Giornale italiano di medicina del lavoro ed ergonomia
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Rheumatic diseases, like many other chronic diseases, represent an important public health burden. To reduce the social and economic impact of these pathologies, an appropriate management of these conditions should be encouraged based on the use of established intervention strategies. ⋯ CBT include the teaching of life and coping skills that can assist the patient in productive problem solving and prevention or minimization of future pain episodes and stressful events. Moreover, several studies suggest that the cognitive-behavioural approach is efficacious in rheumatoid arthritis, osteoarthritis and fibromyalgia in improving not only the psychological adjustment during the course of the disease but also physical function.
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G Ital Med Lav Ergon · Jan 2007
Randomized Controlled TrialCognitive behavioural components in physiotherapy management of chronic whiplash associated disorders (WAD)--a randomised group study.
Different types of integrated management programmes have lately been introduced in the treatment of Whiplash Associated Disorders (WAD). In this study regular primary care physiotherapy and physiotherapy management with integrated components of cognitive-behavioural origin was compared in an experimental group study. The predictive value of self-efficacy was also addressed. ⋯ In conclusion cognitive behavioural components can be useful in physiotherapy treatment for patients with chronic WAD, but their contributions are not yet fully understood. Self-efficacy is related to patients' use of different coping styles. Positive long-term outcomes in WAD-patients could therefore be improved by boosting self-efficacy and by teaching patients to use active, adaptive coping strategies.