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Psychological & behavioral approaches to pain management for patients with rheumatic disease

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By Bradley LA, Alberts KR • www.ProHealth.com • February 2, 1998


Source: Rheum Dis Clin North Am 1998 Feb;25(1):215-32, viii

This article reviews the efficacy of the psychological and
behavioral pain management interventions that have been
evaluated among adult patients with rheumatoid arthritis (RA),
osteoarthritis (OA), and fibromyalgia (FM). Using published
criteria for empirically validated interventions, it is
concluded that cognitive-behavioral therapies and the
Arthritis Self-Management Program represent well-established
treatments for pain among patients with RA and OA. These
interventions involve education, training in relaxation and
other coping skills, and rehearsal of these skills in
patients' home and work environments. There currently are no
psychological or behavioral interventions for pain among FM
patients that can be considered as well-established
treatments. Future intervention research should use clinically
meaningful change measures in addition to conventional tests
of statistical significance, attend to the pain management
needs of children, and assess whether outcomes produced in
university-based treatment centers generalize to those in
local treatment settings.




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