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

Publication ,  Journal Article
Somers, TJ; Blumenthal, JA; Guilak, F; Kraus, VB; Schmitt, DO; Babyak, MA; Craighead, LW; Caldwell, DS; Rice, JR; McKee, DC; Shelby, RA ...
Published in: Pain
June 2012

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.

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Published In

Pain

DOI

EISSN

1872-6623

Publication Date

June 2012

Volume

153

Issue

6

Start / End Page

1199 / 1209

Location

United States

Related Subject Headings

  • Young Adult
  • Weight Reduction Programs
  • Overweight
  • Osteoarthritis, Knee
  • Obesity
  • Middle Aged
  • Male
  • Life Style
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Somers, T. J., Blumenthal, J. A., Guilak, F., Kraus, V. B., Schmitt, D. O., Babyak, M. A., … Keefe, F. J. (2012). Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study. Pain, 153(6), 1199–1209. https://doi.org/10.1016/j.pain.2012.02.023
Somers, Tamara J., James A. Blumenthal, Farshid Guilak, Virginia B. Kraus, Daniel O. Schmitt, Michael A. Babyak, Linda W. Craighead, et al. “Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study.Pain 153, no. 6 (June 2012): 1199–1209. https://doi.org/10.1016/j.pain.2012.02.023.
Somers TJ, Blumenthal JA, Guilak F, Kraus VB, Schmitt DO, Babyak MA, et al. Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study. Pain. 2012 Jun;153(6):1199–209.
Somers, Tamara J., et al. “Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study.Pain, vol. 153, no. 6, June 2012, pp. 1199–209. Pubmed, doi:10.1016/j.pain.2012.02.023.
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 JW, Keefe FJ. Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: a randomized controlled study. Pain. 2012 Jun;153(6):1199–1209.

Published In

Pain

DOI

EISSN

1872-6623

Publication Date

June 2012

Volume

153

Issue

6

Start / End Page

1199 / 1209

Location

United States

Related Subject Headings

  • Young Adult
  • Weight Reduction Programs
  • Overweight
  • Osteoarthritis, Knee
  • Obesity
  • Middle Aged
  • Male
  • Life Style
  • Humans
  • Female