritis education (AE). All treatment was conducted in groups. Follow-up occurred immediately after treatment and 6 and 12 months later. Pain, other RA symptoms, role impairment, and psychological distress were assessed with standardized self-report questionnaires. Arthritis severity and activity were assessed with a joint examination, erythrocyte sedimentation rate, grip strength, and walking time. An intent-to-treat analytic strategy was employed. Linear regression was used to establish treatment effect on pain and other RA symptoms, while adjusting for sociodemographic and clinical variables. One hundred sixty-eight patients were randomized. Pain improved significantly at 12 months in the RR and AE groups and showed a nonsignificant positive trend with CBT. Other RA symptoms improved significantly with CBT and AE and showed a nonsignificant trend with RR. There were no significant differences in the outcomes across the 3 treatment groups. When the results for all 3 groups were aggregated, significant benefits were found for pain...Continue Reading

Associated Clinical Trials

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Citations

Jun 5, 2012·Rheumatology·Gary J MacfarlaneUNKNOWN Arthritis Research UK Working Group on Complementary and Alternative Therapies for the Management of the Rheumatic Diseases
Apr 17, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Courtney LeeUNKNOWN Active Self-Care Therapies for Pain (PACT) Working Group
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Mar 31, 2021·Rheumatic Diseases Clinics of North America·Alexander MartinPerry M Nicassio
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Sep 28, 2021·International Journal of Nursing Practice·Nermin Kılıç, Serap Parlar Kılıç

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