A comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: a daily diary analysis of short- and long-term treatment effects
Open accessAbstract
Unlabelled Pain coping skills training (PCST) has been shown to produce immediate improvements in pain and disability in rheumatoid arthritis (RA). However, some patients have difficulty maintaining these gains. This study compared a conventional PCST protocol with a PCST protocol that included maintenance training (PCST/MT). Patients with RA (n = 167) were randomly assigned to either conventional PCST, PCST/MT, arthritis education control, or standard care control. Daily data were collected on joint pain, coping, coping efficacy, and mood. Multilevel analyses showed that at posttreatment, conventional PCST was superior to all other conditions in joint pain, coping efficacy, and negative mood, whereas PCST/MT was superior to all other conditions in emotion-focused coping and positive mood. At 18 months follow-up, both PCST conditions were superior to standard care in joint pain and coping efficacy. Interpretation of follow-up outcomes was limited by higher dropout rates in the 2 PCST groups. For RA, a maintenance training component does not appear to produce significant improvements over conventional PCST. Perspective This article reports a trial evaluating a conventional pain coping skills training protocol and a similar protocol that included a maintenance training component. Overall, results indicate similar results for both the conventional and the modified protocols.
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For Carson 2006, treatment expectations was at unclear risk of bias.
“Not assessed”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Carson 2006
The Measures section (page unavailable) lists daily joint pain, coping, coping efficacy, and mood, but does not report assessing treatment expectations. This is consistent with “not assessed”; the paper does not itself assign an unclear-risk-of-bias rating, which is the citing authors’ assessment. (LLM, conf=0.70)
Experimental — accuracy not yet measuredFor Carson 2006, blinding of outcome assessment was at low risk of bias.
“All study personnel involved in data collection were blind with respect to each participant's treatment group assignment”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Carson 2006
For Carson 2006, incomplete outcome data was at unclear risk of bias.
“LOCF analyses used; attrition > 10%”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Carson 2006
For Carson 2006, random sequence generation was at low risk of bias.
“Assignments were generated by an individual not involved in the study, using a random number table”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Carson 2006
For Carson 2006, selective reporting was at unclear risk of bias.
“Trial not pre-registered”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Carson 2006
The Treatment Procedures section mentions an IRB-approved study protocol, and the Approach to Multilevel Data Analyses section describes planned comparisons. Neither states whether the trial was pre-registered or assesses selective-reporting bias. Searches for registration, pre-registration, and prespecified outcomes found no passage that settles the claim. (LLM, conf=0.72)
Experimental — accuracy not yet measured
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- Authors
- Carson, J. W., Keefe, F. J., Affleck, G., Rumble, M. E., Caldwell, D. S., Beaupre, P. M., Kashikar-Zuck, S., Sandstrom, M., & Weisberg, J. N.
- Affiliations
- Duke University (US)
- Duke Medical Center (US)
- UConn Health (US)
- Williams College (US)
- Emory University (US)
- Corresponding author
- Carson, James W.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 7
- Issue
- 9
- Pages
- 615-625
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W1986131628
- Cited by
- 53
- References
- 49
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 5
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (5R01 AR42261, R01AR042261)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Keywords
- pain coping skills training, rheumatoid arthritis, maintenance training, maintenance therapy, joint pain, coping self-efficacy, emotion-focused coping, positive mood, negative mood, treatment discontinuation, daily diary
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Arthritis, Rheumatoid, Behavior Therapy, Female, Humans, Male, Medical Records, Middle Aged, Pain, Teaching, Time, Treatment Outcome, Pain Management
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