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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 3/2018

01-06-2018

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

Authors: Julian A. Stewart, Vera Aebischer, Niklaus Egloff, Barbara Wegmann, Roland von Känel, Esther Vögelin, Martin grosse Holtforth

Published in: International Journal of Behavioral Medicine | Issue 3/2018

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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.
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Metadata
Title
The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients
Authors
Julian A. Stewart
Vera Aebischer
Niklaus Egloff
Barbara Wegmann
Roland von Känel
Esther Vögelin
Martin grosse Holtforth
Publication date
01-06-2018
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 3/2018
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-018-9713-4

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