• Tamara J Somers, James A Blumenthal, Farshid Guilak, Virginia B Kraus, Daniel O Schmitt, Michael A Babyak, Linda W Craighead, David S Caldwell, John R Rice, Daphne C McKee, Rebecca A Shelby, Lisa C Campbell, Jennifer J Pells, Ershela L Sims, Robin Queen, James W Carson, Mark Connelly, Kim E Dixon, Lara J LaCaille, Janet L Huebner, Jack W Rejeski, and Francis J Keefe.
• Duke University Medical Center, Durham, NC, USA Emory University, Atlanta, GA, USA Wake Forest University, Winston-Salem, NC, USA.
• Pain. 2012 Jun 1; 153 (6): 1199-1209.

AbstractOverweight 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.Copyright © 2012. Published by Elsevier B.V.

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