LOW-BACK-PAIN - FACTORS OF VALUE IN PREDICTING OUTCOME

被引：58

作者：

LACROIX, JM

POWELL, J

LLOYD, GJ

DOXEY, NCS

MITSON, GL

ALDAM, CF

机构：

[1] Department of Psychology, Glendon College, York University, Toronto

[2] Toronto Western Hospital, University of Toronto and St. Bartholomew’s Hospital

[3] Division of Orthopaedics, Department of Surgery, Toronto Western Hospital University of Toronto, Toronto

[4] Downsview Rehabilitation Center, ON

来源：

SPINE | 1990年 / 15卷 / 06期

关键词：

Cognitions; Low-back pain; Psychologic; Schema;

D O I：

10.1097/00007632-199006000-00012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Two separate samples of 50 workers’ compensation patients were assessed within 3 to 6 months of their first back injury and were reassessed at a mean of 13.7 months postinjury, at which time work status was also determined. A number of predictors on the first assessment then were correlated with return to work. These predictors included orthopaedic evaluations of severity and prognosis, the number of nonorganic physical signs, Minnesota Multiphasic Personality Inventory (MMPI) scales 1 and 3, age, education, proficiency in English, and the accuracy of patients’ understanding of the bases for their medical condition as determined by the Schema Assessment Instrument (SAI). The SAI was the only variable to predict return to work significantly in both samples. These data point to the importance of patients’ understanding of their medical condition for their prognosis. © Lippincott-Raven Publishers.

引用

页码：495 / 499

页数：5

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