The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients.

International Journal of Behavioral Medicine
Julian A StewartMartin Grosse Holtforth

Abstract

Psychological factors have shown to be associated with treatment outcomes in hand injury patients. This study aimed to investigate the role of health locus of control (HLOC) and its dimensions internal, social-external, and fatalistic-external HLOC in treatment outcomes of hand injury patients. One hundred thirty-two consecutive patients of a tertiary center for hand surgery undergoing treatment for acute hand injury or degenerative hand problems were included in this study. Pretreatment levels of depression, anxiety, HLOC, and pain intensity were measured, along with pain intensity levels at 4-month follow-up. Hierarchical regression analyses were calculated to test for moderation effects of the HLOC dimensions on the relationship between pretreatment and follow-up pain intensity. Controlling for age, gender, treatment modality, source of hand pain, and depressive symptoms, a moderation effect emerged (β = - 0.16, p < 0.05), such that among patients higher in initial pain intensity, those lower in social-external HLOC experienced higher pain intensity at follow-up compared to those with high social-external HLOC. Internal HLOC and fatalistic-external HLOC did not moderate the effect of initial pain intensity on pain intensity ...Continue Reading

References

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Citations

Feb 6, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sang Jun SongCheol Hee Park
Jan 15, 2020·Pain and Therapy·Alan David KayeElyse M Cornett
Apr 17, 2021·Clinical Orthopaedics and Related Research·Julia BlackburnUNKNOWN Hand-Wrist Study Group
May 13, 2019·Geriatric Nursing·Shirley MusichCharlotte S Yeh

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