The Effectiveness of Cognitive Behavioral Therapy on Management of Symptoms in Rheumatoid Arthritis Patients

Objectives: To carry out a systematic review of literature examining the effectiveness of cognitive behavioral therapy (CBT) alongside pharmacological treatment of rheumatoid arthritis (RA) symptoms compared to pharmacological treatments (standard care) without CBT. Methods: The Iowa Model of Evidence-Based Practice to Promote Quality Care was used as the theoretical framework for this review of literature. Databases utilized: CINAHL, OneSearch, PubMed, and MedLine. The inclusion criteria for this search were: CBT as an intervention, articles published within 2006-2016, and English full text articles. Exclusion criteria were: participants less than 18 years of age, interventions other than CBT, or any other type of arthritis that was not RA. Out of 96 articles found, 10 were included in this review of literature. Results: Out of the 10 articles chosen for this review, included were: 51 randomized controlled trials, 31 studies, 47 transcripts, and 5,345 participants. In seven articles pain and depression symptoms showed improvement with CBT; six articles showed fatigue and physical activity improved. However, only one demonstrated evidence that CBT improved anxiety symptoms. Conclusion: This review of literature focused on how CBT in combination with standard care for RA (pharmacological therapy) would affect symptom management. Evidence suggests that CBT is an effective treatment intervention alongside pharmacological therapy on management of symptoms in RA. Research evaluating the long-term effects, overall quality of life, and maintenance therapy related to CBT should be explored further