Coping with arthritis pain. A review of the literature
Arthritis & RheumatismPublished 1 December 1989
Susan P. Buckelew, Jerry C. Parker
Citations36
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Abstract
Pain associated with arthritis is the primary reason patients with arthritis seek medical attention. The complex and multidimensional nature of pain among arthritis patients is examined. Self-reports of pain, the impact of pain, cognitive factors associated with pain, and the treatment of arthritis pain are reviewed. Psychosocial pain management programs emphasizing improved coping appear to be important as an adjunct to medical treatment. Implications for future research are discussed.
Keywords
Medicine
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Annals of the Rheumatic DiseasesPain and rheumatoid arthritis.
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