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Effects of a cognitive-behavioral intervention for women with rheumatoid arthritis.

14 Aug

A research team led by Vaughn Sinclair from Vanderbilt University School of Nursing & Vanderbilt Medical Center evaluated the effectiveness of a cognitive-behavioral nursing intervention for women with rheumatoid arthritis. Ninety adult women with RA participated in 1 of 14 nurse-led groups over an 18-month period. Personal coping resources, pain-coping behaviors, psychological well-being, and disease symptomatology were measured at four time periods. There were significant changes on all of the measures of personal coping resources (p < .001) and psychological well-being (p < .05), half of the pain-coping behaviors (p < .05), and one indicator of disease symptomatology (fatigue, p < .05) from pre- to post intervention. And the positive changes brought about by the program were maintained over the 3-month follow-up period. The study suggests that this kind of intervention could be adapted to benefit individuals with a variety of stressful medical conditions.

Citation: Sinclair VG, Wallston KA, Dwyer KA, Blackburn DS, Fuchs H. Effects of a cognitive-behavioral intervention for women with rheumatoid arthritis. Research in Nursing & Health 1998 Aug; 21 (4): 315-26.

Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award