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https://hdl.handle.net/11499/8209
Title: | Psychic predictors of outcomes of physical therapy | Authors: | Atalay, N.S. Akkaya, Nuray Konukcu, S. Balci, C.S. Sahin, F. |
Keywords: | chronic pain Outcome prediction physical therapy adult alexithymia anxiety article Beck Depression Inventory convalescence cyclothymia depression doctor global patient evaluation emotion female human irritability knee pain low back pain major clinical study male neck pain Nottingham Health Profile outcome assessment patient mobility patient self global evaluation physical activity physiotherapy predictive value priority journal psychological aspect quality of life questionnaire rating scale rest scoring system self evaluation shoulder pain sleep social isolation State Trait Anxiety Inventory temperament Temperament Evaluation of the Memphis Pisa Paris and San Diego Autoquestionnaire Toronto Alexithymia scale treatment response visual analog scale Adult Anxiety Depression Female Follow-Up Studies Humans Incidence Male Middle Aged Musculoskeletal Pain Physical Therapy Modalities Predictive Value of Tests Prospective Studies Psychological Tests Treatment Outcome |
Abstract: | BACKGROUND AND OBJECTIVES: To investigate the relations between alexithymia, temperament features, depression and anxiety levels and level of benefit from physical therapy. MATERIAL AND METHOD: Fifty-eight patients in a physical therapy program were included in this study. Toronto Alexithymia Scale (TAS), Temperament Evaluation of the Memphis, Pisa, Paris and San Diego Autoquestionnaire (TEMPS-A), Beck Depression Scale (BDS) and State-Trait Anxiety Inventory (STAI) were used before the treatment. Response to treatment parameters were as follows: pre-treatment, 10th session and 3rd month resting and activity pain was evaluated using the Visual Analogue Scale (VAS-R, VAS-A), patients' self global evaluation (PSGE), doctors' global patient evaluation (DGPE) and Nottingham Health Profile (NHP). RESULTS: At the end of treatment, significant recovery was obtained in VAS-R, VAS-A, PSGE, DGPE, NHP-pain, NHP-physical mobility and NHP-energy scores. No changes were found in NHP-sleep, NHP-social isolation and NHP-emotional reaction scores (p> 0.05). Except for the recovery percentage of TAS and NSP-energy, no relations between TAS and other parameters were detected (p< 0.05). Only the recovery percentage of the PSGE parameter revealed significant negative correlation with depressive, cyclothymic and anxious temperament means of TEMPS-A (p< 0.05). Other temperament features of TEMPS-A (hyperthymic, irritable) revealed no correlations. Significant negative correlations were found between BDS and PSGE, and VAS-A (p< 0.05). No correlations were found between BDS and other parameters, or between STAI scores and response parameters (p> 0.05). CONCLUSION: Although pain, life quality and doctor evaluation of the patients in the physical treatment program improved greatly after the treatment, no favorable results were obtained for patients who had high depressive, cyclothymic, anxious temperament and depression scores. It was detected that alexithymia and anxiety scores revealed no effect in this evaluation. © 2013 - IOS Press and the authors. All rights reserved. | URI: | https://hdl.handle.net/11499/8209 https://doi.org/10.3233/BMR-2012-00352 |
ISSN: | 1053-8127 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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