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Psychological interventions for arthritis pain management in adults: A meta-analysis.

2007; American Psychological Association; Volume: 26; Issue: 3 Linguagem: Inglês

10.1037/0278-6133.26.3.241

1930-7810

Kim E. Dixon, Francis J. Keefe, Cindy D. Scipio, LisaCaitlin M. Perri, Amy P. Abernethy,

Autoimmune and Inflammatory Disorders Research

The psychosocial impact of arthritis can be profound. There is growing interest in psychosocial interventions for managing pain and disability in arthritis patients.This meta-analysis reports on the efficacy of psychosocial interventions for arthritis pain and disability.Articles evaluating psychosocial interventions for arthritis were identified through Cochrane Controlled Trials, EMBASE, Ovid MEDLINE, and Ovid PsycINFO data sources.Randomized controlled trials testing the efficacy of psychosocial interventions in arthritis pain management were reviewed.Twenty-seven randomized controlled trials were analyzed. Pain intensity was the primary outcome. Secondary outcomes included psychological, physical, and biological functioning.An overall effect size of 0.177 (95% CI=0.256-0.094) indicated that patients receiving psychosocial interventions reported significantly lower pain than patients in control conditions (combined p=.01). Meta-analyses also supported the efficacy of psychosocial interventions for the secondary outcomes.These findings indicate that psychosocial interventions may have significant effects on pain and other outcomes in arthritis patients. Ample evidence for the additional benefit of such interventions over and above that of standard medical care was found.