期刊
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
卷 31, 期 3, 页码 262-269出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jpainsymman.2005.07.008
关键词
nociception; osteoarthritis; coping skills; sex differences; nociception flexion reflex
资金
- NIAMS NIH HHS [R01 AR46305] Funding Source: Medline
Studies have documented the efficacy of coping skills training (CST) for managing pain, distress, and disability in persons with arthritis. However; no laboratory studies have examined the effects of CST on descending modulation of nociception. This study used the nociceptive flexion reflex (NFR) to document pain, and nociceptive responding among 62 men and women with osteoarthritis of the knee (mean age = 63.3 +/- 7.5 years). Before and after a 45-minute CST session, participants completed laboratory assessments of AM threshold and questionnaires evaluating pain and state anxiety. Results indicated significantly increased,NFR thresholds and decreased pain ratings following CST for men and women. A significant time by sex interaction zoos observed for state anxiety, with women reporting greater decreases in anxiety following CST than men. This is tire first study to demonstrate effects of a CST protocol on a measure of descending inhibition of nociception among patients with osteoarthritic knee pain.
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