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Cognitive behavioral treatment of a veteran population with moderate to severe rheumatoid arthritis
Appelbaum KA, Blanchard EB, Hickling EJ, Alfonso M
Behavior Therapy 1988 Autumn;19(4):489-502
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Compared cognitive behavioral treatment with a symptom monitoring control condition for 18 outpatient veterans (aged 43 to 76 yrs) with (stages II and III) rheumatoid arthritis. After baseline pain and sleep monitoring and physical therapist and self-report assessment ratings, Ss were randomly assigned to active treatment or symptom monitoring only. Posttreatment comparisons showed that the active therapy Ss, relative to controls, (1) improved on their perceptions of pain on the McGill Pain Questionnaire, (2) rated themselves as coping better with pain, (3) reduced their pain diary ratings, and (4) reported less difficulty with functional tasks. Treated Ss also improved more on range of motion indices. After 18 mo, follow-up data from half of the Ss showed no lasting differences between the treated and control groups.

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