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Cognitive behavioral control of arthritis pain

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By Keefe FJ, Caldwell DS • www.ProHealth.com • January 14, 1997


Cognitive-behavioral approaches appear to offer a viable alternative
for the management of arthritis pain. Controlled studies have
documented the efficacy of CBT protocols for managing pain in
individuals having OA and RA. Preliminary studies examining
the efficacy of CBT for FM patients have also yielded
encouraging results. A number of clinical and research issues
need attention if CBT is to be incorporated into rheumatology
practice settings. These issues include identifying the most
important components of CBT, developing strategies for
matching CBT interventions to patients' readiness for behavior
change, testing the efficacy of different therapy formats
(e.g., individual versus group), broadening the scope of CBT
to address issues other than pain, and insurance
reimbursement.




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