Kaplan G M, Wurtele S K, Gillis D
Colorado Sports and Spine Center, Colorado Springs 80907, USA.
Arch Phys Med Rehabil. 1996 Feb;77(2):161-4. doi: 10.1016/s0003-9993(96)90161-6.
Patients with low back pain are often administered a Functional Capacity Evaluation (FCE) to determine levels of physical functioning at the conclusion of their rehabilitation program. The purpose of this study was to examine the relationship between psychological factors (ie, self-reported disability, anxiety, depression, self-efficacy) and maximal effort exerted during the FCE.
Sixty-four patients with low back pain were administered the the Oswestry Low Back Disability Questionnaire, Beck Depression Inventory, State-Trait Anxiety Inventory, and the FCE Self-Efficacy Scales before administration of the FCE.
Compared with patients who gave maximal effort during the FCE, patients who did not exert maximal effort reported significantly more anxiety and self-reported disability, and reported lower expectations for both their FCE performance and for returning to work. There was also a trend for these patients to report more depressive symptomatology.
Results provide evidence for the relationship between self-reported disability, depression, anxiety, self-efficacy, and patients' performance on the FCE. Suggestions for addressing the psychological factors in a comprehensive pain treatment program are provided.
腰痛患者在康复项目结束时，常接受功能能力评估（FCE）以确定其身体功能水平。本研究的目的是探讨心理因素（即自我报告的残疾、焦虑、抑郁、自我效能感）与FCE期间所付出的最大努力之间的关系。
64名腰痛患者在接受FCE之前，完成了奥斯威斯利腰痛残疾问卷、贝克抑郁量表、状态-特质焦虑量表和FCE自我效能量表。
与在FCE期间付出最大努力的患者相比，未付出最大努力的患者报告的焦虑和自我报告的残疾明显更多，并且对其FCE表现和重返工作的期望更低。这些患者还呈现出报告更多抑郁症状的趋势。
研究结果为自我报告的残疾、抑郁、焦虑、自我效能感与患者在FCE中的表现之间的关系提供了证据。文中还提供了在综合疼痛治疗项目中应对心理因素的建议。
