A cognitive-behavioral treatment for rheumatoid arthritis.
A cognitive-behavioral treatment for rheumatoid arthritis.
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DOI：
10.1037//0278-6133.7.6.527
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
A. O'Leary;S. Shoor;K. Lorig;H. Holman
中科院分区：
文献类型：
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作者：
A. O'Leary;S. Shoor;K. Lorig;H. Holman
该实验测试了一种认知行为类风湿性关节炎治疗方法，旨在赋予管理压力，疼痛和其他疾病症状的技能。我们假设，治疗效果的大小的中介可能是增强自我效能感，以管理疾病。据预测，治疗将减少关节炎症状，并可能改善免疫能力和心理功能。治疗提供了自我放松，认知疼痛管理和目标设定的指导。对照组收到一本广泛使用的关节炎帮助手册，其中包含有关关节炎自我管理的有用信息。我们获得的证据表明，治疗组的自我效能感增强，疼痛和关节炎症减少，心理社会功能改善。T细胞亚群的数量或功能未发生变化。改善的幅度与自我效能增强的程度相关。
This experiment tested a cognitive-behavioral rheumatoid arthritis treatment designed to confer skills in managing stress, pain, and other symptoms of the disease. We hypothesized that a mediator of the magnitude of treatment effects might be enhancement of perceived self-efficacy to manage the disease. It was predicted that the treatment would reduce arthritis symptoms and possibly would improve both immunologic competence and psychological functioning. The treatment provided instruction in self-relaxation, cognitive pain management, and goal setting. A control group received a widely available arthritis helpbook containing useful information about arthritis self-management. We obtained suggestive evidence of an enhancement of perceived self-efficacy, reduced pain and joint inflammation, and improved psychosocial functioning in the treated group. No change was demonstrated in numbers or function of T-cell subsets. The magnitude of the improvements was correlated with degree of self-efficacy enhancement.