Rheumatoid arthritis : a cognitive-behavioural intervention
dc.contributor.advisor | Schomer, Helgo | en_ZA |
dc.contributor.author | Germond, Sean Alan | en_ZA |
dc.date.accessioned | 2015-07-17T10:01:45Z | |
dc.date.available | 2015-07-17T10:01:45Z | |
dc.date.issued | 1991 | en_ZA |
dc.description | Bibliography: leaves 190-206. | en_ZA |
dc.description.abstract | 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. | en_ZA |
dc.identifier.apacitation | Germond, 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/11427/13551 | en_ZA |
dc.identifier.chicagocitation | Germond, 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/11427/13551 | en_ZA |
dc.identifier.citation | Germond, 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.uri | http://hdl.handle.net/11427/13551 | |
dc.identifier.vancouvercitation | Germond 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/11427/13551 | en_ZA |
dc.language.iso | eng | en_ZA |
dc.publisher.department | Department of Psychology | en_ZA |
dc.publisher.faculty | Faculty of Humanities | en_ZA |
dc.publisher.institution | University of Cape Town | |
dc.subject.other | Psychology | en_ZA |
dc.title | Rheumatoid arthritis : a cognitive-behavioural intervention | en_ZA |
dc.type | Master Thesis | |
dc.type.qualificationlevel | Masters | |
dc.type.qualificationname | MA | en_ZA |
uct.type.filetype | Text | |
uct.type.filetype | Image | |
uct.type.publication | Research | en_ZA |
uct.type.resource | Thesis | en_ZA |
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