Comparison of Cognitive Behavioral and Mindfulness Meditation Interventions on Adaptation to Rheumatoid Arthritis for Patients With and Without History of Recurrent Depression
This research examined whether cognitive behavioral therapy and mindfulness interventions that target responses to chronic stress, pain, and depression reduce pain and improve the quality of everyday life for adults with rheumatoid arthritis (RA). The 144 RA participants were clustered into groups o...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 2008-06, Vol.76 (3), p.408-421 |
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| container_title | Journal of consulting and clinical psychology |
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| creator | Zautra, Alex J Davis, Mary C Reich, John W Nicassio, Perry Tennen, Howard Finan, Patrick Kratz, Anna Parrish, Brendt Irwin, Michael R |
| description | This research examined whether cognitive behavioral therapy and mindfulness interventions that target responses to chronic stress, pain, and depression reduce pain and improve the quality of everyday life for adults with rheumatoid arthritis (RA). The 144 RA participants were clustered into groups of 6-10 participants and randomly assigned to 1 of 3 treatments: cognitive behavioral therapy for pain (P); mindfulness meditation and emotion regulation therapy (M); or education-only group (E), which served as an attention placebo control. The authors took a multimethod approach, employing daily diaries and laboratory assessment of pain and mitogen-stimulated levels of interleukin-6 (IL-6), a proinflammatory cytokine. Participants receiving P showed the greatest Pre to Post improvement in self-reported pain control and reductions in the IL-6; both P and M groups showed more improvement in coping efficacy than did the E group. The relative value of the treatments varied as a function of depression history. RA patients with recurrent depression benefited most from M across several measures, including negative and positive affect and physicians' ratings of joint tenderness, indicating that the emotion regulation aspects of that treatment were most beneficial to those with chronic depressive features. |
| doi_str_mv | 10.1037/0022-006X.76.3.408 |
| format | Article |
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The 144 RA participants were clustered into groups of 6-10 participants and randomly assigned to 1 of 3 treatments: cognitive behavioral therapy for pain (P); mindfulness meditation and emotion regulation therapy (M); or education-only group (E), which served as an attention placebo control. The authors took a multimethod approach, employing daily diaries and laboratory assessment of pain and mitogen-stimulated levels of interleukin-6 (IL-6), a proinflammatory cytokine. Participants receiving P showed the greatest Pre to Post improvement in self-reported pain control and reductions in the IL-6; both P and M groups showed more improvement in coping efficacy than did the E group. The relative value of the treatments varied as a function of depression history. RA patients with recurrent depression benefited most from M across several measures, including negative and positive affect and physicians' ratings of joint tenderness, indicating that the emotion regulation aspects of that treatment were most beneficial to those with chronic depressive features.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.76.3.408</identifier><identifier>PMID: 18540734</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adaptation, Psychological ; Adjustment (to Environment) ; Adolescent ; Adult ; Adults ; Arthritis, Rheumatoid - complications ; Arthritis, Rheumatoid - psychology ; Awareness ; Behavior Modification ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Chronic Pain ; Clinical psychology ; Cognitive Behavior Therapy ; Cognitive Behavioral Therapy - methods ; Cognitive behaviour therapy ; Cognitive Restructuring ; Cognitive therapy ; Coping ; Depression ; Depression (Psychology) ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - etiology ; Depressive Disorder, Major - therapy ; Diaries ; Diseases ; Emotional Regulation ; Emotional Response ; Female ; Human ; Humans ; Interleukin-6 - blood ; Intervention ; Interventions ; Major Depression ; Male ; Medical sciences ; Medical treatment ; Meditation ; Mental depression ; Middle Aged ; Mindfulness ; Outcomes of Treatment ; Pain ; Pain - blood ; Pain - etiology ; Pain Management ; Patients ; Program Effectiveness ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life ; Recurrence ; Relaxation Training ; Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation ; Rheumatoid Arthritis ; Self Control ; Severity of Illness Index ; Stress Management ; Therapy ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 2008-06, Vol.76 (3), p.408-421</ispartof><rights>2008 American Psychological Association</rights><rights>2008 INIST-CNRS</rights><rights>(c) 2008 APA, all rights reserved</rights><rights>Copyright American Psychological Association Jun 2008</rights><rights>2008, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a533t-90357cbcc9507617f395c502547b6a8b4265d0556f908e8d6357e131d6cbf0233</citedby><orcidid>0000-0002-1502-8431</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30976,30977</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ798555$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20380288$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18540734$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>La Greca, Annette M</contributor><creatorcontrib>Zautra, Alex J</creatorcontrib><creatorcontrib>Davis, Mary C</creatorcontrib><creatorcontrib>Reich, John W</creatorcontrib><creatorcontrib>Nicassio, Perry</creatorcontrib><creatorcontrib>Tennen, Howard</creatorcontrib><creatorcontrib>Finan, Patrick</creatorcontrib><creatorcontrib>Kratz, Anna</creatorcontrib><creatorcontrib>Parrish, Brendt</creatorcontrib><creatorcontrib>Irwin, Michael R</creatorcontrib><title>Comparison of Cognitive Behavioral and Mindfulness Meditation Interventions on Adaptation to Rheumatoid Arthritis for Patients With and Without History of Recurrent Depression</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>This research examined whether cognitive behavioral therapy and mindfulness interventions that target responses to chronic stress, pain, and depression reduce pain and improve the quality of everyday life for adults with rheumatoid arthritis (RA). The 144 RA participants were clustered into groups of 6-10 participants and randomly assigned to 1 of 3 treatments: cognitive behavioral therapy for pain (P); mindfulness meditation and emotion regulation therapy (M); or education-only group (E), which served as an attention placebo control. The authors took a multimethod approach, employing daily diaries and laboratory assessment of pain and mitogen-stimulated levels of interleukin-6 (IL-6), a proinflammatory cytokine. Participants receiving P showed the greatest Pre to Post improvement in self-reported pain control and reductions in the IL-6; both P and M groups showed more improvement in coping efficacy than did the E group. The relative value of the treatments varied as a function of depression history. RA patients with recurrent depression benefited most from M across several measures, including negative and positive affect and physicians' ratings of joint tenderness, indicating that the emotion regulation aspects of that treatment were most beneficial to those with chronic depressive features.</description><subject>Adaptation, Psychological</subject><subject>Adjustment (to Environment)</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Awareness</subject><subject>Behavior Modification</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Chronic Pain</subject><subject>Clinical psychology</subject><subject>Cognitive Behavior Therapy</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Cognitive behaviour therapy</subject><subject>Cognitive Restructuring</subject><subject>Cognitive therapy</subject><subject>Coping</subject><subject>Depression</subject><subject>Depression (Psychology)</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - etiology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Diaries</subject><subject>Diseases</subject><subject>Emotional Regulation</subject><subject>Emotional Response</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Interleukin-6 - blood</subject><subject>Intervention</subject><subject>Interventions</subject><subject>Major Depression</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Meditation</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Mindfulness</subject><subject>Outcomes of Treatment</subject><subject>Pain</subject><subject>Pain - blood</subject><subject>Pain - etiology</subject><subject>Pain Management</subject><subject>Patients</subject><subject>Program Effectiveness</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Recurrence</subject><subject>Relaxation Training</subject><subject>Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation</subject><subject>Rheumatoid Arthritis</subject><subject>Self Control</subject><subject>Severity of Illness Index</subject><subject>Stress Management</subject><subject>Therapy</subject><subject>Treatments</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkttu1DAQhiMEoqXwAgghCwE3aJexHdvx5bIUWtQKVIHgzvI6DusqGwfbWWmfilfEYaPlIESvfJhv_pmx_6J4iGGOgYqXAITMAPiXueBzOi-hulUcY0nljGAsbhfHB-CouBfjNQBgDuxucYQrVoKg5XHxfek3vQ4u-g75Bi39184lt7XolV3rrfNBt0h3Nbp0Xd0MbWdjRJe2dkknl1POu2TD1nbjIaJ8sah1P8WSR1drO2x08q5Gi5DWIUtH1PiAPmQkZ0X02aX1zwLjxg8JnbmYfNiNzVxZM4SQMfTa9iFXzqr3izuNbqN9MK0nxac3px-XZ7OL92_Pl4uLmWaUppkEyoRZGSMZCI5FQyUzDAgrxYrralUSzmpgjDcSKlvVPOMWU1xzs2qAUHpSPN_r9sF_G2xMauOisW2rO-uHqATmjIFkN4IcS1FJjm8EmcjdEVlm8Mlf4LUfQpenzWIlI7is4H8QwcApLcU4BNlDJvgYg21UH9xGh53CoEYLqdEhanSIElxRlS2Ukx5PysNqY-tfKZNnMvBsAnQ0um2C7oyLB44ArYBUo9CjPWeDM4fw6TshK8bGh3uxD-teqz7ujA7JmdbG6dOVMf3vXT39N_0n9gOi2fUR</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>Zautra, Alex J</creator><creator>Davis, Mary C</creator><creator>Reich, John W</creator><creator>Nicassio, Perry</creator><creator>Tennen, Howard</creator><creator>Finan, Patrick</creator><creator>Kratz, Anna</creator><creator>Parrish, Brendt</creator><creator>Irwin, Michael R</creator><general>American Psychological Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1502-8431</orcidid></search><sort><creationdate>20080601</creationdate><title>Comparison of Cognitive Behavioral and Mindfulness Meditation Interventions on Adaptation to Rheumatoid Arthritis for Patients With and Without History of Recurrent Depression</title><author>Zautra, Alex J ; Davis, Mary C ; Reich, John W ; Nicassio, Perry ; Tennen, Howard ; Finan, Patrick ; Kratz, Anna ; Parrish, Brendt ; Irwin, Michael R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a533t-90357cbcc9507617f395c502547b6a8b4265d0556f908e8d6357e131d6cbf0233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adaptation, Psychological</topic><topic>Adjustment (to Environment)</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthritis, Rheumatoid - psychology</topic><topic>Awareness</topic><topic>Behavior Modification</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Chronic Pain</topic><topic>Clinical psychology</topic><topic>Cognitive Behavior Therapy</topic><topic>Cognitive Behavioral Therapy - methods</topic><topic>Cognitive behaviour therapy</topic><topic>Cognitive Restructuring</topic><topic>Cognitive therapy</topic><topic>Coping</topic><topic>Depression</topic><topic>Depression (Psychology)</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - etiology</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Diaries</topic><topic>Diseases</topic><topic>Emotional Regulation</topic><topic>Emotional Response</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Interleukin-6 - blood</topic><topic>Intervention</topic><topic>Interventions</topic><topic>Major Depression</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Meditation</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Mindfulness</topic><topic>Outcomes of Treatment</topic><topic>Pain</topic><topic>Pain - blood</topic><topic>Pain - etiology</topic><topic>Pain Management</topic><topic>Patients</topic><topic>Program Effectiveness</topic><topic>Psychology. 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Meditation</topic><topic>Rheumatoid Arthritis</topic><topic>Self Control</topic><topic>Severity of Illness Index</topic><topic>Stress Management</topic><topic>Therapy</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zautra, Alex J</creatorcontrib><creatorcontrib>Davis, Mary C</creatorcontrib><creatorcontrib>Reich, John W</creatorcontrib><creatorcontrib>Nicassio, Perry</creatorcontrib><creatorcontrib>Tennen, Howard</creatorcontrib><creatorcontrib>Finan, Patrick</creatorcontrib><creatorcontrib>Kratz, Anna</creatorcontrib><creatorcontrib>Parrish, Brendt</creatorcontrib><creatorcontrib>Irwin, Michael R</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zautra, Alex J</au><au>Davis, Mary C</au><au>Reich, John W</au><au>Nicassio, Perry</au><au>Tennen, Howard</au><au>Finan, Patrick</au><au>Kratz, Anna</au><au>Parrish, Brendt</au><au>Irwin, Michael R</au><au>La Greca, Annette M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ798555</ericid><atitle>Comparison of Cognitive Behavioral and Mindfulness Meditation Interventions on Adaptation to Rheumatoid Arthritis for Patients With and Without History of Recurrent Depression</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>76</volume><issue>3</issue><spage>408</spage><epage>421</epage><pages>408-421</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>This research examined whether cognitive behavioral therapy and mindfulness interventions that target responses to chronic stress, pain, and depression reduce pain and improve the quality of everyday life for adults with rheumatoid arthritis (RA). The 144 RA participants were clustered into groups of 6-10 participants and randomly assigned to 1 of 3 treatments: cognitive behavioral therapy for pain (P); mindfulness meditation and emotion regulation therapy (M); or education-only group (E), which served as an attention placebo control. The authors took a multimethod approach, employing daily diaries and laboratory assessment of pain and mitogen-stimulated levels of interleukin-6 (IL-6), a proinflammatory cytokine. Participants receiving P showed the greatest Pre to Post improvement in self-reported pain control and reductions in the IL-6; both P and M groups showed more improvement in coping efficacy than did the E group. The relative value of the treatments varied as a function of depression history. RA patients with recurrent depression benefited most from M across several measures, including negative and positive affect and physicians' ratings of joint tenderness, indicating that the emotion regulation aspects of that treatment were most beneficial to those with chronic depressive features.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>18540734</pmid><doi>10.1037/0022-006X.76.3.408</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-1502-8431</orcidid></addata></record> |
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| ispartof | Journal of consulting and clinical psychology, 2008-06, Vol.76 (3), p.408-421 |
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| subjects | Adaptation, Psychological Adjustment (to Environment) Adolescent Adult Adults Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - psychology Awareness Behavior Modification Behavior therapy. Cognitive therapy Biological and medical sciences Chronic Pain Clinical psychology Cognitive Behavior Therapy Cognitive Behavioral Therapy - methods Cognitive behaviour therapy Cognitive Restructuring Cognitive therapy Coping Depression Depression (Psychology) Depressive Disorder, Major - diagnosis Depressive Disorder, Major - etiology Depressive Disorder, Major - therapy Diaries Diseases Emotional Regulation Emotional Response Female Human Humans Interleukin-6 - blood Intervention Interventions Major Depression Male Medical sciences Medical treatment Meditation Mental depression Middle Aged Mindfulness Outcomes of Treatment Pain Pain - blood Pain - etiology Pain Management Patients Program Effectiveness Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life Recurrence Relaxation Training Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation Rheumatoid Arthritis Self Control Severity of Illness Index Stress Management Therapy Treatments |
| title | Comparison of Cognitive Behavioral and Mindfulness Meditation Interventions on Adaptation to Rheumatoid Arthritis for Patients With and Without History of Recurrent Depression |
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