旋转袖子结果和心理健康指数:相关性还是因果关系?
M T Sabo1, A Walker2, G Elmi Assadzadeh3
1SCRUBS Research Unit, University of Calgary, Calgary, AB, Canada.
Shoulder & elbow
|November 17, 2023
概括
焦虑和抑郁等心理因素显著影响旋转手术的结果. 改善肩膀功能与更好的心理健康有关,这表明双向关系.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 康复 康复 康复 康复
背景情况:
- 众所周知,包括灾难化,焦虑和抑郁在内的心理因素会影响各种疾病的临床结果.
- 旋转手术的结果可能会受到这些心理参数的影响.
研究的目的:
- 研究心理因素 (灾难化,焦虑,抑郁) 与旋转手术的结果之间的趋势和关联.
- 了解术前心理状态和术后康复之间的关系.
主要方法:
- 一组148名患有单边症状旋转手腕综合征的患者在手术后被跟踪了一年.
- 进行了标准化问卷调查,包括西安大略旋转袖珍评分 (WORC),疼痛灾难化评分 (PCS) 和医院焦虑和抑郁评分 (HADS).
- 用单变量和多变量分析来检查这些分数的演变和关联.
主要成果:
- 在手术后一年,更高的疼痛灾难化 (PCS) 和焦虑/抑郁 (HADS-A,HADS-D) 评分与更好的肩部功能 (WORC评分) 有负相关.
- 手术前的焦虑与2周和6周的更高的术后焦虑得分有关.
- 诸如更严重的手术前疼痛,下肩功能,更高的心理压力,心血管疾病和吸烟等因素与一年内不改善的抑郁症得分有关.
结论:
- 旋转手术后患者报告的结果与手术前和手术后的心理状态有显著的关联,包括焦虑,抑郁和疼痛灾难化.
- 随着时间的推移,肩部功能和心理评分的改善表明,肩部状况和心理健康之间存在动态的双向关系.
相关概念视频
Correlations
32.8K
Correlation means that there is a relationship between two or more variables (such as ice cream consumption and crime), but this relationship does not necessarily imply cause and effect. When two variables are correlated, it simply means that as one variable changes, so does the other. We can measure correlation by calculating a statistic known as a correlation coefficient. A correlation coefficient is a number from -1 to +1 that indicates the strength and direction of the relationship between...
32.8K
Psychological and Sociocultural Causes of Schizophrenia
91
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
91
Stress and Mental Health
161
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
161
Rotter's Locus of Control
306
Julian Rotter introduced the concept of locus of control, a cognitive factor that significantly influences personality development and learning. Locus of control refers to an individual's beliefs about the extent of control they have over events in their lives. According to Rotter, this belief system can be categorized into two types: internal and external locus of control.
Individuals with an internal locus of control believe that their personal efforts and decisions directly affect their...
Individuals with an internal locus of control believe that their personal efforts and decisions directly affect their...
306
Traits, Mood, and Subjective Wellbeing
79
Subjective well-being (SWB) refers to an individual's self-evaluation of their overall life satisfaction, happiness, and fulfillment. This multifaceted construct is typically assessed by analyzing the balance of positive and negative emotions alongside perceptions of life satisfaction. Personality traits such as neuroticism and extraversion are strongly associated with variations in SWB, offering critical insights into the underlying mechanisms of emotional well-being.
Neuroticism and...
Neuroticism and...
79
Coefficient of Correlation
6.2K
The correlation coefficient, r, developed by Karl Pearson in the early 1900s, is numerical and provides a measure of strength and direction of the linear association between the independent variable x and the dependent variable y.
If you suspect a linear relationship between x and y, then r can measure how strong the linear relationship is.
What the VALUE of r tells us:
The value of r is always between –1 and +1: –1 ≤ r ≤ 1.
The size of the correlation r indicates the...
If you suspect a linear relationship between x and y, then r can measure how strong the linear relationship is.
What the VALUE of r tells us:
The value of r is always between –1 and +1: –1 ≤ r ≤ 1.
The size of the correlation r indicates the...
6.2K


