CLINICAL IMPLICATIONS - Review of Literature

2 Review of Literature

6.3 CLINICAL IMPLICATIONS

A six-‐‑week group-‐‑based CB programme did not have a significant effect on pain or function in community-‐‑dwelling knee OA patients. Thus, CB programmes of a similar length and content should not be recommended in health care for this patient group. Both positive psychological determinants (resources) and negatively charged emotions and expectations toward pain are important factors when dealing with knee OA patients. The role of resource factors is highlighted in the long term. The routine assessment of multiple psychological factors in knee OA patients might be useful to identify those patients or sub-‐‑

groups of patients who need additional behavioural and psychological attention.

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In document Knee osteoarthritis : Determinants of pain and function and effects of a group-based cognitive-behavioural intervention (sivua 60-82)