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© 1982 British Society for Rheumatology

research-article

SELF-REGULATION OF CHRONIC ARTHRITIC PAIN AND LONG-TERM ANALGESIC DEPENDENCE IN A HAEMOPHILIAC

JAMES W. VARNI and AGGIE GILBERT

Behavioral Pediatrics Program and Hemophilia Rehabilitation Center, Orthopaedic Hospital, University of Southern California School of Medicine Los Angeles, California, USA

Correspondence to: Requests for reprints to Dr. James W. Varni, Hehavioral Pediatrics PRogame, Orthopaedic Hospital, 2400 South Flower Street, LOs Angeles, California 90007 USA.

Haemophilia is characterized by recurrent internal bleeding episodes, with repeated haemorrhages into the joint areas eventually resulting in a chronic condition similar to osteoarthritis. A 31-year-old haemophiliac, with a nine-year history of narcotic analgesic dependence secondary to chronic arthritic pain, learned self-regulation techniques consisting of progressive muscle relaxation exercises, meditative breathing, and guided imagery. Long-term follow-up evidenced clinically significant decreases in arthritic pain intensity and analgesic intake subsequent to self-regulation training.


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