Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study

Tamara J. Somers, James A. Blumenthal, Farshid Guilak, Virginia B. Kraus, Daniel O. Schmitt, Michael A. Babyak, Linda W. Craighead, David S. Caldwell, John R. Rice, Daphne C. McKee, Rebecca A. Shelby, Lisa C. Campbell, Jennifer J. Pells, Ershela L. Sims, Robin Queen, James W. Carson, Mark Connelly, Kim E. Dixon, Lara J. Lacaille, Janet L. HuebnerW. Jack Rejeski, Francis J. Keefe

Research output: Contribution to journalArticlepeer-review

143 Scopus citations


Overweight and obese patients with osteoarthritis (OA) experience more OA pain and disability than patients who are not overweight. This study examined the long-term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients. Patients (n = 232) were randomized to a 6-month program of: 1) PCST + BWM; 2) PCST-only; 3) BWM-only; or 4) standard care control. Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self-efficacy, weight self-efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6 months and 12 months after the completion of treatment). Patients randomized to PCST + BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, weight self-efficacy, and weight when compared to the other 3 conditions (Ps < 0.05). PCST + BWM also did significantly better than at least one of the other conditions (ie, PCST-only, BWM-only, or standard care) in terms of psychological disability, pain catastrophizing, and arthritis self-efficacy. Interventions teaching overweight and obese OA patients pain coping skills and weight management simultaneously may provide the more comprehensive long-term benefits.

Original languageEnglish (US)
Pages (from-to)1199-1209
Number of pages11
Issue number6
StatePublished - Jun 2012

Bibliographical note

Funding Information:
This study is known as OA Life. This publication was made possible by Frant number P01 AR50245 from the National Institutes of Health . We would like to thank the numerous staff and faculty at Duke University Medical Center who worked on this study, as well as the patients who participated in this study, without both of whom it would not have been possible to conduct.


  • Coping
  • Obese
  • Osteoarthritis
  • Overweight
  • Pain
  • Physical disability


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