期刊
BRAIN INJURY
卷 35, 期 1, 页码 32-40出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02699052.2020.1859614
关键词
Pain Anxiety; self-Efficacy; therapy Engagement; functional Outcomes; Acquired Brain Injury
资金
- Foundation for Rehabilitation Psychology
- Wayne State University
- National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) [90DPTB0016]
High pain anxiety is associated with lower education, poor self-efficacy, and more emotional distress, negatively impacting rehabilitation outcomes for individuals with ABI. Pain anxiety is negatively related to therapy engagement, and it moderates the impact of self-efficacy on basic ADLs for ABI patients.
Purpose: The purpose of this study was to examine pain anxiety after acquired brain injury (ABI) and its relationship to rehabilitation outcomes. Materials and Method: Participants consisted of 89 adults with an ABI participating in outpatient rehabilitation therapy. They completed a battery of neuropsychological tests at baseline along with surveys of mood, health-related self-efficacy, and pain anxiety. Separately, occupational therapists assessed basic and instrumental activities of daily living (ADLs) as well as therapy engagement across treatment after the sixth session. Results: Individuals who reported high pain anxiety had fewer years of formal education, lower self-efficacy, and more emotional distress than those with low pain anxiety. Although Blacks were about half (56%) of the study sample, they comprised the majority (73.1%) of individuals in the high pain anxiety group. Pain anxiety was negatively related to therapy engagement. Moderation analysis using linear regression indicated that pain anxiety moderated the influence of self-efficacy on basic ADLs. Conclusions: Pain anxiety, particularly when high, is negatively associated with rehabilitation outcomes for individuals with ABI. Among those with high pain anxiety, health-related self-efficacy is an important resilience characteristic to improve functional outcomes. In rehabilitation therapy, pain anxiety provides a novel intervention target to enhance ABI recovery.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据