The DOI matches its Crossref record, with a small difference in title or year; 33 of the 33 references it cites were found in a registry or an index.
A blind, randomized, controlled trial of cognitive-behavioural intervention for patients with recent onset rheumatoid arthritis: preventing psychological and physical morbidity
Abstract
This study examined the efficacy of a cognitive and behavioural intervention (CBT) for patients with recent onset, seropositive rheumatoid arthritis. Fifty-three participants with a diagnosis of classical or definite rheumatoid arthritis, who were seropositive and had less than 2 years of disease history were recruited into the trial. All participants received routine medical management during the study, although half were randomly allocated to receive an adjunctive psychological intervention. All pre- and post-treatment assessments were conducted blind to the allocation. Analyses were conducted of treatment completers and also by intention-to-treat. Significant differences were found between the groups at both post-treatment and 6-month follow-up in depressive symptoms. While the CBT group showed a reduction in depressive symptoms, the same symptoms increased in the Standard group. At outcome but not follow-up, the CBT group also showed reduction in C-reactive protein levels. However, the CBT group did show significant improvement in joint involvement at 6-month follow-up compared with the Standard group, indicating physical improvements above those achieved with standard care. These results indicate that cognitive-behavioural intervention offered as an adjunct to standard clinical management early in the course of RA is efficacious in producing reductions in both psychological and physical morbidity
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In the citing paper
“The medical management of rheumatoid arthritis, for example, now emphasizes early and aggressive management of the disease so as to prevent joint destruction.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [105]
In the citing paper
“The fact that early intervention has now been shown to help not only patients with musculoskeletal pain but also patients with rheumatoid arthritis”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [105]
In the citing paper
“randomized 53 patients with rheumatoid arthritis whose disease was less than 2 years in duration to a cognitive-behavioral therapy protocol focused on training in coping skills plus usual medical care or a usual medical care alone condition”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [105]
In the citing paper
“Data analysis showed that, relative to the usual medical care alone condition, patients in the coping skills training condition showed significant improvements in depressive symptomatology and joint involvement.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [105]
In the citing paper
“These patients also showed a reduction in C-reactive protein levels after treatment, indicating an improvement in their inflammatory status.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [105]
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Metadata
- Authors
- Sharpe, L., Sensky, T., Timberlake, N., Ryan, B., Brewin, C. R., & Allard, S.
- Affiliations
- University of London (GB)
- West Middlesex University Hospital (GB)
- Corresponding author
- Sharpe, L.
- Venue
- Pain
- Published
- 2001-01
- Volume
- 89
- Issue
- 2
- Pages
- 275-283
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2079988544
- Cited by
- 182
- References
- 32
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 9 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 10
- FWCI
- 5.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, rheumatoid arthritis, early rheumatoid arthritis, seropositive rheumatoid arthritis, depressive symptoms, C-reactive protein, joint involvement, physical morbidity, psychological morbidity
- MeSH terms
- Adaptation, Psychological, Aged, Anxiety, Arthritis, Rheumatoid, Behavior Therapy, Depression, Double-Blind Method, Female, Humans, Male, Middle Aged, Pain Measurement, Psychiatric Status Rating Scales, Surveys and Questionnaires, Cognitive Behavioral Therapy, Disease Progression
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