PAIN COPING SKILLS TRAINING IN THE MANAGEMENT OF OSTEOARTHRITIC KNEE PAIN-II - FOLLOW-UP RESULTS
PAIN COPING SKILLS TRAINING IN THE MANAGEMENT OF OSTEOARTHRITIC KNEE PAIN-II - FOLLOW-UP RESULTS
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DOI：
10.1016/s0005-7894(05)80357-0
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发表时间：
1990-09-01
期刊：
影响因子：
3.7
通讯作者：
HELMS, M
中科院分区：
文献类型：
--
作者：
KEEFE, FJ;CALDWELL, DS;HELMS, M
本研究检查了骨关节炎膝关节疼痛患者的6个月随访数据，这些患者参加了一项比较疼痛应对技能训练、关节炎教育和标准护理控制条件的研究。在随访时，接受疼痛应对技能训练的患者：1）心理和身体残疾水平显著低于接受关节炎教育的患者，2）心理残疾水平（p <0.052）和身体残疾水平（p <0.13）略低于标准护理控制条件下的患者。虽然接受疼痛应对技能训练的患者从治疗后到随访期间心理残疾的初始增益出现恶化，但这是唯一一个随着时间的推移表现出身体残疾改善的强烈趋势（p = 0.051）的治疗组。观察到结局的变异性;一些患者显示出比其他患者更好的疗效维持。相关性分析显示，患者在疼痛控制和理性思维（PCRT）的应对策略问卷的因素得分与6个月随访的结果有关。接受疼痛应对技能训练的患者在治疗结束时在PCRT因子上得分较高，在6个月随访时疼痛、身体残疾和疼痛行为水平较低。这些研究结果的影响，为未来的研究对关节炎疼痛和残疾的认知行为干预进行了讨论。
This study examines six months follow-up data obtained from osteoarthritic knee pain patients participating in a study comparing pain coping skills training, arthritis education, and a standard care control condition. At the time of follow-up, patients receiving pain coping skills training had: 1) significantly lower levels of psychological and physical disability than patients receiving arthritis education, and 2) marginally lower levels of psychological disability (p < .052) and physical disability (p < .13) than patients in the standard care control condition. Although patients receiving pain coping skills training showed deterioration in their initial gains in psychological disability from post-treatment to follow-up, it was the only treatment group that showed a strong trend (p = .051) towards improvements in physical disability over time. Variability in outcome was noted; some patients showed better maintenance of treatment effects than other. Correlational analyses revealed that patients'' scores on the Pain Control and Rational Thinking (PCRT) factor of the Coping Strategies Questionnaire were related to outcome at six months follow-up. Patients receiving pain coping skills training who scored high on the PCRT factor at the end of treatment had lower levels of pain, physical disability, and pain behavior at six months follow-up. The implications of these findings for future research on cognitive-behavioral interventions for arthritis pain and disability are discussed.