探索关于腰部疼痛的普遍态度和信念的复杂性 - - 一个网络分析
Bernard X W Liew1, Ben Darlow2
1School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, United Kingdom.
Frontiers in medicine
|February 8, 2024
概括
网络分析显示,关于背部损伤,运动和活动避免的信念是腰部疼痛 (LBP) 的关键因素. 这些态度可能是临床干预LBP管理的重要目标.
科学领域:
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
- 网络科学 网络科学
背景情况:
- 腰部疼痛 (LBP) 是一种复杂的疾病,受心理因素的影响.
- 了解态度和信仰的相互作用对于有效的LBP管理至关重要.
研究的目的:
- 探索LBP和没有LBP的个体的态度和信仰的网络结构.
- 量化背部疼痛态度问卷 (Back-PAQ) 中项目之间的关联.
- 在网络中确定具有最强连接性的关键信念.
主要方法:
- 使用Back-PAQ (n=602) 的调查的二次数据分析.
- 使用非参数的斯皮尔曼等级相关性矩阵进行网络分析.
- 估计一个不规则化的图形高斯模型 (GGM) 和评估中心性指标 (中间度,接近度,强度).
主要成果:
- 最强的对联关系是与注意力集中/期望 (Q30-Q31) 和情绪/压力 (Q15-Q16) 相关的项目.
- 项目Q22 (关于伤害背部的信念),Q25 (运动) 和Q10 (避免活动) 显示出最高的平均中心性.
- 这些中心项目代表了关于背部损伤,运动和活动避免的信念.
结论:
- 关于背部损伤,运动和活动避免的信念在LBP信念网络中高度相互联系.
- 这些确定的信念代表了临床咨询的潜在目标,以解决LBP患者的无助态度.
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