Evidence map›Paper›PMID 29488207›Full record

ArticleInternational journal of behavioral medicine2018

The Role of Health Locus of Control in Pain Intensity Outcome of Conservatively and Operatively Treated Hand Surgery Patients.

Julian A Stewart, Vera Aebischer, Niklaus Egloff, Barbara Wegmann, Roland von Känel, Esther Vögelin, Martin Grosse Holtforth

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Article in International journal of behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Julian A StewartDivision of Psychosomatic Medicine, Department of Neurology, Inselspital, Bern University Hospital, 3010, Bern, Switzerland. julian.stewart@insel.ch.ORCID http://orcid.org/0000-0003-2100-5743
Vera AebischerDepartment of Psychology, University of Bern, Bern, Switzerland.
Niklaus EgloffDivision of Psychosomatic Medicine, Department of Neurology, Inselspital, Bern University Hospital, 3010, Bern, Switzerland.
Barbara WegmannDivision of Psychosomatic Medicine, Department of Neurology, Inselspital, Bern University Hospital, 3010, Bern, Switzerland.
Roland von KänelDepartment of Psychosomatic Medicine, Clinic Barmelweid, Barmelweid, Switzerland.
Esther VögelinDepartment of BioMedical Research, University of Bern, Bern, Switzerland.
Martin Grosse HoltforthDivision of Psychosomatic Medicine, Department of Neurology, Inselspital, Bern University Hospital, 3010, Bern, Switzerland.
University of Bern · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePsychological factors have shown to be associated with treatment outcomes in hand injury patients. This study aimed to investigate the role of health locus of control (HLOC) and its dimensions internal, social-external, and fatalistic-external HLOC in treatment outcomes of hand injury patients.

methodOne hundred thirty-two consecutive patients of a tertiary center for hand surgery undergoing treatment for acute hand injury or degenerative hand problems were included in this study. Pretreatment levels of depression, anxiety, HLOC, and pain intensity were measured, along with pain intensity levels at 4-month follow-up. Hierarchical regression analyses were calculated to test for moderation effects of the HLOC dimensions on the relationship between pretreatment and follow-up pain intensity.

resultsControlling for age, gender, treatment modality, source of hand pain, and depressive symptoms, a moderation effect emerged (β = - 0.16, p < 0.05), such that among patients higher in initial pain intensity, those lower in social-external HLOC experienced higher pain intensity at follow-up compared to those with high social-external HLOC. Internal HLOC and fatalistic-external HLOC did not moderate the effect of initial pain intensity on pain intensity at follow-up.

conclusionHand injury patients suffering greater initial pain intensity who also had lower versus higher social-external HLOC experienced less favorable treatment outcome. This finding suggests that if patients with high initial pain succeed in transferring perceived health control to professionals and to gain confidence in treatment and clinicians, treatment outcome could be improved in hand surgery.

Indexed as

Internal-External ControlAdultAgedAnxietyDepressionFemaleHandHumansMaleMiddle AgedPain ManagementStress, PsychologicalChronic painDepressionHand injuryHand surgeryHealth locus of control

Identifiers

PMID29488207
OpenAlexW2790027869

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.