Cameron, Melainie ORCID: (2004) Arthritides. In: Psychology in the Physical and Manual Therapies. Elsevier (Churchill Livingstone), Edinburgh, United Kingdom, pp. 269-291. ISBN 0-443-07352-X


The effects of arthritis are complex and largely interdependent. Pain may produce physical disability, which in turn can produce social disability and changes in HRQOL. Joint and muscle disuse resulting from physical disability produces muscle atrophy, bone density loss, and may lead to further pain. People with arthritis should be encouraged to manage their own illness and take responsibility for their own care in the long term. Both physical and manual therapies may appropriate for people with arthritis, depending upon their readiness to adopt self-management strategies. ASMPs, based on Lorig's work, are offered through arthritis foundations in many countries around the world. These programs have been well evaluated, and shown to improve both physical and psychological well-being in people with arthritis. Furthermore, these programs appear to reduce the direct healthcare costs associated with arthritis care (Lorig et al 1993). ASMPs are of greatest use to people in the action and maintenance stages of change (Kerns & Rosenberg 2000). Therapists can use consultations as a vehicle for communication with clients, and to assist them in the transition from practitioner-driven to client-driven care, from the early to later stages of change. Practitioners of the passive (usually manual) therapies are advised to use deliberate tactics such as mutually agreed care contracts to prevent client dependence.

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Item Type: Book Chapter (Commonwealth Reporting Category B)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 25 Feb 2021 04:04
Last Modified: 25 Feb 2021 04:04
Uncontrolled Keywords: arthritis, psychological, anxity, medical, pain, loss and grief, depression, physical
Fields of Research (2008): 11 Medical and Health Sciences > 1103 Clinical Sciences > 110322 Rheumatology and Arthritis
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Fields of Research (2020): 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320223 Rheumatology and arthritis
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology
Socio-Economic Objectives (2008): C Society > 92 Health > 9202 Health and Support Services > 920209 Mental Health Services
C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920116 Skeletal System and Disorders (incl. Arthritis)
Socio-Economic Objectives (2020): 20 HEALTH > 2003 Provision of health and support services > 200305 Mental health services
20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions

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