Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-10T07:56:28.907Z Has data issue: false hasContentIssue false

An Evaluation of Cognitive-Behavioural Techniques in the Management of Chronic Arthritic Pain in Men with Haemophilia

Published online by Cambridge University Press:  06 October 2014

Peter W. Dunne*
Affiliation:
Royal Brisbane Hospital andUniversity of Queensland
Matthew R. Sanders
Affiliation:
Royal Brisbane Hospital andUniversity of Queensland
John A. Rowell
Affiliation:
Royal Brisbane Hospital andUniversity of Queensland
William R. McWhirter
Affiliation:
Royal Brisbane Hospital andUniversity of Queensland
*
Queensland Department of Health, Sunshine Coast Community Psychiatry Service, PO Box 1025, Maroochydore Qld 4558
Get access

Abstract

Three adults with haemophilia participated in a study designed to determine the effectiveness of cognitive-behavioural techniques in the alleviation of chronic arthritic pain. The intervention comprised cognitive-coping skills, primarily relaxation training and guided imagery techniques, as well as identifying and altering antecedents and consequences that may have influenced their pain experience. The dependent measures included visual analogue rating scales, the Arthritis Impact Measurements Scale, the Beck Depression Inventory and pedometer readings. All three men showed significant reductions in pain, which were largely maintained at six-month follow-up. This study supports earlier findings with this population, and highlights the importance of monitoring the implementation of independent measures.

Type
Research Article
Copyright
Copyright © The Author(s) 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Achterberg, J., McGraw, P., & Lawlis, F. (1981). Rheumatoid arthritis: A study of relaxation and temperature biofeedback training as an adjunctive therapy. Biofeedback and Self-Regulation, 6, 207223.Google Scholar
Anderson, K.O., Bradley, L.A., Young, L.D., & McDaniel, L.K. (1985). Rheumatoid arthritis: Review of psychological factors related to etiology, effects and treatment. Psychological Bulletin, 98, 358387.CrossRefGoogle ScholarPubMed
Aronstam, A. (1985). Haemophilic bleeding: Early management at home. London: Balliere Tindall.Google Scholar
Denver, D.R., Laveault, D., Girard, F., Lacourciere, U., Latulippe, L., Grove, R.N., Preve, M., & Doiron, N. (1979). Behavioural medicine: Biobehavioural effects of short-term thermal biofeedback and relaxation in rheumatoid arthritis patients. Biofeedback and Self-Regulation, 4, 245246.Google Scholar
Dietrich, S.L. (1976). Medical management of haemophilia. In Boone, D.C. (Ed.), Comprehensive management of haemophilia (pp. 1331). Philadelphia: F.A. Davis.Google Scholar
Fordyce, W.E. (1976). Behavioural methods for chronic pain and illness. St. Louis: Mosby.Google Scholar
Gardiner, B.M. (1980). Psychological aspects of rheumatoid arthritis. Psychological Medicine, 10, 159163.Google Scholar
Goldstein, M.K., & Stein, G.H. (1985). Ambulatory activity in chronic disease. In Tryon, W. (Ed.), Behavioural assessment in behavioural medicine, 7, (148165) NY: Springer.Google Scholar
Hilgard, E.R. (1975). The alleviation of pain by hypnosis. Pain, 1, 213231.Google Scholar
Kerns, D., Finn, P., & Haythornthwaite, J. (1988). Self-monitored pain intensity: Psychometic properties and clinical utility. Journal of Behavioral Medicine, 11, 7192.Google Scholar
Lehmann, J.F., Warren, C.G., & Schan, S.M. (1974). Therapeutic heat and cold. Clinical Orthopedics and Related Research, 99.Google Scholar
McDaniel, L.K., Anderson, K.O., Bradley, L.A., Young, L.D., Turner, R.A., Agudelo, C.A., & Keefe, F.J. (1986). Development of an observation method for assessing pain behaviour in rheumatoid arthritis patients. Pain, 24, 165184.Google Scholar
Meenan, R.F., Gertman, P.M., & Mason, J.H. (1980). Measuring health status in arthritis: The Arthritis Impact Measurements Scales. Arthritis and Rheumatism, 23, 146152.CrossRefGoogle ScholarPubMed
Sanders, M.R., & James, J.E. (1983). The modification of parent behaviour. A review of generalization and maintenance. Behaviour Modification, 7, 327.Google Scholar
Sokoloff, L. (1975). Biochemical and physiological aspects of degenerative joint disease with specific reference to haemophilic arthropathy. Annals of New York Academy of Science, 240, 285290.Google Scholar
Turk, D.C., Meichenbaum, D., & Genest, M. (1983). Pain and behavioural medicine: A cognitive-behavioural perspective. New York: Guilford Press.Google Scholar
Varni, J.W. (1981a). Behavioural medicine in haemophilia arthritic pain management: Two case studies. Archives of Physical Medicine and Rehabilitation, 62, 183187.Google Scholar
Varni, J.W. (1981b). Self regulation techniques in the management of chronic arthritic pain in haemophilia. Behavior Therapy, 12, 185194.Google Scholar
Varni, J.W., Gilbert, A., & Dietrich, S.L. (1981). Behavioural medicine in pain and analgesia management for the haemophilic child with Factor VIII inhibitor. Pain, 11, 121126.Google Scholar
Varni, J.W., & Gilbert, A. (1982). Self regulation of chronic arthritic pain and long-term analgesic dependence in a haemophiliac. Rheumatology and Rehabilitation, 27, 171174.Google Scholar
Wasserman, R.R., Oester, Y.T., Oryshkevich, R.S., Montgomery, M.M., Poske, R.M., & Ruksha, A. (1968). Electromyographic, electrodiagnostic, and motor nerve conduction observations in patients with rheumatoid arthritis. Archives of Physical Medicine and Rehabilitation, 49, 9095.Google ScholarPubMed