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首页> 外文学位 >Mind/body relationship re-explored: Impact of patient's hope, expectation, health locus of control, and mind/body dualistic belief on self-reported outcome of acupuncture.
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Mind/body relationship re-explored: Impact of patient's hope, expectation, health locus of control, and mind/body dualistic belief on self-reported outcome of acupuncture.

机译：精神/身体关系得到重新探索：患者的希望，期望，健康控制源以及心理/身体二元信念对自我报告的针灸结果的影响。

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摘要

Sixty-four adult patients of Traditional Acupuncture completed the Goal Attainment Scale, Dualism Scale, Herth Hope Scale, and Multidimensional Health Locus of Control Scale. After three-month acupuncture treatment, they rated their goal attainment level.;Patients perceived significant improvements. Two treatment variables (actual and expected frequency of treatment), patient variables (readiness of participation and demographics), and dyadic variables (doctors' gender, patients' willingness to inform medical doctors and to consent for release) do not predict improvements. The number of past adjunct treatments, however, correlates with goal attainment. In retrospect, such correlation may suggest that patients who engage in more health-maintenance activities are more aware of and verbal about health changes, or have stronger recovering ability enhanced by the adjunct treatments or more coping strategies. This correlation, however, may not mean acupuncture is ineffective.;The strength of patients' mind/body dualistic belief does not predict the holistic/dualistic nature of patients' goals. Patients' expectation level does not correlate with hope either. Among the three health loci of control, only the patients' Powerful Others Health Locus predicts expectation. The relationship is negative, however: the stronger the patients' Powerful Others Health Locus, the less they expect from acupuncture. This reverse relationship is interpreted as a result of Traditional Acupuncture's collaborative model. The patients' level of expectation from acupuncture is not dependent upon patients' Internal and Chance Health Loci of Control.;Among the factors for improvements, patients' expectation level and Powerful Others Health Locus correlate with goal attainment. However, both correlations are also negative: the higher the expectation, or the stronger the Powerful Others Health Locus, the less likely they will attain goals. The negative correlation challenges the placebo effect and may indicate Traditional Acupuncture's collaborative model and patients' self-surrender to treatment. No relationship was found between the nature of patients' goals of acupuncture treatment and one's degree of mind/body dualistic belief, and between one's level of positive expectation from treatment and general hopefulness.;Theoretical and clinical implications for health, psychology, and health education, the strengths and weaknesses of this study are discussed. Future directions for research are also recommended.
机译：六十四名传统针灸成年患者完成了目标达成量表，二元论量表，健康希望量表和多维健康控制源量表。经过三个月的针灸治疗，他们评估了他们的目标达成水平。两种治疗变量（实际和预期的治疗频率），患者变量（参与程度和人口统计学）和二进变量（医生的性别，患者告知医生的意愿和同意放行的意愿）无法预测改善情况。但是，过去辅助治疗的次数与目标的达成相关。回顾一下，这种相关性可能表明，从事更多健康维护活动的患者对健康变化的了解和口才更高，或者通过辅助治疗或更多应对策略而具有更强的康复能力。但是，这种相关性并不意味着针灸是无效的。患者的心理/身体二元信念的强度不能预测患者目标的整体/二元性。患者的期望水平也不与希望相关。在控制的三个健康位点中，只有患者的“其他人的强大健康位点”可以预测期望值。但是，这种关系是消极的：患者的“强大的他人健康轨迹”越强，他们对针灸的期望就越小。这种反向关系被解释为传统针灸协作模型的结果。患者对针灸的期望水平与患者的内部和机会健康控制点无关。在改善的因素中，患者的期望水平和强大的他人健康轨迹与目标达成情况相关。但是，这两个相关性也是负的：期望值越高，或者“强大的其他人的健康轨迹”越强，实现目标的可能性就越小。负相关性挑战了安慰剂效应，可能表明传统针灸的协作模型和患者对治疗的自我屈服。在患者的针灸治疗目标的性质与心智/身体二元信念的程度之间，以及患者对治疗的积极期望水平和普遍的希望之间没有发现任何关系。；对健康，心理学和健康教育的理论和临床意义，讨论了这项研究的优点和缺点。还建议未来的研究方向。

著录项

  • 作者

    So, Dominicus Wai-Hung.;

  • 作者单位

    University of Maryland, College Park.;

  • 授予单位 University of Maryland, College Park.;
  • 学科 Health Sciences Mental Health.;Psychology Clinical.;Philosophy.
  • 学位 Ph.D.
  • 年度 1997
  • 页码 201 p.
  • 总页数 201
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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