Geisser Michael E, Robinson Michael E, Miller Quaintance L, Bade Suzanne M
Department of Physical Medical Medicine and Rehabilitation, University of Michigan Health System, Spine Program, Eisenhower Parkway, Ann Arbor, Michigan, USA.
J Occup Rehabil. 2003 Dec;13(4):259-76. doi: 10.1023/a:1026272721813.
Psychosocial factors have been found to have a significant impact on functional activity, particularly among persons with chronic pain. While various systems have been developed to assess functional limitations through functional capacity evaluation (FCE), assessment of psychosocial factors that may impact function have been largely ignored. This paper examines the existing literature on psychosocial factors and FCE performance. Given that there are few studies that have directly addressed this issue, the paper also examines psychosocial factors that have been found to influence function in persons with pain. The results of the literature review indicate that few psychosocial factors have been found to be directly associated with FCE and functional measures, although many are related to various measures of disability. The strongest evidence that psychosocial factors are related to functional performance is based on the studies examining the association between functional activity and pain-related fear, self-efficacy, and illness behavior. Psychosocial factors have also been shown to influence measures of sincerity of effort often obtained during FCE. Proposals for modifying FCE assessment are given based on the available data, as well as suggestions for future research.
人们发现社会心理因素对功能活动有重大影响，尤其是在慢性疼痛患者中。虽然已经开发了各种系统，通过功能能力评估（FCE）来评估功能限制，但对可能影响功能的社会心理因素的评估在很大程度上被忽视了。本文考察了关于社会心理因素和FCE表现的现有文献。鉴于直接探讨这一问题的研究很少，本文还考察了已发现的影响疼痛患者功能的社会心理因素。文献综述结果表明，虽然许多社会心理因素与各种残疾指标相关，但很少有因素被发现与FCE和功能指标直接相关。社会心理因素与功能表现相关的最有力证据来自于考察功能活动与疼痛相关恐惧、自我效能和疾病行为之间关联的研究。社会心理因素还被证明会影响FCE过程中经常获得的努力程度的衡量指标。基于现有数据给出了修改FCE评估的建议，以及对未来研究的建议。
