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Effects of psychological interventions for patients with osteoarthritis: a systematic review and meta-analysis.

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Title: Effects of psychological interventions for patients with osteoarthritis: a systematic review and meta-analysis.
Authors: Zhang, Lijuan (AUTHOR), Fu, Ting (AUTHOR), Zhang, Qiuxiang (AUTHOR), Yin, Rulan (AUTHOR), Zhu, Li (AUTHOR), He, Yan (AUTHOR), Fu, Wenting (AUTHOR), Shen, Biyu (AUTHOR)
Source: Psychology, Health & Medicine. Jan2018, Vol. 23 Issue 1, p1-17. 17p.
Subjects: Osteoarthritis treatment, Evaluation of psychotherapy, Osteoarthritis, Psychological adaptation, Confidence intervals, Fatigue (Physiology), Medical information storage & retrieval systems, Psychology information storage & retrieval systems, MEDLINE, Meta-analysis, Online information services, Pain, Probability theory, Self-efficacy, Systematic reviews, Treatment effectiveness, Data analysis software, Descriptive statistics, Psychology
Abstract: The aim of this study was to determine the effects of psychological interventions (e.g. cognitive restructuring, relaxation) on physiological and psychological health in osteoarthritis patients. A systematic literature search was done using PubMed, Embase, PsycINFO, Web of Science, China National Knowledge Infrastructure, and Wanfang Database through November 2016. Studies were included if they used a randomized controlled trial designed to explore the effects of psychological interventions in osteoarthritis patients. Two independent authors assessed the methodological quality of the trials using criteria outlined by Jadad et al. Meta-analysis was done with the Revman5.0. Twelve randomized controlled trials, including 1307 osteoarthritis patients, met the study inclusion criteria. Metaanalysis showed that psychological interventions could reduce the levels of pain [standard mean difference (SMD) -0.28, 95% CI -0.48, -0.08, P-value 0.005)] and fatigue (SMD -0.18, 95% CI -0.34, -0.01, P-value 0.04). In addition, psychological interventions significantly improved osteoarthritis patients' self-efficacy (SMD 0.58, 95% CI 0.40, 0.75, P-value 0.00) and pain coping (MD 1.64, 95% CI 0.03, 3.25, P-value 0.05). Although the effects on physical function, anxiety, depression, psychological disability were in the expected direction, they were not statistically significant. In conclusion, the role of psychological interventions in the management of osteoarthritis remains equivocal. Some encouraging results were seen with regard to pain, pain coping, self-efficacy, and fatigue. We believe that more methodologically rigorous large-scale randomized controlled trials are necessary to answer this study question. [ABSTRACT FROM AUTHOR]
Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Effects of psychological interventions for patients with osteoarthritis: a systematic review and meta-analysis.
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  Data: <searchLink fieldCode="AR" term="%22Zhang%2C+Lijuan%22">Zhang, Lijuan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fu%2C+Ting%22">Fu, Ting</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+Qiuxiang%22">Zhang, Qiuxiang</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yin%2C+Rulan%22">Yin, Rulan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhu%2C+Li%22">Zhu, Li</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22He%2C+Yan%22">He, Yan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fu%2C+Wenting%22">Fu, Wenting</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shen%2C+Biyu%22">Shen, Biyu</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychology%2C+Health+%26+Medicine%22">Psychology, Health & Medicine</searchLink>. Jan2018, Vol. 23 Issue 1, p1-17. 17p.
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  Data: <searchLink fieldCode="DE" term="%22Osteoarthritis+treatment%22">Osteoarthritis treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+psychotherapy%22">Evaluation of psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Osteoarthritis%22">Osteoarthritis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Fatigue+%28Physiology%29%22">Fatigue (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Self-efficacy%22">Self-efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The aim of this study was to determine the effects of psychological interventions (e.g. cognitive restructuring, relaxation) on physiological and psychological health in osteoarthritis patients. A systematic literature search was done using PubMed, Embase, PsycINFO, Web of Science, China National Knowledge Infrastructure, and Wanfang Database through November 2016. Studies were included if they used a randomized controlled trial designed to explore the effects of psychological interventions in osteoarthritis patients. Two independent authors assessed the methodological quality of the trials using criteria outlined by Jadad et al. Meta-analysis was done with the Revman5.0. Twelve randomized controlled trials, including 1307 osteoarthritis patients, met the study inclusion criteria. Metaanalysis showed that psychological interventions could reduce the levels of pain [standard mean difference (SMD) -0.28, 95% CI -0.48, -0.08, P-value 0.005)] and fatigue (SMD -0.18, 95% CI -0.34, -0.01, P-value 0.04). In addition, psychological interventions significantly improved osteoarthritis patients' self-efficacy (SMD 0.58, 95% CI 0.40, 0.75, P-value 0.00) and pain coping (MD 1.64, 95% CI 0.03, 3.25, P-value 0.05). Although the effects on physical function, anxiety, depression, psychological disability were in the expected direction, they were not statistically significant. In conclusion, the role of psychological interventions in the management of osteoarthritis remains equivocal. Some encouraging results were seen with regard to pain, pain coping, self-efficacy, and fatigue. We believe that more methodologically rigorous large-scale randomized controlled trials are necessary to answer this study question. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13548506.2017.1282160
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      – Code: eng
        Text: English
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        PageCount: 17
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    Subjects:
      – SubjectFull: Osteoarthritis treatment
        Type: general
      – SubjectFull: Evaluation of psychotherapy
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      – SubjectFull: Osteoarthritis
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      – SubjectFull: Psychological adaptation
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Fatigue (Physiology)
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      – SubjectFull: Medical information storage & retrieval systems
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      – SubjectFull: Self-efficacy
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      – SubjectFull: Systematic reviews
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Data analysis software
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      – SubjectFull: Psychology
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      – TitleFull: Effects of psychological interventions for patients with osteoarthritis: a systematic review and meta-analysis.
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              Text: Jan2018
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