Rheumatoid arthritis : a cognitive-behavioural intervention

dc.contributor.advisorSchomer, Helgoen_ZA
dc.contributor.authorGermond, Sean Alanen_ZA
dc.date.accessioned2015-07-17T10:01:45Z
dc.date.available2015-07-17T10:01:45Z
dc.date.issued1991en_ZA
dc.descriptionBibliography: leaves 190-206.en_ZA
dc.description.abstractThis study investigated both the mediating role of psychological adjustment in determining pain experience, disease · status, and immune function in Rheumatoid Arthritis (RA), and the value of cognitive-behavioural intervention in improving the overall health status of such patients. Two related hypotheses were tested in a matched-random assigned two-groups design, with pre-, mid-, and post-intervention assessment. Fourteen (N = 14) female RA outpatients, selected along established inclusion criteria, were allocated to either treatment (n=8) or control (n=6) groups after being matched on date of disease onset and ratings, of coping efficacy. The treatment group received an eight week Stress Inoculation and Pain Management Training programme (sixteen 2-hour sessions) based on the conceptual approach of Meichenbaum (1985) and adopted from a program by O'Leary, Shoor, Lorig and Holman (1988). The program included educational material, instruction in palliative and cognitive pain management strategies and the application thereof in daily living, goal setting to improve activity function, and group discussion. The program was designed to nurture and develop existing coping skills, and to impart new strategies to cope with daily stress and pain. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control and stressful life experience were related to intensity and quality of pain, disease activity, functional status and lymphocyte proliferation rate. Intra- and inter-group analyses were conducted to determine treatment effects in terms of change scores .on the dependent measures, and case studies were conducted to evaluate individual response both to disease and cognitive-behavioural intervention.en_ZA
dc.identifier.apacitationGermond, S. A. (1991). <i>Rheumatoid arthritis : a cognitive-behavioural intervention</i>. (Thesis). University of Cape Town ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/13551en_ZA
dc.identifier.chicagocitationGermond, Sean Alan. <i>"Rheumatoid arthritis : a cognitive-behavioural intervention."</i> Thesis., University of Cape Town ,Faculty of Humanities ,Department of Psychology, 1991. http://hdl.handle.net/11427/13551en_ZA
dc.identifier.citationGermond, S. 1991. Rheumatoid arthritis : a cognitive-behavioural intervention. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Germond, Sean Alan AB - This study investigated both the mediating role of psychological adjustment in determining pain experience, disease · status, and immune function in Rheumatoid Arthritis (RA), and the value of cognitive-behavioural intervention in improving the overall health status of such patients. Two related hypotheses were tested in a matched-random assigned two-groups design, with pre-, mid-, and post-intervention assessment. Fourteen (N = 14) female RA outpatients, selected along established inclusion criteria, were allocated to either treatment (n=8) or control (n=6) groups after being matched on date of disease onset and ratings, of coping efficacy. The treatment group received an eight week Stress Inoculation and Pain Management Training programme (sixteen 2-hour sessions) based on the conceptual approach of Meichenbaum (1985) and adopted from a program by O'Leary, Shoor, Lorig and Holman (1988). The program included educational material, instruction in palliative and cognitive pain management strategies and the application thereof in daily living, goal setting to improve activity function, and group discussion. The program was designed to nurture and develop existing coping skills, and to impart new strategies to cope with daily stress and pain. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control and stressful life experience were related to intensity and quality of pain, disease activity, functional status and lymphocyte proliferation rate. Intra- and inter-group analyses were conducted to determine treatment effects in terms of change scores .on the dependent measures, and case studies were conducted to evaluate individual response both to disease and cognitive-behavioural intervention. DA - 1991 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1991 T1 - Rheumatoid arthritis : a cognitive-behavioural intervention TI - Rheumatoid arthritis : a cognitive-behavioural intervention UR - http://hdl.handle.net/11427/13551 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/13551
dc.identifier.vancouvercitationGermond SA. Rheumatoid arthritis : a cognitive-behavioural intervention. [Thesis]. University of Cape Town ,Faculty of Humanities ,Department of Psychology, 1991 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/13551en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Psychologyen_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPsychologyen_ZA
dc.titleRheumatoid arthritis : a cognitive-behavioural interventionen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMAen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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