ArticleJournal of clinical psychology in medical settings2019
Patient Activation Mediates the Association Between Psychosocial Risk Factors and Spine Surgery Results.
Article in Journal of clinical psychology in medical settings, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Is the Association Between Agency and Levels of Capability and Comfort in Musculoskeletal Care? A Systematic Review.Clinical orthopaedics and related research · 2024Pooled it
- Does grit and self-control impact outcomes following spine surgery? Early findings from a prospective study evaluating the association between grit and self-control following minimally invasive laminectomy/microdiscectomy and anterior cervical surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Observational
- The Role of Psychosocial Screening in Patient Selection for Spine Surgery: A Review.International journal of spine surgery · 2023Article
- Worsening pain and quality of life for spine surgery patients during the COVID-19 pandemic: Roles of psychological distress and patient activation.North American Spine Society journal · 2022Article
- Validity of the Somatic Complaints Scales of the MMPI-2-RF in an Outpatient Chronic Pain Clinic.Journal of clinical psychology in medical settings · 2021Article
- Presurgical Psychological Evaluation: Risk Factor Identification and Mitigation.Journal of clinical psychology in medical settings · 2020Article
- Associations of depression and sociodemographic characteristics with patient activation among those presenting for spine surgery.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although spine surgery (SS) and spinal cord stimulators (SCSs) can provide significant relief for patients with intractable pain, their effectiveness is variable. Previously, a number of pre-operative psychosocial risk factors have predicted suboptimal outcomes of these procedures. However, recent research has found that "patient activation"-the extent to which patients are engaged and active in their own health care-can predict positive surgical results. The purpose of the current investigation was to determine whether patient activation helps explain associations between established psychosocial risk factors and suboptimal outcomes. Candidates for SS and SCS (n = 1254; 56.3% women, mean age 50.4 years) consented to participate in an outcome study prior to their pre-surgical psychological evaluation. Of those, 46.3% returned self-report measures an average of 180 days (SD = 79.1) post-surgery. Bootstrapped mediation analyses indicated that patient activation mediates numerous associations between psychosocial risk factors and suboptimal outcomes. That is, patients' involvement in obtaining information, decision making, and their resilience can explain why some patients do not experience adverse surgical results when pre-surgical psychosocial risk factors are present. Pre-surgical psychological evaluations should include examination of patient strengths in addition to psychosocial risk factors, so that treatments can be appropriately individualized and the most effective surgical results obtained.
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