Robin Marie Queen

DUKE, School of Medicine, Orthopaedics

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Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study

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; et al. (Profiled Authors: Lisa Campbell; Michael Alan Babyak; James Alan Blumenthal; David S. Caldwell; Farshid Guilak; Francis Joseph Keefe; Virginia Byers Kraus; Daphne Connelly McKee; Robin Marie Queen; John Russell Rice; Daniel Oliver Schmitt; Rebecca A Shelby; Tamara J. Somers)

Pain. 2012;153(6):1199-1209.

Overweight 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. © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

PMID: 22503223     PMCID: PMC3358356

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