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Cognitieve gedragstherapie bij reumatoide artritis: effectieve zorg op maat voor patienten 'at risk' (Cognitive-behavioral therapy in rheumatoid arthritis) [Dutch]
Evers AWM
Nederlands Tijdschrift voor Fysiotherapie [Dutch Journal of Physical Therapy] 2005 Oct;115(5):143-146
clinical trial
1/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Research in the area of cognitive-behavioural therapy for patients with rheumatoid arthritis (RA) suggests that effectiveness of such therapy can be optimized when customized treatments are offered in an early stage to patients at risk. In a randomized, controlled trial, tailored cognitive-behavioural therapy was offered to patients with relatively early rheumatoid arthritis who had been screened for psychosocial risk profiles. Patients received individualized cognitive-behavioural therapy with two of four possible treatment modules: fatigue, pain and functional disability, negative mood, and social relationships. Results indicated beneficial effects of the treatment on physical, psychological, and social functioning immediately after treatment and at 6 months. Findings support the idea that customizing treatments to patient characteristics is a way to optimize the effectiveness of cognitive-behavioural therapy in patients with RA. The clinical implications of applying tailored cognitive-behavioural treatment at an early stage to patients at risk are discussed.

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