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The long-term consequences of peer victimization on physical and psychological health: A longitudinal study 同伴伤害对身心健康的长期影响:一项纵向研究
Q1 Social Sciences Pub Date : 2019-12-06 DOI: 10.1111/jabr.12174
Priya A. Iyer-Eimerbrink, Lauri A. Jensen-Campbell

Purpose

This study examined whether social and physical peer victimization in adolescence led to changes in psychological and physical health outcomes.

Methods

One hundred and twenty adolescents (boys = 54) and a parent completed measures of peer victimization and health approximately 2 years apart.

Results

Results indicated that both social and physical victimization were related to increases in the frequency and severity of health problems over the assessment period.

Conclusions

Increases in social, but not physical victimization, were related to more internalizing problems as well as greater frequency and severity of health problems at the second assessment. Anxious depression and severity of health problems at the first assessment were related to increases in social, but not physical forms of victimization over the 2-year period. These results continue to shed light on the notion that being peer victimized is not a normal part of life and is not necessarily something that adolescents will reconcile with time.

目的本研究探讨了青少年社会和身体同伴伤害是否会导致心理和身体健康结果的变化。方法120名青少年(男孩54名)和一名家长间隔约2年完成同伴伤害和健康测量。结果表明,在评估期间,社会和身体伤害与健康问题的频率和严重程度的增加有关。结论:在第二次评估中,社会伤害(而非身体伤害)的增加与更多的内化问题以及更频繁和更严重的健康问题有关。在第一次评估时,焦虑、抑郁和健康问题的严重程度与两年期间社会伤害的增加有关,但与身体伤害无关。这些结果继续阐明了这样一个概念,即被同伴伤害不是生活的正常部分,也不一定是青少年会随着时间的推移而接受的。
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引用次数: 9
Learning to cope with everyday instances of social exclusion: A review of emotional and cognitive strategies for children and adolescents 学会应对日常社会排斥:儿童和青少年情绪和认知策略综述
Q1 Social Sciences Pub Date : 2019-10-03 DOI: 10.1111/jabr.12173
Susanna Timeo, Paolo Riva, Maria Paola Paladino

Over 20 years of research has shown that social exclusion is a pervasive and powerful form of social threat. Social exclusion causes a wide variety of negative outcomes including negative emotions and threats to fundamental human needs (i.e., self-esteem). Most importantly, experiencing exclusion during childhood or adolescence can provoke long-term negative effects such as depression and anxiety disorders. Despite the growing interest in this domain, only recent studies have started to examine possible coping strategies to contrast the negative effects of exclusion. In this article, we first review the empirical findings concerning the consequences of social exclusion in children and adolescent populations. Second, we focus on cognitive and socio-emotional strategies that children and adolescents can use to deal with exclusion when it has occurred. Implications and future directions are discussed.

20多年的研究表明,社会排斥是一种普遍而强大的社会威胁。社会排斥会导致各种各样的负面结果,包括负面情绪和对人类基本需求(即自尊)的威胁。最重要的是,在童年或青少年时期遭受排斥会引发长期的负面影响,如抑郁症和焦虑症。尽管对这一领域的兴趣日益浓厚,但直到最近才开始研究可能的应对策略,以对比排斥的负面影响。在本文中,我们首先回顾了关于儿童和青少年群体中社会排斥后果的实证研究结果。其次,我们关注儿童和青少年在发生排斥时可以使用的认知和社会情感策略。讨论了影响和未来的发展方向。
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引用次数: 10
Peer victimization and cortisol production in children and adolescents: A systematic review 儿童和青少年的同伴受害和皮质醇的产生:一个系统的回顾
Q1 Social Sciences Pub Date : 2019-08-22 DOI: 10.1111/jabr.12172
Wendy Kliewer, David W. Sosnowski, Hayne Noh, Kristina McGuire, Anna W. Wright

Purpose

To summarize the literature linking peer victimization to cortisol production in children and adolescents, with the goals of improving how these constructs are assessed and clarifying implications for health outcomes.

Methods

A systematic search was conducted across four online databases. Searches included studies examining any association between peer victimization, or bullying, and cortisol among school-age youth (ages 5–17 years).

Results

A thorough search of multiple online databases and careful consideration of inclusion and exclusion criteria following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines yielded 20 studies for detailed review. Peer victimization was consistently associated with blunted cortisol reactivity and diurnal cortisol slope, and least often associated with the cortisol awakening response.

Conclusions

Studies that expand the range of biomarkers and the diversity of youth included in the samples; that use appropriate covariates, adequate quantities of biological samples, and reliable measures; and that test theoretically grounded pathways through which peer victimization is linked to biological stress responses will advance scholarship in this field.

目的总结儿童和青少年同伴受害与皮质醇产生相关的文献,目的是改进这些结构的评估方式,并阐明其对健康结果的影响。方法对4个在线数据库进行系统检索。搜索包括对学龄青少年(5-17岁)同伴受害或欺凌与皮质醇之间关系的研究。结果:通过对多个在线数据库的全面搜索,并根据系统评价和荟萃分析指南的首选报告项目仔细考虑纳入和排除标准,得出了20项研究供详细评价。同伴受害始终与皮质醇反应钝化和皮质醇日斜率相关,与皮质醇觉醒反应相关的情况最少。扩大样本中生物标志物的范围和青年多样性的研究;使用适当的协变量、足够数量的生物样本和可靠的测量方法;这个测试从理论上证明了同伴受害与生物应激反应之间的联系,这将推动这一领域的学术研究。
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引用次数: 11
An overview of a biopsychosocial model of epigenetics and pain catastrophizing 表观遗传学和疼痛灾难的生物心理社会模型综述
Q1 Social Sciences Pub Date : 2019-06-12 DOI: 10.1111/jabr.12171
Danielle M. Brecht, Robert J. Gatchel

In an earlier Special Issue in the Journal of Applied Biobehavioral Research (JABR), Gatchel (Journal of Applied Biobehavioral Research, 2017, 22[1], e12088) addressed the construct of pain catastrophizing (PC). The present article is meant to extend those reviews within a biopsychosocial context, as well as update recent research on PC with a specific concentration on genetic factors. An overview of biological factors as they relate to PC and epigenetics are reviewed first (brain areas associated with pain and how they adapt neurochemically to chronic noxious stimuli, polymorphism of various genes, etc.), proceeded by the discussion of psychological (depression, anxiety, and the genomic link to neuroticism) and social influences (reason people engage in PC, age's impact on neuronal restructuring) as they corroborate the argument of PC's link to genetic factors. Finally, this article concludes by providing future directions for research concerning PC such as examining the efficacy of Pain Neurobiology Education, as well as gene therapy.

Gatchel (Journal of Applied Biobehavioral Research, 2017, 22 b[1], e12088)在早期的《Journal of Applied Biobehavioral Research》(JABR)特刊中阐述了疼痛灾难化(PC)的构建。本文旨在将这些评论扩展到生物心理社会背景下,并更新最近对PC的研究,具体集中在遗传因素上。首先回顾了与PC和表观遗传学相关的生物因素的概述(与疼痛相关的大脑区域以及它们如何在神经化学上适应慢性有害刺激,各种基因的多态性等),然后讨论了心理(抑郁、焦虑和与神经质的基因组联系)和社会影响(人们参与PC的原因,年龄对神经元重组的影响),因为它们证实了PC与遗传因素有关的论点。最后,本文提出了今后的研究方向,如疼痛神经生物学教育和基因治疗的有效性研究。
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引用次数: 0
A physical therapist’s role in pain management: A biopsychosocial perspective 物理治疗师在疼痛管理中的作用:一个生物-心理-社会的视角
Q1 Social Sciences Pub Date : 2019-06-06 DOI: 10.1111/jabr.12170
Kara Edgerton, Jarod Hall, Michelle K. Bland, Blaine Marshall, Ryan Hulla, Robert J. Gatchel

Aim

People suffering with chronic pain have a decreased quality of life in both the physical and psychosocial dimensions. Popular treatment methods for a chronic pain patient are opioid prescriptions and surgery, which may not be beneficial to long-term outcomes in chronic pain patients, and may actually result in reducing a patient's overall health.

Purpose

This review will examine the role of the physical therapist in treating chronic pain patients in regard to the biopsychosocial model. Reviewing chronic pain through a biopsychosocial perspective, screening, evaluation, intervention selection, and problems with programs adherence in regard to chronic pain patients in physical therapy will be discussed. Psychosocial components of chronic pain including fear of movement and depression are also examined in how they can hinder or interfere with physical therapy treatment and evaluation.

Conclusion

When treating chronic pain patients, applying the biopsychosocial perspective to physical therapy with a focus on restoring physical function could provide the least invasive treatment for chronic pain patients with optimal outcomes.

目的慢性疼痛患者在生理和心理两方面的生活质量都有所下降。对于慢性疼痛患者,常用的治疗方法是阿片类药物处方和手术,这可能对慢性疼痛患者的长期结果没有好处,实际上可能导致患者的整体健康状况下降。目的本综述将探讨物理治疗师在治疗慢性疼痛患者的生物心理社会模型中的作用。回顾慢性疼痛,通过生物心理社会的角度,筛选,评估,干预选择,并与方案依从性问题有关慢性疼痛患者在物理治疗将进行讨论。慢性疼痛的心理社会因素,包括对运动的恐惧和抑郁,也被研究了它们如何阻碍或干扰物理治疗、治疗和评估。结论在治疗慢性疼痛患者时,将生物心理社会观点应用于物理治疗,以恢复身体功能为重点,可以为慢性疼痛患者提供创伤最小的治疗方法,并获得最佳的治疗效果。
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引用次数: 5
Addressing the issue of job performance among hospital physicians in Pakistan: The role of job security, organizational support, and job satisfaction 解决巴基斯坦医院医生的工作绩效问题:工作保障、组织支持和工作满意度的作用
Q1 Social Sciences Pub Date : 2019-05-27 DOI: 10.1111/jabr.12169
Waheed Ali Umrani, Bilal Afsar, Mirwise Khan, Umair Ahmed

Purpose

The success of any organization is highly dependent on how it attracts, recruits, motivates, and retains a high-performing workforce. The reason is that performance as a phenomenon is closely related to aspects of effectiveness, knowledge management and quality from one side and to management, financing and development of the organization from the other. Especially for hospital physicians, job performance issues are inextricably linked to patient safety. Explaining the factors that influence employee performance remain a fundamental question for human resources management practitioners. The literature shows that a large number of factors influence job performance such as satisfaction from the profession, work environment, compensation policies, quality of work life, ability, effort, motivation, attitude, personality, and competence. This study looked at selected employee related factors, namely job security, organizational support, and job satisfaction. The purpose of this study is to examine the effect of job security and organizational support on hospital physician's job performance and the mediating role of job satisfaction on these relationships.

Methods

A cross-sectional quantitative approach was employed for this study. Hospital physicians working in public and private hospitals of Pakistan were selected. The sample comprised of 361 hospital physicians who were approached using the self-administered technique. To outline and explain the relationship of job security and organizational support with job performance and how job satisfaction could mediate these relationship, the data were analyzed using partial least squares-structural equation model (PLS-SEM).

Results

The results indicated that job security and organizational support positively affected job performance of hospital physicians. Moreover, job satisfaction mediated the link between job security and job performance as well as between organizational support and job performance.

Conclusions

We conclude that by providing job security and organizational support to hospital physicians, their job performance can be boosted. Physician satisfaction impacts physician behavior and, consequently, the quality of medical care. Physician satisfaction needs to be measured and monitored to improve working conditions and increase employment stability in the healthcare sector. Due to the health workforce crisis, knowledge regarding physician satisfaction and job security is essential to healthcare managers and policy makers for m

任何组织的成功都高度依赖于它如何吸引、招募、激励和留住高绩效的员工队伍。原因在于,绩效作为一种现象,一方面与组织的有效性、知识管理和质量等方面密切相关,另一方面又与组织的管理、财务和发展等方面密切相关。特别是对医院医生来说,工作表现问题与患者安全密不可分。解释影响员工绩效的因素仍然是人力资源管理从业者的一个基本问题。研究表明,职业满意度、工作环境、薪酬政策、工作生活质量、能力、努力、动机、态度、个性、胜任力等诸多因素影响着工作绩效。这项研究着眼于选定的员工相关因素,即工作保障、组织支持和工作满意度。本研究旨在探讨工作保障和组织支持对医院医师工作绩效的影响,以及工作满意度在两者关系中的中介作用。方法采用横断面定量方法进行研究。在巴基斯坦公立和私立医院工作的医院医生被选中。样本由361名医院医生组成,他们使用自我管理技术进行接触。为了概述和解释工作安全感、组织支持与工作绩效的关系,以及工作满意度如何中介这些关系,本研究采用偏最小二乘-结构方程模型(PLS-SEM)对数据进行分析。结果工作安全感和组织支持对医院医师的工作绩效有正向影响。此外,工作满意度在工作保障与工作绩效、组织支持与工作绩效之间起中介作用。结论通过为医院医师提供工作保障和组织支持,可以提高医师的工作绩效。医师满意度影响医师行为,进而影响医疗服务质量。需要衡量和监测医生的满意度,以改善医疗保健部门的工作条件和增加就业稳定性。由于卫生人力资源危机,关于医生满意度和工作保障的知识对于卫生保健管理者和政策制定者更有效地进行人力资源管理至关重要。
{"title":"Addressing the issue of job performance among hospital physicians in Pakistan: The role of job security, organizational support, and job satisfaction","authors":"Waheed Ali Umrani,&nbsp;Bilal Afsar,&nbsp;Mirwise Khan,&nbsp;Umair Ahmed","doi":"10.1111/jabr.12169","DOIUrl":"10.1111/jabr.12169","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The success of any organization is highly dependent on how it attracts, recruits, motivates, and retains a high-performing workforce. The reason is that performance as a phenomenon is closely related to aspects of effectiveness, knowledge management and quality from one side and to management, financing and development of the organization from the other. Especially for hospital physicians, job performance issues are inextricably linked to patient safety. Explaining the factors that influence employee performance remain a fundamental question for human resources management practitioners. The literature shows that a large number of factors influence job performance such as satisfaction from the profession, work environment, compensation policies, quality of work life, ability, effort, motivation, attitude, personality, and competence. This study looked at selected employee related factors, namely job security, organizational support, and job satisfaction. The purpose of this study is to examine the effect of job security and organizational support on hospital physician's job performance and the mediating role of job satisfaction on these relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional quantitative approach was employed for this study. Hospital physicians working in public and private hospitals of Pakistan were selected. The sample comprised of 361 hospital physicians who were approached using the self-administered technique. To outline and explain the relationship of job security and organizational support with job performance and how job satisfaction could mediate these relationship, the data were analyzed using partial least squares-structural equation model (PLS-<i>SEM)</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results indicated that job security and organizational support positively affected job performance of hospital physicians. Moreover, job satisfaction mediated the link between job security and job performance as well as between organizational support and job performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We conclude that by providing job security and organizational support to hospital physicians, their job performance can be boosted. Physician satisfaction impacts physician behavior and, consequently, the quality of medical care. Physician satisfaction needs to be measured and monitored to improve working conditions and increase employment stability in the healthcare sector. Due to the health workforce crisis, knowledge regarding physician satisfaction and job security is essential to healthcare managers and policy makers for m","PeriodicalId":45868,"journal":{"name":"JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH","volume":"24 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jabr.12169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42685373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
A longitudinal examination of the interrelationships between multiple health behaviors in cancer patients 癌症患者多种健康行为之间相互关系的纵向研究
Q1 Social Sciences Pub Date : 2019-05-27 DOI: 10.1111/jabr.12168
Paquito Bernard, Hans Ivers, Marie-Hélène Savard, Josée Savard

Purpose

A healthy lifestyle following a cancer diagnosis is associated with reduced risk for a cancer recurrence. Better understanding the interrelationships between multiple health behaviors (HB) in cancer survivors could inform the development of more effective interventions to promote a healthy lifestyle.

Methods

This prospective study assessed the longitudinal interrelationships between smoking, physical activity, alcohol intake, and caffeine consumption among patients with mixed cancer sites at the peri-operative period and 2, 6, 10, 14, and 18 months later. A cross-lagged design and structural equation modeling were used to assess the relationships between all four HBs over time.

Results

The study included 962 participants. The model showed a good fit to the data. For all four HBs, continuity paths consistently indicated that one particular health behavior was significantly predicted by the same health behavior at the previous time point. However, no consistent pattern of cross-lagged relationships between HBs emerged. Physical activity at 14- and 18-month evaluations was the HB most consistently involved either as a predictor as a predicted variable.

Conclusion

Overall, this study indicates that HBs assessed following cancer surgery are mostly independent and that interventions promoting HB changes during the cancer treatment trajectory need to target each health behavior separately.

目的癌症诊断后的健康生活方式与癌症复发风险降低相关。更好地了解癌症幸存者多种健康行为(HB)之间的相互关系,可以为制定更有效的干预措施提供信息,以促进健康的生活方式。方法本前瞻性研究评估了围手术期及术后2、6、10、14和18个月混合性癌症患者吸烟、体育活动、饮酒和咖啡因摄入之间的纵向相互关系。使用交叉滞后设计和结构方程模型来评估所有四个HBs之间随时间的关系。结果共纳入962名受试者。该模型与实际数据拟合良好。对于所有四种HBs,连续性路径一致表明,一种特定的健康行为被前一个时间点的相同健康行为显著预测。然而,哈佛商学院之间并没有出现一致的交叉滞后关系模式。在14个月和18个月的评估中,身体活动是HB最一致的预测因子和预测变量。总体而言,本研究表明,癌症手术后评估的HB大多是独立的,在癌症治疗过程中促进HB变化的干预措施需要分别针对每种健康行为。
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引用次数: 2
Cardiovascular and affective responses to speech and anger: Proactive benefits of a single brief session of mindfulness meditation 对言语和愤怒的心血管和情感反应:一次简短的正念冥想的积极益处
Q1 Social Sciences Pub Date : 2019-04-17 DOI: 10.1111/jabr.12167
Kayla T. Johnson, Marcellus M. Merritt, Matthew J. Zawadzki, Michelle R. Di Paolo, Maryam Ayazi

Purpose

This pilot study evaluated whether a brief, 5-min single-session of mindfulness meditation (MM) training could lessen cardiovascular and affective reactivity to speech and anger recall. Moreover, we tested if trait levels of perseverative cognitions (PCs) moderated these relationships.

Methods

Participants completed online survey measures including PCs; thereafter, they completed a 5-min resting baseline, 2-min speech task, and 5-min anger recall task while measures of BP were collected. The experimental group received a 5-min MM training session before the resting baseline period.

Results

Repeated measures ANOVA were conducted for condition (MM vs. control) and period (repeated: baseline, speech, anger recall) on blood pressure (BP). The MM group showed less systolic and diastolic BP reactivity during speech and anger recall than the control group. There were no effects observed for negative affect nor did PCs moderate the BP findings.

Conclusion

Thus, even 5 min of MM training can have momentary cardiovascular benefits, having important implications for the training and implementation of MM programs.

目的:本初步研究评估了5分钟的单次正念冥想(MM)训练是否可以减少心血管和情感对言语和愤怒回忆的反应。此外,我们测试了持久性认知(PCs)的特质水平是否调节了这些关系。方法参与者完成在线调查,包括pc;之后,他们完成了5分钟的休息基线、2分钟的言语任务和5分钟的愤怒回忆任务,同时收集了血压测量值。实验组在静息基线期前进行5分钟的MM训练。结果对血压(BP)的情况(MM与对照组)和时间(重复:基线、言语、愤怒回忆)进行重复测量方差分析。在言语和愤怒回忆中,MM组的收缩压和舒张压反应性均低于对照组。没有观察到负面影响,pc也没有缓和BP的发现。因此,即使是5分钟的MM训练也可以对心血管产生短暂的益处,这对MM计划的训练和实施具有重要意义。
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引用次数: 4
Unraveling the long-term links among adolescent peer victimization and somatic symptoms: A 5-year multi-informant cohort study 揭示青少年同伴伤害与躯体症状之间的长期联系:一项为期5年的多信息队列研究
Q1 Social Sciences Pub Date : 2019-04-04 DOI: 10.1111/jabr.12166
Kirsty S. Lee, Tracy Vaillancourt

Purpose

To examine the prospective associations among peer victimization and somatic symptoms across 5 years of adolescence using multiple informants and disaggregating effects at the within-person and between-person level.

Methods

From age 13–17 years, 612 Canadian children (54% girls; 76% White) completed measures of peer victimization and somatic symptoms. Parents (89% mothers) reported on their child's somatic symptoms. We built autoregressive latent trajectory models with structured residuals, controlling for diagnosed medical and psychiatric conditions, sex, race/ethnicity, and socioeconomic status.

Results

Within-person, self-reported somatic symptoms were stable across time and there were bidirectional associations between peer victimization and somatic symptoms across the 5-year period. The magnitude of effect was strongest from somatic symptoms to peer victimization. Between-person, being a girl or having a psychiatric diagnosis predicted higher mean levels and rising trajectories of somatic symptoms and higher mean levels of peer victimization. The level of peer victimization among non-White participants increased over time. In the parent-reported model, somatic symptoms were less stable and did not predict peer victimization.

Conclusions

The results highlight the dynamic processes between peer victimization and somatic symptoms. Increased effort is needed to protect adolescents with psychiatric problems, girls, and ethnic minorities from peer abuse.

目的研究同伴伤害与5年青少年躯体症状之间的潜在关联,采用多信息者,并在人内和人间水平上进行分解效应。方法13-17岁的612名加拿大儿童(54%为女孩;76%白人)完成同伴受害和躯体症状的测量。父母(89%的母亲)报告了他们孩子的躯体症状。我们建立了具有结构化残差的自回归潜在轨迹模型,控制了诊断的医疗和精神疾病、性别、种族/民族和社会经济地位。结果在个体内部,自我报告的躯体症状在时间上是稳定的,同伴伤害与躯体症状在5年期间存在双向关联。从躯体症状到同伴受害的影响程度最强。人与人之间,作为一个女孩或有精神病诊断预示着更高的平均水平和上升的躯体症状轨迹以及更高的同伴受害平均水平。非白人参与者的同伴受害程度随着时间的推移而增加。在父母报告的模型中,躯体症状不太稳定,不能预测同伴受害。结论同伴伤害与躯体症状之间存在动态关系。需要加大努力,保护有精神问题的青少年、女孩和少数民族免受同伴虐待。
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引用次数: 10
Assessing psychosocial profile in the physical therapy setting 评估物理治疗环境中的心理社会状况
Q1 Social Sciences Pub Date : 2019-03-27 DOI: 10.1111/jabr.12165
Joshua J. Van Wyngaarden, Brian Noehren, Kristin R. Archer

Purpose

Physical therapists play a crucial role in managing persistent pain and disability. Since psychosocial factors are important predictors of poor patient outcomes, it is essential that clinicians understand how to utilize validated instruments to assess psychosocial profile in the clinical setting. The following article reviews the psychometric properties and clinical application of the Keele Subgroups for Targeted Treatment Back Screening Tool (SBT), Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), Pain Self-Efficacy Questionnaire (PSEQ), and Patient Health Questionnaire (PHQ).

Results

Multidimensional screening tools, such as the SBT and OSPRO-YF, are useful prognostic indicators of long-term disability and the presence of yellow flags that may be contributing to patient presentation, respectively. This can guide both the treatment and administration of specific, unidimensional psychosocial assessment tools. The following cutoffs are identified as moderate elevation of psychosocial profile which can be used to inform clinical practice: PCS ≥20, TSK >37, PSEQ ≥40, and PHQ-9 ≥10.

Conclusion

Valid and reliable unidimensional and multidimensional psychosocial assessment tools provide important prognostic information to inform a patient's psychosocial profile and subsequently improve clinical efficiency and patient outcomes.

物理治疗师在治疗持续性疼痛和残疾方面起着至关重要的作用。由于心理社会因素是患者预后不良的重要预测因素,因此临床医生必须了解如何在临床环境中利用经过验证的工具来评估心理社会状况。本文综述了Keele靶向治疗筛查工具(SBT)、预测转诊和预后的最佳筛查黄旗(OSPRO-YF)、疼痛灾难化量表(PCS)、坦帕运动恐惧症量表(TSK)、疼痛自我效能问卷(PSEQ)和患者健康问卷(PHQ)的心理测量学特性和临床应用。结果:多维筛查工具,如SBT和OSPRO-YF,分别是长期残疾和黄旗存在的有用预后指标,可能有助于患者的表现。这可以指导具体的、单向度的心理社会评估工具的治疗和管理。以下临界值被确定为中度社会心理特征升高,可用于临床实践:PCS≥20,TSK >37, PSEQ≥40,PHQ-9≥10。结论有效、可靠的单维和多维心理社会评估工具可提供重要的预后信息,以了解患者的心理社会状况,从而提高临床效率和患者预后。
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引用次数: 12
期刊
JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH
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