Behavior change, acceptance, and coping flexibility in highly distressed patients with rheumatic diseases: Feasibility of a cognitive-behavioral therapy in multimodal rehabilitation
Abstract
Objective To describe the development and feasibility of the integration of a cognitive-behavioral therapy (CBT) within a multimodal rehabilitation program for highly distressed patients with rheumatic diseases.Methods Development included the detailed specification of the theoretical and empirical-based underpinnings of the CBT and the comprehensive description of its design and content. Feasibility was assessed by percentage of eligible patients, attrition and attendance rates, and patient satisfaction.Results The developed CBT component seeks to decrease psychological distress and improve activities and participation across multiple life domains by accomplishing behavior change, acceptance, and coping flexibility. Motivational interviewing was applied to endorse patients' own reasons to change. Forty percent (35/87) of the eligible patients were admitted to the program. Attendance rate (>95%) was high. Patient satisfaction ranged from 6.8 to 8.0 (10-point scale).Conclusion Integrating CBT within a multimodal rehabilitation program is feasible. An acceptable proportion of the intended patient sample is eligible and patient's attendance and satisfaction is high.Practice implications Patients with impaired physical and psychosocial functioning despite adequate medical treatment pose a great challenge. Their treatment outcome may be improved by screening and selecting highly distressed patients and offering them a CBT embedded in multimodal rehabilitation program.
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Promoting patients' self-determination is related to benefits in terms of disease-related behaviors in psychosomatic medicine.
“Indeed, previous research indicated that promoting patients’ self-determination is related to benefits in terms of disease-related behaviors in psychosomatic medicine [113,114,115,116,117].”
Acceptance is related to a good adjustment to chronic illness.
“This way of coping with adversity is more and more acknowledged to be related to a good adjustment to chronic illness [17-22].”
From Cognitive behavior therapy in patients with chronic fatigue syndrome: The role of illness acceptance and neuroticism. (2013) · cites this paper as [22]
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- Authors
- Vriezekolk, J. E., Geenen, R., van den Ende, C. H. M., Slot, H., van Lankveld, W. G. J. M., & van Helmond, T.
- Affiliations
- Sint Maartenskliniek (NL)
- Utrecht University (NL)
- Corresponding author
- Vriezekolk, Johanna E.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 87
- Issue
- 2
- Pages
- 171-177
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W1991731661
- Cited by
- 28
- References
- 73
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2016: 3 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 4
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, rheumatic diseases, psychological distress, multimodal rehabilitation, behavior change, acceptance, coping flexibility, motivational interviewing, feasibility, patient satisfaction, attrition, activities and participation
- MeSH terms
- Adaptation, Psychological, Behavior Therapy, Counseling, Exercise Therapy, Feasibility Studies, Female, Health Status, Humans, Interviews as Topic, Male, Motivation, Occupational Therapy, Patient Acceptance of Health Care, Patient Education as Topic, Quality of Life, Rheumatic Diseases, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction
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