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 Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Sharpe L,Schrieber Ldoi
10.1159/000332334subject
Has Abstractpub_date
2012-01-01 00:00:00pages
145-52issue
3eissn
0033-3190issn
1423-0348pii
000332334journal_volume
81pub_type
杂志文章,随机对照试验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
更新日期:1983-01-01 00:00:00
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
更新日期:1979-01-01 00:00:00
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
更新日期:2009-01-01 00:00:00
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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
更新日期:2003-05-01 00:00:00
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
更新日期:1978-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012372
更新日期:2000-03-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
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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
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000286958
更新日期:2010-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
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更新日期:2013-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287509
更新日期:1981-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000491550
更新日期:2018-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000071897
更新日期:2003-09-01 00:00:00
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
更新日期:2008-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289127
更新日期:1997-01-01 00:00:00
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
更新日期:1994-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000441731
更新日期:2016-01-01 00:00:00
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
更新日期:1979-01-01 00:00:00
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
更新日期:1992-01-01 00:00:00
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
更新日期:2002-09-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288953
更新日期:1995-01-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000097968
更新日期:2007-01-01 00:00:00
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
更新日期:1999-03-01 00:00:00
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
更新日期:1984-01-01 00:00:00
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
更新日期:1993-01-01 00:00:00
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
更新日期:1985-01-01 00:00:00
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
更新日期:2004-11-01 00:00:00
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
更新日期:1979-01-01 00:00:00
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
更新日期:2020-11-19 00:00:00