Psychological interventions for arthritis pain management in adults: A meta-analysis.
Abstract
CONTEXT: The psychosocial impact of arthritis can be profound. There is growing interest in psychosocial interventions for managing pain and disability in arthritis patients. OBJECTIVE: This meta-analysis reports on the efficacy of psychosocial interventions for arthritis pain and disability. DATA SOURCES: Articles evaluating psychosocial interventions for arthritis were identified through Cochrane Controlled Trials, EMBASE, Ovid MEDLINE, and Ovid PsycINFO data sources. STUDY SELECTION: Randomized controlled trials testing the efficacy of psychosocial interventions in arthritis pain management were reviewed. DATA EXTRACTION: Twenty-seven randomized controlled trials were analyzed. Pain intensity was the primary outcome. Secondary outcomes included psychological, physical, and biological functioning. DATA SYNTHESIS: An overall effect size of 0.177 (95% CI=0.256-0.094) indicated that patients receiving psychosocial interventions reported significantly lower pain than patients in control conditions (combined p=.01). Meta-analyses also supported the efficacy of psychosocial interventions for the secondary outcomes. CONCLUSIONS: These findings indicate that psychosocial interventions may have significant effects on pain and other outcomes in arthritis patients. Ample evidence for the additional benefit of such interventions over and above that of standard medical care was found.
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Meta-analyses show that cognitive-behavioral therapy yields moderate to large effects for cognitive coping responses and small to moderate effects for pain outcomes relative to controls.
“A series of meta-analyses summarizing the benefits of CBT has shown that it yields moderate to large effects for cognitive coping responses and small to moderate effects for pain outcomes relative to controls (Astin et al., 2002; Dixon et al., 2007).”
From Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity (2015) · cites this paper as Dixon et al., 2007
Over the past 30 years, empirical evidence has established that psychosocial treatment of chronic pain is efficacious beyond standard medical care.
“Over the past 30 years, a substantial body of empirical evidence has accrued establishing the efficacy of psychosocial treatment of chronic pain beyond the effects of standard medical care”
From Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity (2015) · cites this paper as Dixon, Keefe, Scipio, L., & Caitlin, 2007
Combining the pain management approach with disease management can be effective for patients living with arthritis.
“Indeed, studies have shown that combining the pain management approach with disease management can be effective for patients living with arthritis,31,32”
From New approaches towards chronic pain: Patient experiences of a solution-focused pain management programme (2014) · cites this paper as [31]
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- Authors
- Dixon, K. E., Keefe, F. J., Scipio, C. D., Perri, L. M., & Abernethy, A. P.
- Affiliations
- Duke University (US)
- Venue
- Health Psychology
- Published
- 2007-05
- Volume
- 26
- Issue
- 3
- Pages
- 241-250
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2061549260
- Semantic Scholar
- 36a5c858fd4cfea9464540cad552ee2f442fd187
- Cited by
- 252
- References
- 53
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 7 · 2022: 4 · 2021: 10 · 2020: 15 · 2019: 9 · 2018: 14 · 2017: 22 · 2016: 23 · 2015: 21 · 2014: 12 · 2013: 15 · 2012: 23
- FWCI
- 10.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AR047218-01A2; A AR50245-01; R049059-01A1)
- Doris Duke Charitable Foundation (20010439)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- arthritis, psychosocial interventions, pain management, pain intensity, disability, psychological functioning, physical function
- MeSH terms
- Arthritis, Humans, Middle Aged, Pain, United States, Randomized Controlled Trials as Topic
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