Effects of stress management on clinical outcomes in rheumatoid arthritis

Arthritis Rheum. 1995 Dec;38(12):1807-18. doi: 10.1002/art.1780381214.


Objective: To examine the effects of stress-management training on clinical outcomes in persons with rheumatoid arthritis (RA).

Methods: Patients with RA (n = 141) were randomly assigned to 1 of 3 groups: a stress management group, an attention control group, or a standard care control group. The stress management and the attention control groups received a 10-week intervention followed by an additional 15-month maintenance phase.

Results: The stress management group showed statistically significant improvements on measures of helplessness, self-efficacy, coping, pain, and health status. Selected beneficial effects were still detectable at the 15-month followup evaluation.

Conclusion: The data indicated that stress management interventions are capable of producing important clinical benefits for persons with RA.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Analysis of Variance
  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / psychology*
  • Attention
  • Cognitive Behavioral Therapy
  • Female
  • Follow-Up Studies
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Prognosis
  • Self Concept
  • Stress, Psychological / etiology
  • Stress, Psychological / prevention & control*