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Titolo:
Agency orientation and chronic musculoskeletal pain: Effects of a group learning program based on the personal construct theory
Autore:
Haugli, L; Steen, E; Laerum, E; Finset, A; Nygaard, R;
Indirizzi:
Univ Oslo, Dept Community Hlth & Gen Practice, N-0317 Oslo, Norway Univ Oslo Oslo Norway N-0317 ty Hlth & Gen Practice, N-0317 Oslo, Norway Univ Oslo, Dept Behav Sci Med, N-0317 Oslo, Norway Univ Oslo Oslo NorwayN-0317 lo, Dept Behav Sci Med, N-0317 Oslo, Norway Univ Oslo, Inst Educ Res, N-0317 Oslo, Norway Univ Oslo Oslo Norway N-0317 iv Oslo, Inst Educ Res, N-0317 Oslo, Norway
Titolo Testata:
CLINICAL JOURNAL OF PAIN
fascicolo: 4, volume: 16, anno: 2000,
pagine: 281 - 289
SICI:
0749-8047(200012)16:4<281:AOACMP>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; HEALTH LOCUS; PSYCHOLOGICAL DISTRESS; COPING STRATEGIES; STRESS; SCALES;
Keywords:
chronic musculoskeletal pain; learning; group; Agency Orientation; personal control;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Haugli, L Univ Oslo, Dept Community Hlth & Gen Practice, Pb 1130 Blindern,N-0317 Oslo, Norway Univ Oslo Pb 1130 Blindern Oslo Norway N-0317 0317 Oslo, Norway
Citazione:
L. Haugli et al., "Agency orientation and chronic musculoskeletal pain: Effects of a group learning program based on the personal construct theory", CLIN J PAIN, 16(4), 2000, pp. 281-289

Abstract

Objective: This study evaluated the effects of a group learning program onpatients with chronic musculoskeletal pain and high absenteeism and investigates what characterizes those patients who may benefit from such a program. The learning program was based on personal construct theory. The theory included the following: (1) participation in an educational program is related to a favorable outcome across the outcome measures (pain, pain coping, management of daily life, absenteeism, and use of health care), (2) patients with high agency orientation (i.e., inner-directed) cope with their pain and manage daily life in a better manner than do patients with low agency orientation (i.e., outer-directed), and (3) patients with high personal control, measured in terms of agency orientation, in terms of health locus of control, or in both terms, will benefit more from the educational program than will patients with low personal control. Design: The study was a randomized controlled study. Patients: One hundred and sixteen patients with chronic musculoskeletal pain and high absenteeism answered a questionnaire before and after the intervention program. The intervention group (n = 61) consisted of nine subgroups geographically spread through the eastern part of Norway and met for fourhours every 2 weeks from February 1997 to October 1997. A total of 12 meetings were held. Results: The intervention group reported a significantly higher score for the variable "management of everyday life" (p <0.005) and for the variable "health care consumption" (p <0.001) than did the control group. Patients with high agency orientation benefited more from the program with regard to pain reduction and improved pain coping than did those patients with low agency orientation (p <0.05). Patients with high agency orientation also reported less absenteeism than did those patients with low agency orientation (p <0.05).

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Documento generato il 11/07/20 alle ore 04:44:57