关键词: early response illness beliefs mental disorders psychosomatic rehabilitation treatment beliefs

来  源:   DOI:10.1080/10503307.2024.2316014

Abstract:
Early response is considered to be an important predictor for therapy outcomes; yet little is known about its relevance in psychosomatic rehabilitation. This paper aims to describe the association of early response in psychosomatic rehabilitation, as well as the associations of early response with pre-rehabilitative factors such as illness and treatment beliefs.
A longitudinal study with three measurement points was applied. Early response was defined using the percent improvement method after two weeks of treatment. Its association with therapy outcome and with illness and treatment beliefs was analyzed using multiple regression analyses.
A total of 264 participants took part. Early response was a significant predictor of psychosomatic rehabilitation outcome, explaining an incremental variance of 1-30% after controlling for initial symptom burden. Illness and treatment beliefs predicted 6-20% variance in early response. Important illness beliefs referred to perceived symptoms, consequences and comprehensibility of the illness. Important treatment beliefs referred to expectations about rehabilitation structure, processes and concerns.
Early response is associated with the therapy outcome of psychosomatic rehabilitation, with illness and treatment beliefs found to be associated with early response. Further research on the predictors of early response in psychosomatic rehabilitation is needed.
摘要:
早期反应被认为是治疗结果的重要预测指标;然而,关于其在心身康复中的相关性知之甚少。本文旨在描述心身康复中早期反应的关联,以及早期反应与康复前因素如疾病和治疗信念的关联。
应用具有三个测量点的纵向研究。治疗两周后,使用改善百分比方法定义早期反应。使用多元回归分析了其与治疗结果以及与疾病和治疗信念的关联。
共有264名参与者参加。早期反应是心身康复结果的重要预测指标,解释了控制初始症状负担后1-30%的递增方差。疾病和治疗信念预测早期反应的6-20%差异。重要的疾病信念指的是感知的症状,疾病的后果和可理解性。重要的治疗信念是指对康复结构的期望,过程和关注点。
早期反应与心身康复的治疗结果相关,发现疾病和治疗信念与早期反应有关。需要进一步研究心身康复中早期反应的预测因素。
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