Stress management in rheumatoid arthritis: what is the underlying mechanism?
Arthritis Care Res
; 13(6): 435-42, 2000 Dec.
Article
em En
| MEDLINE
| ID: mdl-14635321
ABSTRACT
OBJECTIVE:
To test whether change in cognitive-behavioral variables (such as self-efficacy, coping strategies, and helplessness) is a mediator in the relation between cognitive behavior therapy and reduced pain and depression in persons with rheumatoid arthritis (RA).METHODS:
A sample of patients with RA who completed a stress management training program (n = 47) was compared to a standard care control group (n = 45). A path analysis testing a model including direct effects of comprehensive stress management training on pain and depression and indirect effects via change in cognitive-behavioral variables was conducted.RESULTS:
The path coefficients for the indirect effects of stress management training on pain and depression via change in cognitive-behavioral variables were statistically significant, whereas the path coefficients for the direct effects were found not to be statistically significant.CONCLUSION:
Decreases in pain and depression following stress management training are due to beneficial changes in the arenas of self-efficacy (the belief that one can perform a specific behavior or task in the future), coping strategies (an individual's confidence in his or her ability to manage pain), and helplessness (perceptions of control regarding arthritis). There is little evidence of additional direct effects of stress management training on pain and depression.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artrite Reumatoide
/
Estresse Psicológico
/
Adaptação Psicológica
/
Terapia Cognitivo-Comportamental
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
Limite:
Humans
/
Middle aged
Idioma:
En
Revista:
Arthritis Care Res
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos