Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study.


Journal Article

Overweight and obese patients with osteoarthritis (OA) experience more OA pain and disability than patients who are not overweight. This study examined the long-term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients. Patients (n=232) were randomized to a 6-month program of: 1) PCST+BWM; 2) PCST-only; 3) BWM-only; or 4) standard care control. Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self-efficacy, weight self-efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6 months and 12 months after the completion of treatment). Patients randomized to PCST+BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, weight self-efficacy, and weight when compared to the other 3 conditions (Ps<0.05). PCST+BWM also did significantly better than at least one of the other conditions (ie, PCST-only, BWM-only, or standard care) in terms of psychological disability, pain catastrophizing, and arthritis self-efficacy. Interventions teaching overweight and obese OA patients pain coping skills and weight management simultaneously may provide the more comprehensive long-term benefits.

Full Text

Duke Authors

Cited Authors

  • Somers, TJ; Blumenthal, JA; Guilak, F; Kraus, VB; Schmitt, DO; Babyak, MA; Craighead, LW; Caldwell, DS; Rice, JR; McKee, DC; Shelby, RA; Campbell, LC; Pells, JJ; Sims, EL; Queen, R; Carson, JW; Connelly, M; Dixon, KE; Lacaille, LJ; Huebner, JL; Rejeski, WJ; Keefe, FJ

Published Date

  • June 2012

Published In

Volume / Issue

  • 153 / 6

Start / End Page

  • 1199 - 1209

PubMed ID

  • 22503223

Pubmed Central ID

  • 22503223

Electronic International Standard Serial Number (EISSN)

  • 1872-6623

Digital Object Identifier (DOI)

  • 10.1016/j.pain.2012.02.023


  • eng

Conference Location

  • United States