Cited by 292Rheumatoid Arthritis Research and TherapiesMusculoskeletal pain and rehabilitationPsychological Treatments and Assessments

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A cognitive-behavioral treatment for rheumatoid arthritis.

O'Leary, Ann, Shoor, Stanford, Lorig, Kate, Holman, Halsted R.·1988·Health Psychology

DOI 10.1037/0278-6133.7.6.527

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Abstract

This experiment tested a cognitive-behavioral rheumatoid arthritis treatment designed to confer skills in managing stress, pain, and other symptoms of the disease. We hypothesized that a mediator of the magnitude of treatment effects might be enhancement of perceived self-efficacy to manage the disease. It was predicted that the treatment would reduce arthritis symptoms and possibly would improve both immunologic competence and psychological functioning. The treatment provided instruction in self-relaxation, cognitive pain management, and goal setting. A control group received a widely available arthritis helpbook containing useful information about arthritis self-management. We obtained suggestive evidence of an enhancement of perceived self-efficacy, reduced pain and joint inflammation, and improved psychosocial functioning in the treated group. No change was demonstrated in numbers or function of T-cell subsets. The magnitude of the improvements was correlated with degree of self-efficacy enhancement.

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Authors: O'Leary, A., Shoor, S., Lorig, K., & Holman, H. R.
ORCID: Lorig, Kate
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 1988
Volume: 7
Issue: 6
Pages: 527-544
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.7.6.527
OpenAlex: W2043384054
Cited by: 292
References: 0
Citations by year: 2026: 3 · 2025: 4 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 7 · 2015: 6 · 2014: 5 · 2013: 4 · 2012: 5
FWCI: 7.06
Type: journal article
Language: en
Open access: closed
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (AM 20610)
National Institute of Mental Health (MH-5162-23)
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: rheumatoid arthritis, cognitive behavioral therapy, self-efficacy, stress management, pain management, relaxation training, goal setting, joint inflammation, T cell subsets, immunocompetence, psychosocial functioning, arthritis self-management
MeSH terms: Adult, Aged, Arthritis, Rheumatoid, Behavior Therapy, Cognition, Female, Humans, Internal-External Control, Middle Aged, Relaxation Therapy, T-Lymphocytes, Pain Management

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A cognitive-behavioral treatment for rheumatoid arthritis.

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