M Graninger1. 1. III. Med. Abteilung für Innere Medizin und Psychosomatik, Krankenhaus der Barmherzigen Schwestern Wien, Stumpergasse 6, 1060, Wien, Österreich, monika.graninger@bhs.at.
Abstract
BACKGROUND: In addition to pharmacotherapy and patient education, guiding patients to an optimal psychological coping with the disease is part of a comprehensive management. Data on the effectivity of the numerous psychosocial interventions are sparse and the outcome parameters are not well-defined. AIM: Introduction and differentiation of cognitive behavioral and mindfulness-based interventions offered to patients with rheumatoid arthritis with the target of improving resilience. METHOD: Narrative description of the principle of mindfulness and therapeutic concepts, such as mindfulness-based stress reduction. Analysis of published data concerning the effectivity of such psychoeducative training methods in patients with rheumatoid arthritis. RESULTS: Outcome parameters, such as pain and quality of life can be positively influenced by cognitive behavioral therapy and mindfulness-based stress reduction to a similar extent. Long-term outcomes, such as body function, participation and avoidance of disability have not yet been investigated. CONCLUSION: Interventions aiming at the sustained improvement of resilience and health-related well-being certainly seem to be worthwhile, especially for potentially destructive chronic arthritis. Rational analysis of the effectivity of psychosocial training concepts need to take many covariables into consideration, such as disease duration, individual-related factors, medication and adverse events as well as comorbidities.
BACKGROUND: In addition to pharmacotherapy and patient education, guiding patients to an optimal psychological coping with the disease is part of a comprehensive management. Data on the effectivity of the numerous psychosocial interventions are sparse and the outcome parameters are not well-defined. AIM: Introduction and differentiation of cognitive behavioral and mindfulness-based interventions offered to patients with rheumatoid arthritis with the target of improving resilience. METHOD: Narrative description of the principle of mindfulness and therapeutic concepts, such as mindfulness-based stress reduction. Analysis of published data concerning the effectivity of such psychoeducative training methods in patients with rheumatoid arthritis. RESULTS: Outcome parameters, such as pain and quality of life can be positively influenced by cognitive behavioral therapy and mindfulness-based stress reduction to a similar extent. Long-term outcomes, such as body function, participation and avoidance of disability have not yet been investigated. CONCLUSION: Interventions aiming at the sustained improvement of resilience and health-related well-being certainly seem to be worthwhile, especially for potentially destructive chronic arthritis. Rational analysis of the effectivity of psychosocial training concepts need to take many covariables into consideration, such as disease duration, individual-related factors, medication and adverse events as well as comorbidities.
Authors: Adrienne A Taren; Peter J Gianaros; Carol M Greco; Emily K Lindsay; April Fairgrieve; Kirk Warren Brown; Rhonda K Rosen; Jennifer L Ferris; Erica Julson; Anna L Marsland; James K Bursley; Jared Ramsburg; J David Creswell Journal: Soc Cogn Affect Neurosci Date: 2015-06-05 Impact factor: 3.436
Authors: José Gallego; José M Aguilar-Parra; Adolfo J Cangas; Álvaro I Langer; Israel Mañas Journal: Span J Psychol Date: 2015-01-13 Impact factor: 1.264
Authors: Michaela A Stoffer; Monika M Schoels; Josef S Smolen; Daniel Aletaha; Ferdinand C Breedveld; Gerd Burmester; Vivian Bykerk; Maxime Dougados; Paul Emery; Boulos Haraoui; Juan Gomez-Reino; Tore K Kvien; Peter Nash; Victoria Navarro-Compán; Marieke Scholte-Voshaar; Ronald van Vollenhoven; Désirée van der Heijde; Tanja A Stamm Journal: Ann Rheum Dis Date: 2015-05-19 Impact factor: 19.103