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Cited by 286Musculoskeletal pain and rehabilitationOsteoarthritis Treatment and MechanismsLower Extremity Biomechanics and Pathologies

Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study

Keefe, Francis J, Blumenthal, James, Baucom, Donald, Affleck, Glenn, Waugh, Robert, Caldwell, David S, Beaupre, Pat, Kashikar-Zuck, Susmita +3 more·2004·Pain
DOI 10.1016/j.pain.2004.03.022
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Abstract

This study tested the separate and combined effects of spouse-assisted pain coping skills training (SA-CST) and exercise training (ET) in a sample of patients having persistent osteoarthritic knee pain. Seventy-two married osteoarthritis (OA) patients with persistent knee pain and their spouses were randomly assigned to: SA-CST alone, SA-CST plus ET, ET alone, or standard care (SC). Patients in SA-CST alone, together with their spouses, attended 12 weekly, 2-h group sessions for training in pain coping and couples skills. Patients in SA-CST + ET received spouse-assisted coping skills training and attended 12-weeks supervised ET. Patients in the ET alone condition received just an exercise program. Data analyses revealed: (1) physical fitness and strength: the SA-CST + ET and ET alone groups had significant improvements in physical fitness compared to SA-CST alone and patients in SA-CST + ET and ET alone had significant improvements in leg flexion and extension compared to SA-CST alone and SC, (2) pain coping: patients in SA-CST + ET and SA-CST alone groups had significant improvements in coping attempts compared to ET alone or SC and spouses in SA-CST + ET rated their partners as showing significant improvements in coping attempts compared to ET alone or SC, and (3) self-efficacy: patients in SA-CST + ET reported significant improvements in self-efficacy and their spouses rated them as showing significant improvements in self-efficacy compared to ET alone or SC. Patients receiving SA-CST + ET who showed increased self-efficacy were more likely to have improvements in psychological disability. An intervention that combines spouse-assisted coping skills training and exercise training can improve physical fitness, strength, pain coping, and self-efficacy in patients suffering from pain due to osteoarthritis.

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  • Several studies show an association between endorsing masculinity and higher pain threshold and tolerance and lower pain ratings.

    “A number of studies have demonstrated an association between endorsing masculinity and a higher pain threshold and tolerance and lower pain ratings 194–198.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [196]

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Authors
Keefe, F. J., Blumenthal, J., Baucom, D., Affleck, G., Waugh, R., Caldwell, D. S., Beaupre, P., Kashikar-Zuck, S., Wright, K., Egert, J., & Lefebvre, J.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Duke Medical Center (US)
  • University of Connecticut (US)
  • Wofford College (US)
Corresponding author
Keefe, Francis J
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-08
Volume
110
Issue
3
Pages
539-549
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/j.pain.2004.03.022
OpenAlex
W2070960635
Cited by
286
References
58
Citations by year
2026: 4 · 2025: 8 · 2024: 13 · 2023: 7 · 2022: 10 · 2021: 11 · 2020: 13 · 2019: 10 · 2018: 22 · 2017: 14 · 2016: 14 · 2015: 19 · 2014: 18 · 2013: 13 · 2012: 21
FWCI
6.07
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01ar035270-11)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR 35270)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
  • Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Keywords
osteoarthritis, knee pain, exercise training, pain coping, self-efficacy, physical fitness, psychological disability
MeSH terms
Adaptation, Psychological, Adult, Aged, Analysis of Variance, Exercise Therapy, Female, Humans, Male, Middle Aged, Pain, Caregivers, Osteoarthritis, Knee

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