The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients
Purpose 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 patien...
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| Veröffentlicht in: | International journal of behavioral medicine 2018-06, Vol.25 (3), p.374-379 |
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| container_title | International journal of behavioral medicine |
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| creator | Stewart, Julian A. Aebischer, Vera Egloff, Niklaus Wegmann, Barbara von Känel, Roland Vögelin, Esther grosse Holtforth, Martin |
| description | Purpose
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.
Method
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.
Results
Controlling for age, gender, treatment modality, source of hand pain, and depressive symptoms, a moderation effect emerged (
β
= − 0.16,
p
|
| doi_str_mv | 10.1007/s12529-018-9713-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2009213714</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2009213714</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-989d5dbfa170829fb18b21f2369e05d52aeffa6e8b9411c1d9b5c548c1e8e7363</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpyVfzA3opgl5ycauRrZV0DEuSDSxsSLZnIdvjxsErbSU5sIf-98jspoFALpKGefRq0EPIN2A_gTH5KwIXXBcMVKEllEX1iZyAKHkhhVCf85lJVgjBymNyGuMTY0xIyY7IMdeVUpzJE_Jv_Yj03g9IfUcXaIf0SJe-GeNUz71LwQ-0d_TO5uXWJXSxTzu6GlPjN3iAIoZnm_pnHHbUupauthhe63VAm7Cli6nxMIY_GHY5LfXoUvxKvnR2iHh-2M_I7-ur9XxRLFc3t_PLZdFUIFKhlW5FW3cWJFNcdzWomkPHy5lGJlrBLXadnaGqdQXQQKtr0YhKNYAKZTkrz8jFPncb_N8RYzKbPjY4DNahH6PhjGkOpYQqoz_eoU9-DC5PN1EqDwBKZAr2VBN8jAE7sw39xoadAWYmN2bvxmQ3ZnJjpuTvh-Sx3mD7_8arjAzwPRBzy-WPenv649QX57uZ6Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2008708185</pqid></control><display><type>article</type><title>The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Stewart, Julian A. ; Aebischer, Vera ; Egloff, Niklaus ; Wegmann, Barbara ; von Känel, Roland ; Vögelin, Esther ; grosse Holtforth, Martin</creator><creatorcontrib>Stewart, Julian A. ; Aebischer, Vera ; Egloff, Niklaus ; Wegmann, Barbara ; von Känel, Roland ; Vögelin, Esther ; grosse Holtforth, Martin</creatorcontrib><description>Purpose
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.
Method
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.
Results
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 at follow-up.
Conclusion
Hand injury patients suffering greater initial pain intensity who also had lower versus higher social-external HLOC experienced less favorable treatment outcome. This finding suggests that if patients with high initial pain succeed in transferring perceived health control to professionals and to gain confidence in treatment and clinicians, treatment outcome could be improved in hand surgery.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-018-9713-4</identifier><identifier>PMID: 29488207</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aged ; Anxiety ; Anxiety - epidemiology ; Depression - epidemiology ; Family Medicine ; Female ; General Practice ; Hand - surgery ; Health Psychology ; Humans ; Injuries ; Internal-External Control ; Locus of control ; Male ; Medicine ; Medicine & Public Health ; Mental depression ; Middle Aged ; Pain ; Pain Management - methods ; Psychological aspects ; Stress, Psychological ; Surgery ; Surgical outcomes</subject><ispartof>International journal of behavioral medicine, 2018-06, Vol.25 (3), p.374-379</ispartof><rights>International Society of Behavioral Medicine 2018</rights><rights>International Journal of Behavioral Medicine is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-989d5dbfa170829fb18b21f2369e05d52aeffa6e8b9411c1d9b5c548c1e8e7363</citedby><cites>FETCH-LOGICAL-c415t-989d5dbfa170829fb18b21f2369e05d52aeffa6e8b9411c1d9b5c548c1e8e7363</cites><orcidid>0000-0003-2100-5743</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12529-018-9713-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12529-018-9713-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29488207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stewart, Julian A.</creatorcontrib><creatorcontrib>Aebischer, Vera</creatorcontrib><creatorcontrib>Egloff, Niklaus</creatorcontrib><creatorcontrib>Wegmann, Barbara</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><creatorcontrib>Vögelin, Esther</creatorcontrib><creatorcontrib>grosse Holtforth, Martin</creatorcontrib><title>The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>Purpose
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.
Method
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.
Results
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 at follow-up.
Conclusion
Hand injury patients suffering greater initial pain intensity who also had lower versus higher social-external HLOC experienced less favorable treatment outcome. This finding suggests that if patients with high initial pain succeed in transferring perceived health control to professionals and to gain confidence in treatment and clinicians, treatment outcome could be improved in hand surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Depression - epidemiology</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Hand - surgery</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Injuries</subject><subject>Internal-External Control</subject><subject>Locus of control</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain Management - methods</subject><subject>Psychological aspects</subject><subject>Stress, Psychological</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><issn>1070-5503</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU1r3DAQhkVpyVfzA3opgl5ycauRrZV0DEuSDSxsSLZnIdvjxsErbSU5sIf-98jspoFALpKGefRq0EPIN2A_gTH5KwIXXBcMVKEllEX1iZyAKHkhhVCf85lJVgjBymNyGuMTY0xIyY7IMdeVUpzJE_Jv_Yj03g9IfUcXaIf0SJe-GeNUz71LwQ-0d_TO5uXWJXSxTzu6GlPjN3iAIoZnm_pnHHbUupauthhe63VAm7Cli6nxMIY_GHY5LfXoUvxKvnR2iHh-2M_I7-ur9XxRLFc3t_PLZdFUIFKhlW5FW3cWJFNcdzWomkPHy5lGJlrBLXadnaGqdQXQQKtr0YhKNYAKZTkrz8jFPncb_N8RYzKbPjY4DNahH6PhjGkOpYQqoz_eoU9-DC5PN1EqDwBKZAr2VBN8jAE7sw39xoadAWYmN2bvxmQ3ZnJjpuTvh-Sx3mD7_8arjAzwPRBzy-WPenv649QX57uZ6Q</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Stewart, Julian A.</creator><creator>Aebischer, Vera</creator><creator>Egloff, Niklaus</creator><creator>Wegmann, Barbara</creator><creator>von Känel, Roland</creator><creator>Vögelin, Esther</creator><creator>grosse Holtforth, Martin</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2100-5743</orcidid></search><sort><creationdate>20180601</creationdate><title>The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients</title><author>Stewart, Julian A. ; Aebischer, Vera ; Egloff, Niklaus ; Wegmann, Barbara ; von Känel, Roland ; Vögelin, Esther ; grosse Holtforth, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-989d5dbfa170829fb18b21f2369e05d52aeffa6e8b9411c1d9b5c548c1e8e7363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Depression - epidemiology</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Hand - surgery</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Injuries</topic><topic>Internal-External Control</topic><topic>Locus of control</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Pain Management - methods</topic><topic>Psychological aspects</topic><topic>Stress, Psychological</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stewart, Julian A.</creatorcontrib><creatorcontrib>Aebischer, Vera</creatorcontrib><creatorcontrib>Egloff, Niklaus</creatorcontrib><creatorcontrib>Wegmann, Barbara</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><creatorcontrib>Vögelin, Esther</creatorcontrib><creatorcontrib>grosse Holtforth, Martin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stewart, Julian A.</au><au>Aebischer, Vera</au><au>Egloff, Niklaus</au><au>Wegmann, Barbara</au><au>von Känel, Roland</au><au>Vögelin, Esther</au><au>grosse Holtforth, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>25</volume><issue>3</issue><spage>374</spage><epage>379</epage><pages>374-379</pages><issn>1070-5503</issn><eissn>1532-7558</eissn><abstract>Purpose
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.
Method
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.
Results
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 at follow-up.
Conclusion
Hand injury patients suffering greater initial pain intensity who also had lower versus higher social-external HLOC experienced less favorable treatment outcome. This finding suggests that if patients with high initial pain succeed in transferring perceived health control to professionals and to gain confidence in treatment and clinicians, treatment outcome could be improved in hand surgery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29488207</pmid><doi>10.1007/s12529-018-9713-4</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-2100-5743</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of behavioral medicine, 2018-06, Vol.25 (3), p.374-379 |
| issn | 1070-5503 1532-7558 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Anxiety Anxiety - epidemiology Depression - epidemiology Family Medicine Female General Practice Hand - surgery Health Psychology Humans Injuries Internal-External Control Locus of control Male Medicine Medicine & Public Health Mental depression Middle Aged Pain Pain Management - methods Psychological aspects Stress, Psychological Surgery Surgical outcomes |
| title | The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients |
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