Effects of stress management on clinical outcomes in rheumatoid arthritis

Effects of stress management on clinical outcomes in rheumatoid arthritis
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DOI:
10.1002/art.1780381214
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发表时间:
1995-12-01
影响因子:
--
通讯作者:
Walker, SE
Walker, SE
中科院分区:
其他
文献类型:
--
作者:
Parker, JC;Smarr, KL;Walker, SE

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Objective.研究压力管理训练对类风湿关节炎(RA)患者临床结局的影响。将141例RA患者随机分为3组:压力管理组、注意力控制组和标准护理对照组。压力管理组和注意力控制组接受10周的干预,随后接受15个月的维持治疗。压力管理组在无助感、自我效能感、应对方式、疼痛和健康状况方面的改善具有统计学意义,在15个月的随访评估中仍能检测到选定的有益效果。数据表明,压力管理干预能够为RA患者带来重要的临床益处。
Objective. To examine the effects of stress-management training on clinical outcomes in persons with rheumatoid arthritis (RA).Methods. Patients with RA (n = 141) were randomly assigned to 1 of 3 groups: a stress management group, an attention control group, or a standard care control group, The stress management and the attention control groups received a 10-week intervention followed by an additional 15-month maintenance phase.Results. The stress management group showed statistically significant improvements on measures of helplessness, self-efficacy, coping, pain, and health status, Selected beneficial effects were still detectable at the 15-month followup evaluation.Conclusion. The data indicated that stress management interventions are capable of producing important clinical benefits for persons with RA.