当前位置： SCI文献检索 > JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY期刊下所有文献 > The effects of written emotional disclosure and coping skills training in rheumatoid arthritis: a randomized clinical trial.

The effects of written emotional disclosure and coping skills training in rheumatoid arthritis: a randomized clinical trial.

Abstract：

OBJECTIVE:Two psychological interventions for rheumatoid arthritis (RA) are cognitive-behavioral coping skills training (CST) and written emotional disclosure (WED). These approaches have developed independently, and their combination may be more effective than either one alone. Furthermore, most studies of each intervention have methodological limitations, and each needs further testing. METHOD:We randomized 264 adults with RA in a 2 × 2 factorial design to 1 of 2 writing conditions (WED vs. control writing) followed by 1 of 2 training conditions (CST vs. arthritis education control training). Patient-reported pain and functioning, blinded evaluations of disease activity and walking speed, and an inflammatory marker (C-reactive protein) were assessed at baseline and 1-, 4-, and 12-month follow-ups. RESULTS:Completion of each intervention was high (>90% of patients), and attrition was low (10.2% at 12-month follow-up). Hierarchical linear modeling of treatment effects over the follow-up period, and analyses of covariance at each assessment point, revealed no interactions between writing and training; however, both interventions had main effects on outcomes, with small effect sizes. Compared with control training, CST decreased pain and psychological symptoms through 12 months. The effects of WED were mixed: Compared with control writing, WED reduced disease activity and physical disability at 1 month only, but WED had more pain than control writing on 1 of 2 measures at 4 and 12 months. CONCLUSIONS:The combination of WED and CST does not improve outcomes, perhaps because each intervention has unique effects at different time points. CST improves health status in RA and is recommended for patients, whereas WED has limited benefits and needs strengthening or better targeting to appropriate patients.

journal_name

J Consult Clin Psychol

journal_title

Journal of consulting and clinical psychology

authors

Lumley MA,Keefe FJ,Mosley-Williams A,Rice JR,McKee D,Waters SJ,Partridge RT,Carty JN,Coltri AM,Kalaj A,Cohen JL,Neely LC,Pahssen JK,Connelly MA,Bouaziz YB,Riordan PA

doi

10.1037/a0036958

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

644-58

issue

eissn

0022-006X

issn

1939-2117

pii

2014-21412-001

journal_volume

pub_type

杂志文章,随机对照试验

在线工具

The effects of written emotional disclosure and coping skills training in rheumatoid arthritis: a randomized clinical trial.