Health optimism and control beliefs as predictors for treatment outcome of a multimodal back treatment program
Health optimism and control beliefs as predictors for treatment outcome of a multimodal back treatment program
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DOI：
10.1080/08870449608406926
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发表时间：
1996-01-01
影响因子：
3.3
通讯作者：
Estlander, AM
中科院分区：
文献类型：
--
作者：
Harkapaa, K;Jarvikoski, A;Estlander, AM
治疗结果的预测因素，即治疗后12个月主观功能能力（FCI）和工作状态的变化，与慢性腰痛（CLBP）患者（n = 175）进行了分析，这些患者参加了为期4周的多模式背部治疗计划，并进行了强化体能训练。控制信念、健康乐观和抑郁症状被用作预测因子，结果表明，那些对自己的健康持乐观态度和对强大他人控制的信念较弱的人，即使在控制了FCI的初始分数后，也从治疗中获得了更多。那些在治疗后12个月仍在工作的学生在治疗前对他们未来的健康有更乐观的看法，对外部控制的信念较弱。无论FCI的初始值如何，在12个月的随访中，与休病假或领取养老金的人相比，他们的FCI也有明显更大的改善。抑郁症的症状是没有显着的预测治疗outcome.The结果表明，认知因素起着重要的作用，无论最初的残疾所造成的背痛的CLBP患者的康复结果。
Predictors for treatment outcome, i.e. changes in subjective functional capacity (FCI) and work status 12 months after treatment, were analyzed with chronic low back pain (CLBP) patients (n = 175) who attended a 4-week multimodal back treatment program with intensive physical training. Locus of control beliefs, health optimism and symptoms of depression were used as predictors.The results showed that those with more optimistic views on their health and weak belief in control by powerful others had gained from the treatment more even after controlling for the initial scores of the FCI. Those Ss who were al work 12 months after treatment had - before treatment - more optimistic views on their future health and weaker belief in external control. They also had a significantly greater improvement in the FCI when compared with those on sick-leave or pension at the 12-month follow-up regardless of the initial value of the FCI. Symptoms of depression were not significant predictors for treatment outcome.The results indicate that cognitive factors play an important role in the outcome of rehabilitation of patients with CLBP regardless of the initial disability caused by back pain.