Internal health locus of control as a predictor of pain reduction in multidisciplinary inpatient treatment for chronic pain: a retrospective study.

Zuercher-Huerlimann, Elian; Stewart, Julian A.; Egloff, Niklaus; von Känel, Roland; Studer, Martina; grosse Holtforth, Martin (2019). Internal health locus of control as a predictor of pain reduction in multidisciplinary inpatient treatment for chronic pain: a retrospective study. Journal of pain research, 12, pp. 2095-2099. Dove Medical Press 10.2147/JPR.S189442

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Purpose Chronic pain is a major health concern and its treatment requires physiological as well as psychological interventions. This study investigates the predictive value of health locus of control (HLOC) in pain intensity in chronic pain patients in an inpatient treatment setting. Patients and methods Data of 225 patients with a chronic pain condition were collected in a psychosomatic university clinic in Switzerland. Self-report assessment tools were used to measure pain intensity pre- and posttreatment and with a questionnaire dimensions of the HLOC were captured. Using hierarchic linear regression analysis, the predictive value of HLOC was investigated. Results A higher internal HLOC at pre-treatment was associated with a greater reduction in pain intensity from pre- to posttreatment (β = -0.151, p<0.05). For social-external and fatalistic-external HLOC no significant effects were observed. Conclusion Internal HLOC showed predictive value regarding the reduction in pain intensity in a multidisciplinary inpatient treatment for chronic pain, whereas social-external and fatalistic-external HLOC did not. Early interventions to strengthen internal beliefs of health control may be a promising component in multidisciplinary inpatient treatment for patients with chronic pain.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine
07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Stewart, Julian Anthony Wharton; Egloff, Niklaus; Studer, Martina and grosse Holtforth, Martin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1178-7090

Publisher:

Dove Medical Press

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

04 Dec 2019 15:09

Last Modified:

04 Dec 2019 15:09

Publisher DOI:

10.2147/JPR.S189442

PubMed ID:

31372026

Uncontrolled Keywords:

chronic pain health attribution inpatient treatment pain relief self-management

BORIS DOI:

10.7892/boris.136084

URI:

https://boris.unibe.ch/id/eprint/136084

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