Abstract
31 patients with confirmed rheumatoid arthritis were subjected to a specially developed psychological pain management programme designed for 13 sessions. The data obtained before and after therapy in this group and an equally large control group were evaluated by decision analysis. Therapy and data collection ran parallel in time for all the patients paticipating in this study so that any possible effect exercised by third variables could be controlled. The data of the pain diaries showed a reduction in pain intensity, but no reduction in the annoyance and disability caused by pain, or in the mood caused by the pain sensation. Data obtained from standardised test methods show clearly that there was a significant reduction in depression, anxiety and physical complaints in the therapy group. Coping stategies in the management of pain were executed daily by almost 90% of the patients and give the patient the feeling that he is able to handle the problem of pain more efficiently.
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