Rheumatoid arthritis - Psychological interventions in RA
10 important questions on Rheumatoid arthritis - Psychological interventions in RA
What does research indicate on the effectiveness of psychological interventions on biopsychosocial outcomes?
- Small improvements in functional disability, pain, fatigue and anxiety, depression
- Moderate improvement in coping, SE, physical activity
- Depression, coping and physical activity effects maintained at follow-up.
Which characteristics of an psychological intervention for RA patients improve effectiveness?
- interventions with a maintenance component.
What is in general the effectiveness of CBT health and wellbeing outcomes in RA patients?
- Sign. Positive effect on anxiety, depression and fatigue
- non-sign. Positive effect on pain
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What elements can psychological interventions for RA patients target?
- RA symptoms: pain/fatigue
- Psychological problems: anxiety, fear, worry, depression
- Behavioural elements: physical inactivity, overactivity, medication adherence, weight loss
What are the most used psychological interventions?
- CBT
- Psycho-educational programs
- Self-management
Which two educational focuspoints do psycho-educational programs have?
- Education on the progressive/unpredictable nature of RA
- The need to remain physical active
What strategies and skills do psycho-educational programs for RA patients often focus on?
- Monitor and recognize symptom flair ups
- informed decision making about distribution of energy across daily activities
- goal setting, feed-back monitoring
What is in general the effectiveness of psycho-educational programs?
What are the focus points of self-management programs for RA patients?
- Emphasize importance of cooperative care between patients and providers
- Self-management: improve patients own ability to manage his disease
- Disease information, medication/physical activity management, communication skills, problem solving skills
What is the Arthritis Self-management Program (ASMP) exists?
6 weeks, 2-2,5 hour sesions.
Topics:
- managing physical / psychological effects
- exercising and medication use
- communication
- maintaining healthy nutrition and sleep
- making informed treatment decisions
- problem solving
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