Abstract:
:Joint hypermobility syndrome (JHS) is common in patients presenting to rheumatologists and can cause a range of symptoms leading to physical and psychological distress. Chronic musculoskeletal pain in patients with JHS often responds poorly to analgesics, and a pain management approach may be helpful. Since patients with JHS often have beliefs and experiences different to those of other chronic pain patients, they could fare better in JHS-specific programmes. Here, we report on the outcomes of patients in a JHS cognitive behavioural pain management programme. Patients fulfilling the Brighton criteria for JHS, who had suffered pain for at least 3 months, were assessed by a psychologist and physiotherapist for suitability for this programme. Those accepted took part in a programme of 8 days spread over 6 weeks, delivered by a multidisciplinary team and incorporating a cognitive behavioural approach. Outcomes were assessed at baseline, 1- and 5-month post-programme using validated outcome measures. Outcome measures at baseline and 1-month were available for 87 patients (96 % female, mean age 35 years). There were significant improvements in self-efficacy, pain catastrophising, depression, anxiety, frustration, impact of pain and average pain intensity (all P < 0.001). Although by 5 months all these outcomes had regressed towards pre-programme levels there remained significant improvements compared to baseline in all except average pain intensity. This open study shows that patients with JHS experienced significant benefits after attending a JHS-specific pain management programme, which were still evident 5 months later. Longer-term controlled studies are required.
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
Rahman A,Daniel C,Grahame Rdoi
10.1007/s10067-014-2539-9subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1665-9issue
11eissn
0770-3198issn
1434-9949journal_volume
33pub_type
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journal_title:Clinical rheumatology
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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journal_title:Clinical rheumatology
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Clinical rheumatology
pub_type: 信件
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更新日期:2005-02-01 00:00:00
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pub_type: 杂志文章,已发布勘误
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