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

Sinclair VG, Wallston KA, Dwyer KA, Blackburn DS, Fuchs H
Res Nurs Health. 1998 21 (4): 315-26

PMID: 9679808 · DOI:10.1002/(sici)1098-240x(199808)21:4<315::aid-nur4>3.0.co;2-i

The purpose of this quasi-experimental study was to evaluate the effectiveness of a cognitive-behavioral nursing intervention for women with rheumatoid arthritis (RA). 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 postintervention. Furthermore, the positive changes brought about by the program were maintained over the 3-month follow-up period. The intervention may be adapted to benefit individuals with a variety of stressful medical conditions.

MeSH Terms (13)

Adaptation, Psychological Adult Aged Aged, 80 and over Arthritis, Rheumatoid Cognitive Behavioral Therapy Female Health Behavior Humans Middle Aged Nursing Process Tennessee Women's Health

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