Bazrafshan Amir, Fahimy Moein, Farpour Hamid Reza, Sayyadi Amin, Heiran Alireza
Substance Abuse Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
J Spinal Cord Med. 2025 May;48(3):493-498. doi: 10.1080/10790268.2024.2426309. Epub 2024 Nov 22.
Spinal cord injuries (SCIs) are major sources of socioeconomic burdens and are still rising globally. SCIs also cause several personal sufferings in both physical and psychological aspects. Individuals' reactions following a traumatic incident can vary based on the severity and nature of the damage, as well as their psychological dispositions. Locus of control (an individual's belief in his/her ability to control the outcome of events surrounding them) is an important factor in determining individuals' quality of life (QoL) in the aftermath of an incident.
We conducted a cross-sectional study to investigate the association between locus of control and general health in patients with lumbar SCI. This study was carried out on 108 patients with lumbar SCI using the Rotter's Locus of Control Scale and the General Health questionnaires, as well as demographic data.
Patients with an internal locus of control had a significantly better general health score than those with an external locus of control (32 vs. 38.5; < 0.0001). There was a moderate positive correlation between general health and locus of control score (R = 0.575; < 0.0001). Also, employed patients had a significantly more internal locus of control score compared to unemployed patients (7 vs. 8; = 0.004).
Scores of locus of control and general health are significantly correlated, and internal locus of control could lead to better general mental health in patients with lumbar SCI. Although there is a need for more studies with better study designs to approve of this association, the results of this study emphasize the importance of interventions targeting locus of control, improving socio-economic conditions, and rehabilitation measures in improving the general health of these patients.
脊髓损伤（SCI）是社会经济负担的主要来源，且在全球范围内仍呈上升趋势。脊髓损伤还会在身体和心理方面给个人带来诸多痛苦。创伤事件后个体的反应会因损伤的严重程度和性质以及他们的心理倾向而有所不同。控制点（个体对自身控制周围事件结果能力的信念）是决定事件发生后个体生活质量（QoL）的一个重要因素。
我们进行了一项横断面研究，以调查腰椎脊髓损伤患者的控制点与总体健康之间的关联。本研究对108例腰椎脊髓损伤患者使用罗特控制点量表、一般健康问卷以及人口统计学数据进行了调查。
内控型患者的总体健康得分显著高于外控型患者（32分对38.5分；<0.0001）。总体健康与控制点得分之间存在中度正相关（R = 0.575；<0.0001）。此外，与失业患者相比，就业患者的内控点得分显著更高（7分对8分；= 0.004）。
控制点得分与总体健康显著相关，内控型可能会使腰椎脊髓损伤患者的总体心理健康状况更好。尽管需要更多设计更优的研究来证实这种关联，但本研究结果强调了针对控制点的干预措施、改善社会经济状况以及康复措施在改善这些患者总体健康方面的重要性。
