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Cognitiveg-behavioural approaches to self-management in rheumatic disease
Authors
A Bandura
A Groarke
+40 more
A Hammond
A Hammond
A Rogers
AJ Zautra
AW Evers
AW Evers
D Homer
DA Williams
DC Turk
E Dures
E Dures
Emma Dures
FJ Keefe
FJ Keefe
I Nagyova
JA Astin
JH Hibbard
K Laas
KR Lorig
KR Lorig
L Gettings
L Leon
L Sharpe
L Sharpe
L Sharpe
M Otonello
M Von Korff
MD Iversen
MV Hurley
P Emery
RK Dissanayke
S Hewlett
S Hewlett
S Hewlett
S Van Koulil
Sarah Hewlett
T Bodenheimer
TC Sanderson
VJ Pitt
Y Zyrianova
Publication date
1 September 2012
Publisher
'Springer Science and Business Media LLC'
Doi
Cite
Abstract
Patients with rheumatic disease must adjust psychosocially and behaviourally in order to manage the impact of symptoms and treatment on their daily lives, and the emotional consequences of the disease. However, patients can improve their well-being by taking a proactive role in self-management, for example by using coping strategies. Support for patient self-management from clinical teams usually comprises information and advice on disease management; however, this largely didactic approach often focuses on the biomedical aspects of rheumatic disease, without addressing how these aspects interact with psychosocial factors to influence health behaviours and thus outcomes. A cognitiveg-behavioural approach based on the biopsychosocial model of rheumatic disease can facilitate the identification of effective self-management strategies through collaboration between patients and clinicians. Most patients do not require intense cognitiveg-behavioural therapy from a clinical psychologist; rather, basic cognitiveg-behavioural techniques and tools could be used by rheumatology clinical teams to expand and enhance the support already offered to patients. © 2012 Macmillan Publishers Limited. All rights reserved
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