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| Health locus of control beliefs and psychological distress as predictors for treatment outcome in low-back pain patients: results of a 3-month follow-up of a controlled intervention study |
| Harkapaa K, Jarvikoski A, Mellin G, Hurri H, Luoma J |
| Pain 1991 Jul;46(1):35-41 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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Association of health locus of control beliefs (HLC) and psychological distress (GHQ-12) with short-term outcome of low-back pain (LBP) rehabilitation was studied in patients with chronic or recurrent LBP (n = 459; aged 35 to 54 years; 63% men). These patients were randomly assigned to 3 study groups, namely the inpatient, the outpatient and the control group. The results showed a significant decrease in disability due to LBP in the 2 treated groups; in addition, the accomplishment and frequency of back exercises was significantly better in the treated groups. HLC beliefs were associated with a successful outcome; those patients with stronger internal beliefs had gained more from the treatment, had learned their exercises better and had done the exercises more frequently during the follow-up period. Symptoms of psychological distress were significantly associated with poorer accomplishment of back exercises.
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