ABSTRACT
Rheumatoid arthritis (RA) is a chronic, progressive, inflammatory disease affecting approximately 1.3 million U.S. adults. This multifaceted disease is associated with complex patterns of pain, including chronic and acute flare-ups. Despite recent advances in medical treatments, patients continue to have increased likelihood of centralized pain disorders, increased rates of mental health concerns, and reduced quality of life. This chapter discusses biopsychosocial factors that interact with disease activity, pain, and functioning; describes practical assessment strategies; and reviews evidence-based psychosocial interventions effective among individuals with RA. Given the widespread impact of the disease and related pain, an integrated approach to assessment and treatment is likely to best meet the varied needs of patients with RA. Interdisciplinary treatment approaches can enhance the effectiveness of cognitive-behavioral and acceptance and commitment therapy techniques. Clinical case examples illustrate biopsychosocial conceptualization, treatment approaches with complex patient presentations, and the role of collaborative care.
