Mind and body management strategies for chronic pain and rheumatoid arthritis

Qual Health Res. 2009 Aug;19(8):1037-49. doi: 10.1177/1049732309341189.

Abstract

Chronic pain (CP) and rheumatoid arthritis (RA) pose particular challenges for the individual. Although biomedicine inevitably plays a role in the reduction or control of some symptoms for people living with chronic pain, directed self-management is also increasingly recognized as an important tool. Self-management can address pain-associated symptoms of CP and RA, and often has broader aims, such as promoting positive well-being. Forty-six interviews with people experiencing CP and 46 interviews with those living with RA-associated pain were analyzed. Our analysis uncovered three broad strategies adopted by participants: body management, mind-management and mind-body management. The analysis demonstrated that for those living with pain, a sense of well-being is achieved not through pain control alone, but also through various mind/body techniques for managing pain, accepting new limits, and adjusting the way people relate to themselves. These self-management strategies are an important adjunct to biomedical care for those experiencing chronic pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Arthritis, Rheumatoid / psychology*
  • Arthritis, Rheumatoid / rehabilitation*
  • Chronic Disease / psychology*
  • Chronic Disease / rehabilitation*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Mind-Body Therapies*
  • Pain / psychology*
  • Pain / rehabilitation*
  • Qualitative Research
  • Self Care*