title: Self-concept: an outcome of a program for spinal pain.
abstract: Changes in self-concept were studied in 50 patients with chronic spinal pain who underwent a 4 week inpatient program. Treatment included increasing quotas for activity and walking, patient education, reduction in pain medications, and reinforcement of non-pain behaviors. The instrument used to measure change was the counseling form of the Tennessee Self-Concept Scale (TSCS). The test was administered upon admission to the program, at discharge, and at 1, 3, and 6 months following discharge. TSCS scores were also compared with those of patients who failed to complete the program and of a quasi-control group of patients with rheumatoid arthritis. The spinal pain group improved significantly on 8 scales of the TSCS, while scores for the arthritis patients were constant over the 6 month period. The program had a positive effect on self-concept and thus should be considered for patients with chronic spinal pain.
authors.affiliation: Physical Therapy Department, Rancho Los Amigos Medical Center, 7601 E. Imperial Highway, Downey, CA 90242 U.S.A.
authors.forename: Claire E
authors.initials: CE
authors.lastname: Beekman
authors.forename: Lois
authors.initials: L
authors.lastname: Axtell
authors.forename: Kathy Sivak
authors.initials: KS
authors.lastname: Noland
authors.forename: Jaime Yee
authors.initials: JY
authors.lastname: West
mesh_terms: D000328:Adult; D001416:Back Pain / Q000523:psychology / Q000534:rehabilitation*; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications; D008297:Male; D008875:Middle Aged; D012649:Self Concept; D012803:Sick Role