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Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis

BACKGROUND: Stress management interventions may prove useful in preventing the detrimental effects of stress on health. This study assessed the effects of a stress management intervention on the psychophysiological response to stress in patients with rheumatoid arthritis (RA). METHODS: Seventy-four...

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Autores principales: de Brouwer, Sabine J. M., Kraaimaat, Floris W., Sweep, Fred C. G. J., Donders, Rogier T., Eijsbouts, Agnes, van Koulil, Saskia, van Riel, Piet L. C. M., Evers, Andrea W. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232221/
https://www.ncbi.nlm.nih.gov/pubmed/22162990
http://dx.doi.org/10.1371/journal.pone.0027432
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author de Brouwer, Sabine J. M.
Kraaimaat, Floris W.
Sweep, Fred C. G. J.
Donders, Rogier T.
Eijsbouts, Agnes
van Koulil, Saskia
van Riel, Piet L. C. M.
Evers, Andrea W. M.
author_facet de Brouwer, Sabine J. M.
Kraaimaat, Floris W.
Sweep, Fred C. G. J.
Donders, Rogier T.
Eijsbouts, Agnes
van Koulil, Saskia
van Riel, Piet L. C. M.
Evers, Andrea W. M.
author_sort de Brouwer, Sabine J. M.
collection PubMed
description BACKGROUND: Stress management interventions may prove useful in preventing the detrimental effects of stress on health. This study assessed the effects of a stress management intervention on the psychophysiological response to stress in patients with rheumatoid arthritis (RA). METHODS: Seventy-four patients with RA, who were randomly assigned to either a control group or a group that received short-term stress management training, performed a standardized psychosocial stress task (Trier Social Stress Test; TSST) 1 week after the stress management training and at a 9-week follow-up. Psychological and physical functioning, and the acute psychophysiological response to the stress test were assessed. RESULTS: Patients in the intervention group showed significantly lower psychological distress levels of anxiety after the training than did the controls. While there were no between-group differences in stress-induced tension levels, and autonomic (α-amylase) or endocrine (cortisol) responses to the stress test 1 week after the intervention, levels of stress-induced tension and cortisol were significantly lower in the intervention group at the 9-week follow-up. Overall, the response to the intervention was particularly evident in a subgroup of patients with a psychological risk profile. CONCLUSION: A relatively short stress management intervention can improve psychological functioning and influences the psychophysiological response to stress in patients with RA, particularly those psychologically at risk. These findings might help understand how stress can affect health and the role of individual differences in stress responsiveness. TRIAL REGISTRATION: TrialRegister.nl NTR1193
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spelling pubmed-32322212011-12-09 Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis de Brouwer, Sabine J. M. Kraaimaat, Floris W. Sweep, Fred C. G. J. Donders, Rogier T. Eijsbouts, Agnes van Koulil, Saskia van Riel, Piet L. C. M. Evers, Andrea W. M. PLoS One Research Article BACKGROUND: Stress management interventions may prove useful in preventing the detrimental effects of stress on health. This study assessed the effects of a stress management intervention on the psychophysiological response to stress in patients with rheumatoid arthritis (RA). METHODS: Seventy-four patients with RA, who were randomly assigned to either a control group or a group that received short-term stress management training, performed a standardized psychosocial stress task (Trier Social Stress Test; TSST) 1 week after the stress management training and at a 9-week follow-up. Psychological and physical functioning, and the acute psychophysiological response to the stress test were assessed. RESULTS: Patients in the intervention group showed significantly lower psychological distress levels of anxiety after the training than did the controls. While there were no between-group differences in stress-induced tension levels, and autonomic (α-amylase) or endocrine (cortisol) responses to the stress test 1 week after the intervention, levels of stress-induced tension and cortisol were significantly lower in the intervention group at the 9-week follow-up. Overall, the response to the intervention was particularly evident in a subgroup of patients with a psychological risk profile. CONCLUSION: A relatively short stress management intervention can improve psychological functioning and influences the psychophysiological response to stress in patients with RA, particularly those psychologically at risk. These findings might help understand how stress can affect health and the role of individual differences in stress responsiveness. TRIAL REGISTRATION: TrialRegister.nl NTR1193 Public Library of Science 2011-12-06 /pmc/articles/PMC3232221/ /pubmed/22162990 http://dx.doi.org/10.1371/journal.pone.0027432 Text en de Brouwer et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
de Brouwer, Sabine J. M.
Kraaimaat, Floris W.
Sweep, Fred C. G. J.
Donders, Rogier T.
Eijsbouts, Agnes
van Koulil, Saskia
van Riel, Piet L. C. M.
Evers, Andrea W. M.
Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis
title Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis
title_full Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis
title_fullStr Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis
title_full_unstemmed Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis
title_short Psychophysiological Responses to Stress after Stress Management Training in Patients with Rheumatoid Arthritis
title_sort psychophysiological responses to stress after stress management training in patients with rheumatoid arthritis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232221/
https://www.ncbi.nlm.nih.gov/pubmed/22162990
http://dx.doi.org/10.1371/journal.pone.0027432
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