Effects of cognitive behavioral therapy for patients with rheumatoid arthritis: a systematic review and meta-analysis

Autor:	Huiling Li, Biyu Shen, Yu-Cheng Xu, Xian Du, Guang-Yin Xu, Yong-Chang Li, Haoyang Chen
Rok vydání:	2020
Předmět:	medicine.medical_specialty medicine.medical_treatment Anxiety Cochrane Library law.invention Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Internal medicine medicine Humans 030212 general & internal medicine Fatigue Applied Psychology Depression (differential diagnoses) Cognitive Behavioral Therapy business.industry medicine.disease Confidence interval 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Meta-analysis Rheumatoid arthritis medicine.symptom business
Zdroj:	Psychology, Health & Medicine. 25:1179-1191
ISSN:	1465-3966 1354-8506
Popis:	This study aimed to assess the effects of cognitive behavioral therapy on the psychological and physiological health of rheumatoid arthritis patients. An extensive literature search was conducted, using the PubMed, Web of Science, Cochrane Library, Embase, CNKI Scholar, WanFang, and VIP databases, from inception to December2018. The quality of the studies was evaluated by 2 independent authors, according to the basic criteria provided by the Cochrane Handbook for evaluating randomized trials. Meta-analysis was performed with Review Manager 5.3. Six randomized controlled trials met the inclusion criteria of the current study. Using standard mean differences (SMD) and 95% confidence intervals (CI), our results showed that cognitive behavioral therapy could significantly reduce levels of anxiety (SMD = -0.30, 95% CI [-0.52, -0.09], P= 0.005) and depression (SMD = -0.48, 95% CI [-0.70, -0.27], P< 0.00001), and relieve fatigue symptoms (SMD = -0.35, 95% CI [-0.60, -0.10], P= 0.006) in rheumatoid arthritis patients.This is the first known assessment of the efficacy of cognitive behavioral therapy on rheumatoid arthritis patients using meta-analysis. Large-scale randomized controlled trials need to be implemented to further explore this issue.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8c53be05fe5d66f3c559ac55191f3da9 https://doi.org/10.1080/13548506.2020.1736312 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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