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ÀÌÃáÈñ ( Lee Chun-Hee ) - ¼±¸°´ëÇб³ °£È£Çаú
¹ÚÈñ¿Á ( Park Hee-Ok ) - °è¸í´ëÇб³ °£È£´ëÇÐ
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Abstract
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Purpose: This meta-analysis study aimed to investigate the effects of cognitive behavioral therapy on anxiety, depression and self-efficacy of patients with arthritis.
Methods: The review searched from PubMed, Ovid-MEDLINE, EMBASE, CINAHL, Cochrane Library and Korean databases. Key words for searching included ¡®cognitive behavioral therapy¡¯, ¡®rheumatoid arthritis¡¯, ¡®osteoarthritis¡¯ and the articles published from 2000 to June 2018 were selected. Cochrane's Risk of Bias for randomized studies was used to assess methodological quality. Data were analyzed by the R version 3.5.1 program.
Results: Thirteen studies with a total of 1,135 participants met the inclusion criteria. There were significant differences effect of cognitive behavioral therapy (effect size, ES=-0.30), anxiety (ES=-0.32), depression (ES=-0.38), self-efficacy (ES=0.46). As a result of the moderator analysis, the longer the duration, the greater the effect of cognitive behavior therapy.
Conclusion: The results of the study showed that cognitive behavioral therapy is effective in reducing anxiety, depression, and increasing self-efficacy in patients with arthritis. As a result, it can be expected to be used as basic data for applying cognitive behavioral therapy by patients with arthritis.
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KeyWords
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Arthritis, Cognitive behavior therapy, Meta-analysis
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