Abstract Objective. To compare the effectiveness of biofeedback/relaxation, exercise, and a combined program for treatment fibromyalgia. Methods. Subjects (n = 119) were randomly assigned to one 4 groups: 1) biofeedback/relaxation training, 2) exercise 3) combination treatment, or 4) an educational/attention control program. Results. All 3 groups produced improvements in self‐efficacy function relative condition. In addition, all significantly different from group on tender point index...

An opportunity to study cerebrovascular changes in sickle cell anemia (SCA) presented itself when a black child with this disorder died of bihemispheric strokes. Angiography demonstrated severe occlusive vascular disease involving primarily the circle Willis and major bifurcations both internal carotid arteries. Collateral circulation distal branches arteries occurred through transdural anastomoses from external system via leptomeningeal route. Perfusion basal ganglia was accomplished by...

Abstract To examine the effectiveness of a cognitive‐behavioral pain management program for patients with rheumatoid arthritis, three patient groups were studied: group (CB), an attention‐placebo group, and control group. The CB received comprehensive, 12‐month that taught coping strategies such as problem‐solving techniques, relaxation training, attention diversion, training in family dynamics communication. Dependent measures included pain, strategies, psychological status, functional...

Abstract Objective . To examine the effects of stress‐management training on clinical outcomes in persons with rheumatoid arthritis (RA). Methods Patients RA (n = 141) were randomly assigned to 1 3 groups: a stress management group, an attention control or standard care group. The and groups received 10‐w eek intervention followed by additional 15‐m onth maintenance phase. Results group showed statistically significant improvements measures helplessness, self‐efficacy, coping, pain, health...

Objective To examine a range of variables potentially associated with rheumatoid arthritis (RA)-related fatigue and to determine which best predict subjective fatigue. Methods Measures fatigue, disease activity, pain, various psychosocial factors were gathered from 73 individuals RA. Correlations between other examined, the "best" predictors determined multiple regression analyses. Results Many that significantly correlated had character. Moreover, increased higher levels more depressive...

Objectives. This study examined whether pretreatment self-efficacy and pre- to post-treatment changes in predict tender point index, disease severity, pain, physical activity. Methods. One hundred nine subjects with fibromyalgia were assessed before after a 6-week training intervention. Measures included physician ratings of the visual analog scale for Physical Activities subscale Arthritis Impact Measurement Scales, Self-Efficacy Scale. Results. Pretreatment significantly predicted...

Given the lack of objective physical measures for assessing fibromyalgia syndrome (FS), role pain assessment is particularly important. The psychological factors controversial among FS patients. This study was designed to better understand relationship between behaviors and variables. Specifically, this (1) refined a behavior observation (PBO) methodology use with patients, (2) determined whether stretching valid behavior, (3) assessed variables including self-efficacy and/or depression can...

Abstract Objective To examine the level of anxiety experienced by individuals with rheumatoid arthritis (RA). Methods Data from 2 previous studies were used to compare (measured State‐Trait Anxiety Inventory) in following 4 subgroups: a general RA sample, osteoarthritis sample both and major depression, normative age‐equivalent, working adults. Canonical correlations associations between measures stress depression. The relationship duration was also explored. Results had state levels that...

Abstract In this study, we examined the factor structure of Coping Strategies Questionnaire and studied relevance coping process to health status in rheumatoid arthritis patients. The 2 factors questionnaire that were analyzed Attempts Pain Control Rational Thinking. Thinking was related pain psychological status, even after demographic variables disease severity statistically controlled. addition, increases scores improvements pain, status. Implications for care patients are discussed.

Twenty-five subjects with primary fibromyalgia syndrome and 22 rheumatoid arthritis were compared on measures of psychological distress, pain, health status, life stress, sleep disturbance, coping strategies. Higher levels distress found in the group, but degree stress was shown to be a significant covariate.

OBJECTIVE: Relationships among different dimensions of patient satisfaction and selected demographic, clinical, outcome variables were explored in a sample severely ill people receiving inpatient psychiatric services. METHOD: The consisted 81 patients admitted to discharged from an unit at midwestern Veterans Affairs medical center. Stepwise multiple regression was used examine the relationship between self-reported changes quality life, symptomatology, level functioning as measured by...

Abstract Objective . To examine relationships among changes in self‐efficacy and other clinically relevant outcome measures. Method Subjects (n = 44) were participants a prospective, randomized stress‐management study followed over 15 months. Outcome measures included self‐efficacy, depression, pain, health status, disease activity. Results Correlational analyses revealed significant associations between (particularly total self‐efficacy) selected of The observed not due to medication...

Abstract Objective To examine the effectiveness of cognitive‐behavioral and pharmacologic treatment depression in rheumatoid arthritis (RA). Methods Subjects (n = 54) with confirmed diagnoses both major RA were randomly assigned to 1 3 groups: 1) cognitive‐behavioral/pharmacologic group (CB‐PHARM), 2) attention‐control/pharmacologic group, or 3) control group. Measures depression, psychosocial status, health pain, disease activity collected at baseline, posttreatment (10 weeks), 6‐month...

Abstract The recent introduction of dual X-ray absorptiometry (DXA) systems with fan beam instead conventional pencil scanning geometry represents a significant technical advance in bone densitometry. This report describes phantom and in-vivo studies the effect change configuration on DXA measurements. Fan measurements acquired one new generation scanners, Hologic QDR-2000, were compared scans performed an earlier model, QDR-1000. variation height above table anthropomorphic spine were:...

Abstract An untested proposition in deterrence theory is that people's perceptions of the certainty arrest a community are influenced by their exposure to information about crimes committed which have and not resulted arrest. We examine effects two sources on people k community: (1) newspaper crime stories (2) personal experiences with one's acquaintances. Only latter appear influence estimates

To examine the relationship between age and depression in persons with rheumatoid arthritis (RA).Two separate outpatient cohorts of RA were studied. In both studies, Center for Epidemiological Studies Depression Scale was administered to all subjects, prevalence depressive symptoms determined by group. second study, data on additional measures disease activity, pain, life stress, coping collected use multiple linear regression analyses.In samples, a significant correlation found; younger...