A blind randomized controlled trial of cognitive versus behavioral versus cognitive-behavioral therapy for patients with rheumatoid arthritis.

Abstract:

BACKGROUND:Despite evidence that cognitive-behavioral therapy (CBT) is effective for rheumatoid arthritis (RA), little is known about which components of therapy are most efficacious. The present study compared the efficacy of CBT with cognitive therapy (CT) and behavioral therapy (BT) for patients with RA. We hypothesized that CBT would be more efficacious on a broader range of outcomes. METHODS:Participants (n = 104) with classic or definite RA were randomized to receive one of three active treatments (CBT, CT or BT) or a wait-list control (WLC). Participants were assessed at baseline, post-treatment and 6 months on a range of outcomes. Measures of disease activity, joint function, disability and psychological functioning were included. RESULTS:The results showed that participants who received cognitive components had greater improvements in tender joint counts and C-reactive protein at post-treatment. Those receiving either BT or CT alone improved more on anxiety than CBT or WLC. At 6 months, the three active treatment groups could only be distinguished on tender joints, which favored CT and CBT. CONCLUSIONS:CBT did not demonstrate the broader benefits to patients that we expected, nor was there evidence that BT produced effects that were superior to CT alone. CT was superior to at least one of the other two active treatment components on 3 of the 7 outcome measures at post-treatment. Effect sizes for the interventions that included cognitive components were similar to those reported in the literature. These results suggest that CT is an effective treatment for RA and need not necessarily include behavioral strategies.

journal_name

Psychother Psychosom

authors

Sharpe L,Schrieber L

doi

10.1159/000332334

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

145-52

issue

3

eissn

0033-3190

issn

1423-0348

pii

000332334

journal_volume

81

pub_type

杂志文章,随机对照试验
  • Psychosomatic aspects of hyperprolactinemia.

    abstract::A review of some recent studies on the psychosomatic aspects of hyperprolactinemia is presented. Women seem to be more prone to suffer from the behavioral effects of prolactin than males. Women with hyperprolactinemic amenorrhea rated themselves significantly more hostile, more depressed and more anxious than women wi...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287773

    authors: Fava M,Fava GA,Kellner R,Buckman MT,Lisansky J,Serafini E,DeBesi L,Mastrogiacomo I

    更新日期:1983-01-01 00:00:00

  • Self-management training for children with chronic bronchial asthma.

    abstract::We have described examples of behaviors that occur antecedent to, concurrent with, or as a consequence of childhood asthma. Ways these patterns can be altered have also been described. Three points should be emphasized: first, social learning techniques can contribute to a child acquiring self-monitoring and self-mana...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000287396

    authors: Creer TL,Burns KL

    更新日期:1979-01-01 00:00:00

  • Psychosocial functioning in consultation-liaison psychiatry patients: influence of psychosomatic syndromes, psychopathology and somatization.

    abstract:BACKGROUND:This study investigated whether the Diagnostic Criteria for Psychosomatic Research (DCPR) were able to predict psychosocial functioning in addition to psychiatric diagnoses and somatization in consultation-liaison psychiatry (CLP) patients. METHOD:A consecutive sample of 208 CLP patients were recruited and ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000235739

    authors: Porcelli P,Bellomo A,Quartesan R,Altamura M,Iuso S,Ciannameo I,Piselli M,Elisei S

    更新日期:2009-01-01 00:00:00

  • Effects of a supportive-expressive group intervention on long-term psychosocial adjustment in HIV-infected gay men.

    abstract:BACKGROUND:This study compared the effects of a supportive-expressive group intervention (GI) with an educational control condition (EC) on long-term psychosocial adjustment in gay men with HIV infection. METHOD:Subjects (n = 85) were randomized after stratification for disease stage and use of antiretroviral medicati...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000069732

    authors: Weiss JJ,Mulder CL,Antoni MH,de Vroome EM,Garssen B,Goodkin K

    更新日期:2003-05-01 00:00:00

  • Role of the therapist in biofeedback training.

    abstract::The therapist in biofeedback training plays the role of a teacher or coach. This role, derived from learning theory and practiced in the classroom and playing field, imposes special constraints upon the psychotherapeutic situation. The therapist must be capable of physiological manipulation in self before attempting t...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287297

    authors: Amar PB

    更新日期:1978-01-01 00:00:00

  • Social support and psychological distress in primary care attenders. Ferrara SIMG Group.

    abstract:BACKGROUND:Growing evidence has been collected about the high prevalence of psychological distress in primary care. The role of psychosocial variables, namely the role of support from the patients' interpersonal ties, has not been extensively explored. METHODS:The study investigated the relationship between perceived ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000012372

    authors: Grassi L,Rasconi G,Pedriali A,Corridoni A,Bevilacqua M

    更新日期:2000-03-01 00:00:00

  • Suitability of bupropion SR for nicotine-dependent smokers: problems in a practice setting.

    abstract:BACKGROUND:Bupropion SR (Zyban) has been shown in randomized controlled trials to be an efficacious pharmacological aid for smoking cessation; however, recent reports have raised serious concerns about the breadth of its applicability without complications or contraindications. METHODS:We examined this issue in a well...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000077744

    authors: Kohlenberg BS,Antonuccio DO,Hayes SC,Gifford EV,Piasecki MP

    更新日期:2004-07-01 00:00:00

  • Effects of psychotherapy on DNA strand break accumulation originating from traumatic stress.

    abstract:BACKGROUND:Previous research reveals an association between traumatic stress and an increased risk for numerous diseases, including cancer. At the molecular level, stress may increase carcinogenesis via increased DNA damage and impaired DNA repair mechanisms. We assessed DNA breakage in peripheral blood mononuclear cel...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000362739

    authors: Morath J,Moreno-Villanueva M,Hamuni G,Kolassa S,Ruf-Leuschner M,Schauer M,Elbert T,Bürkle A,Kolassa IT

    更新日期:2014-01-01 00:00:00

  • Does study design influence outcome?. The effects of placebo control and treatment duration in antidepressant trials.

    abstract:BACKGROUND:Clinicians and researchers synthesize data from randomized controlled trials (RCTs) of antidepressants to make conclusions about the efficacy of medications for depression. All treatments include nonspecific factors in addition to the specific effects of drugs, and study design may influence patient outcomes...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000209348

    authors: Rutherford BR,Sneed JR,Roose SP

    更新日期:2009-01-01 00:00:00

  • Effects of interventions involving the family in the treatment of adult patients with chronic physical diseases: a meta-analysis.

    abstract:BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical di...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,meta分析

    doi:10.1159/000286958

    authors: Hartmann M,Bäzner E,Wild B,Eisler I,Herzog W

    更新日期:2010-01-01 00:00:00

  • The unifying concept of illness behavior.

    abstract::The concept of illness behavior was introduced to indicate the ways in which given symptoms may be perceived, evaluated and acted upon at an individual level. Illness behavior may vary greatly according to illness-related, patient-related and doctor-related variables and their complex interactions. In the past decades...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000343508

    authors: Sirri L,Fava GA,Sonino N

    更新日期:2013-01-01 00:00:00

  • Short-term psychotherapy and hypnosis.

    abstract::Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287509

    authors: Frankel FH

    更新日期:1981-01-01 00:00:00

  • Failure to Respond after Reinstatement of Antidepressant Medication: A Systematic Review.

    abstract:BACKGROUND:Following remission of an anxiety disorder or a depressive disorder, antidepressants are frequently discontinued and in the case of symptom occurrence reinstated. Reinstatement of antidepressants seems less effective in some patients, but an overview is lacking. This systematic review aimed to provide insigh...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000491550

    authors: Bosman RC,Waumans RC,Jacobs GE,Oude Voshaar RC,Muntingh ADT,Batelaan NM,van Balkom AJLM

    更新日期:2018-01-01 00:00:00

  • Do somatic complaints predict subsequent symptoms of depression?

    abstract:BACKGROUND:Evidence suggests substantial comorbidity between symptoms of somatization and depression in clinical as well as nonclinical populations. However, as most existing research has been retrospective or cross-sectional in design, very little is known about the specific nature of this relationship. In particular,...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000071897

    authors: Terre L,Poston WS,Foreyt J,St Jeor ST

    更新日期:2003-09-01 00:00:00

  • Randomized controlled comparison of two cognitive behavioral therapies for obese children: mother versus mother-child cognitive behavioral therapy.

    abstract:BACKGROUND:Parent-child treatments have been shown to be superior to child-focused treatments of childhood obesity. Yet until now, the comparative effectiveness of parent-only and parent-child approaches has been little studied. METHOD:Fifty-six obese children and their families were randomly assigned to a 16-session ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000129659

    authors: Munsch S,Roth B,Michael T,Meyer AH,Biedert E,Roth S,Speck V,Zumsteg U,Isler E,Margraf J

    更新日期:2008-01-01 00:00:00

  • Physicians' view of their work environment and organisation.

    abstract:BACKGROUND:The objective of this study was to assess physicians' perception of their work, organisation and professional development. METHODS:All major disciplines at a major regional hospital were studied. Participants responded to a structured questionnaire concerning broad aspects of physicians' work. The response ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000289127

    authors: Arnetz BB

    更新日期:1997-01-01 00:00:00

  • Generalized anxiety disorder, worries about illness, and hypochondriacal fears and beliefs.

    abstract::In order to compare hypochondriacal phenomena in patients with generalized anxiety disorder (GAD) and panic disorder (PD), and in order to examine the relationship between worries about illness on one hand, and disease fears/phobias and hypochondriacal beliefs on the other, the authors administered the Illness Attitud...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288873

    authors: Starcevic V,Fallon S,Uhlenhuth EH,Pathak D

    更新日期:1994-01-01 00:00:00

  • Psychoanalytic-Interactional Therapy versus Psychodynamic Therapy by Experts for Personality Disorders: A Randomized Controlled Efficacy-Effectiveness Study in Cluster B Personality Disorders.

    abstract:BACKGROUND:With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic treatmen...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000441731

    authors: Leichsenring F,Masuhr O,Jaeger U,Rabung S,Dally A,Dümpelmann M,Fricke-Neef C,Steinert C,Streeck U

    更新日期:2016-01-01 00:00:00

  • The psychosomatic theory of bronchial asthma.

    abstract::The author discusses the development of the psychosomatic asthma theory as a paradigm of theory formation in psychomatic medicine. The first formulation of the theory was based on clinical and psychiatric observations. It was tested by psychological, physiological and experimental methods and as a result was reformula...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287312

    authors: Groen JJ

    更新日期:1979-01-01 00:00:00

  • Father kills mother: post-traumatic stress disorder in the children.

    abstract::Results of a study of over 100 children whose father killed their mother have been summarized and principles for practice have been formulated. All children orphaned by the death of one parent at the other's hands should be seen as soon as possible in a child psychiatry department and assessed. An immediate crisis int...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288592

    authors: Black D,Harris-Hendriks J,Kaplan T

    更新日期:1992-01-01 00:00:00

  • Elevated blood levels of dehydroepiandrosterone sulphate vary with symptom load in posttraumatic stress disorder: findings from a longitudinal study of refugees in Sweden.

    abstract:BACKGROUND:The present study is part of a longitudinal study of recently resettled refugees with the aim of learning which factors in their daily life influence health as measured by self-report and stress-responsive hormones. METHODS:In a group of recently resettled refugees with a high incidence of posttraumatic str...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000064806

    authors: Söndergaard HP,Hansson LO,Theorell T

    更新日期:2002-09-01 00:00:00

  • Stress in middle-aged women: influence of Type A behavior and narcissism.

    abstract::The authors examined (1) strength of stress, (2) awareness of stress, and (3) influence of type A behavior and narcissistic personality on stress and its related factors in a sample of 500 middle-aged women. Compared to 400 middle-aged working men, the women scored lower on the type A and coping scales, suggesting the...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288953

    authors: Fukunishi I,Moroji T,Okabe S

    更新日期:1995-01-01 00:00:00

  • Cue exposure therapy for the treatment of opiate addiction: results of a randomized controlled clinical trial.

    abstract:BACKGROUND:Persistent cue reactivity to drug-related stimuli is a well-known phenomenon among abstinent drug users and has been found to be a predictor of relapse. Cue exposure therapy (CET) aims to reduce this cue reactivity by exposing abstinent drug users to conditioned drug-related stimuli while preventing their ha...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000097968

    authors: Marissen MA,Franken IH,Blanken P,van den Brink W,Hendriks VM

    更新日期:2007-01-01 00:00:00

  • Chronic pelvic pain as a somatoform disorder.

    abstract:BACKGROUND:The purpose of this study was to determine whether psychiatric disturbances, particularly somatization, and an increased number of traumatic and critical life events, which have been found in women with idiopathic chronic pelvic pain (ICPP), can also be observed in women with chronic pelvic pain and abdomina...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章

    doi:10.1159/000012318

    authors: Ehlert U,Heim C,Hellhammer DH

    更新日期:1999-03-01 00:00:00

  • Explicit incestuous motifs and emotional crises in psychosomatic patients.

    abstract::This paper examines the emergence of incestuous motifs in the first four interviews of 50 people seeking psychotherapy. Results show a percentage (6%) which is neither relevant nor specific for any kind of diagnosis. The progress in psychotherapy of two groups of 8 patients, psychosomatic + neurotic respectively, is t...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287790

    authors: Pasini A,Callea G

    更新日期:1984-01-01 00:00:00

  • In-patient and ward psychosomatic psychotherapy: concepts, effectiveness and curative factors.

    abstract::Based on the situation in the Federal Republic of Germany, this article reviews the development, organization and theoretical framework of in-patient and ward psychosomatic psychotherapy. Indications for treating psychosomatic patients in hospital, the effects of treatment and some results on the process of in-patient...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000288658

    authors: Strauss B,Burgmeier-Lohse M

    更新日期:1993-01-01 00:00:00

  • Psychotherapy for the spouses of lung cancer patients: assessment of an intervention.

    abstract::This study was a randomized prospective clinical trial to test the effect of a professionally provided program of social support counselling on newly diagnosed lung cancer patients and their families. Over the 6 months of the intervention there was no differential change by experimental status for either the patients ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000287871

    authors: Goldberg RJ,Wool MS

    更新日期:1985-01-01 00:00:00

  • Hypercoagulability in working men and women with high levels of panic-like anxiety.

    abstract:BACKGROUND:There is growing evidence that cardiovascular diseases are relatively more prevalent in subjects who feel anxious. An increased clotting diathesis might subject anxious individuals to an elevated arterial thrombotic risk. We investigated whether panic-like anxiety would relate to a hypercoagulable state. ME...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000080388

    authors: von Känel R,Kudielka BM,Schulze R,Gander ML,Fischer JE

    更新日期:2004-11-01 00:00:00

  • Psychosomatic aspects in self-help groups made up of medical patients. Presented on the example of the ostomy group.

    abstract::We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287321

    authors: Freyberger H

    更新日期:1979-01-01 00:00:00

  • Brief Online Cognitive Behavioural Intervention for Dysfunctional Worry Related to the COVID-19 Pandemic: A Randomised Controlled Trial.

    abstract:INTRODUCTION:Worries about the immediate and long-term consequences of the COVID-19 pandemic may for some individuals develop into pervasive worry that is disproportionate in its intensity or duration and significantly interferes with everyday life. OBJECTIVE:The aim of this study was to investigate if a brief self-gu...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000512843

    authors: Wahlund T,Mataix-Cols D,Olofsdotter Lauri K,de Schipper E,Ljótsson B,Aspvall K,Andersson E

    更新日期:2020-11-19 00:00:00