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Solution-focused therapy and psychosocial adjustment to orthopedic rehabilitation in a work hardening program

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Abstract

Orthopedic rehabilitation programs utilizing a multidisciplinary approach invite a greater appreciation for the factors which influence the recovery process. This study evaluated variables associated with the psychosocial adjustment of work hardening program participants when exposed to Solution-Focused psychotherapy. Orthopedic patients receiving workers’ compensation were engaged in a work hardening program in which they received either Solution-Focused therapy or the standard rehabilitation protocol. Patients and spouses completed questionnaires designed to evaluate psychosocial coping and adjustment to a medical condition. Patients across all investigated orthopedic categories demonstrated enhanced adjustment to their condition when treatment groups were compared with control groups. It is proposed that Solution-Focused therapy, in conjunction with work hardening protocols, is effective for patients when developing effective coping responses to the stressors associated with orthopedic rehabilitation.

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References

  1. Feuerstein M, Callan-Harris S, Hickey P, Dyer D, Armbruster W, Carosella A. Multidisciplinary rehabilitation of chronic work related upper extremity disorders.J Occup Med 1993; 35(4): 396–403.

    PubMed  CAS  Google Scholar 

  2. Niemyer LO. Social labeling, stereotyping, and observer bias in workers’ compensation: The impact of provider-patient interaction on outcome.J Occup Rehab 1991; 1(4): 251–269.

    Article  Google Scholar 

  3. Feuerstein M, Menz L, Zastowny T, Barron B. Chronic back pain and work disability: Vocational outcomes following multidisciplinary rehabilitation.J Occup Rehab 1994; 4(4): 229–251.

    Article  Google Scholar 

  4. Simmonds M, Kumar S. Does knowledge of a patient’s workers’ compensation status influence clinical judgements?J Occup Rehab 1996; 6(2): 93–107.

    Article  Google Scholar 

  5. Himmelstein J, Feuerstein M, Stanek E, Koyamatsu K, Pransky G, Morgan W, Anderson K. Work-related upper extremity disorders and work disability: Clinical and psychosocial presentation.J Occup Environ Med 1995; 37(11): 1278–1286.

    Article  PubMed  CAS  Google Scholar 

  6. Feuerstein M, Thebarge R. Perceptions of disability and occupational stress as discriminators of work disability in patients with chronic pain.J Occup Rehab 1991; 1(3): 185–195.

    Article  Google Scholar 

  7. de Shazer S.Putting difference to work. New York: Norton, 1991.

    Google Scholar 

  8. de Shazer S.Words were originally magic. New York: Norton, 1994.

    Google Scholar 

  9. Petersen M. Nonphysical factors that affect work hardening success: A retrospective study.J Orthop Sport Phys Ther 1995; 22(6): 238–246.

    CAS  Google Scholar 

  10. Voaklander D, Beauline A, Lessard R. Factors related to outcome following a work hardening program.J Occup Rehab 1995; 5(2): 71–85.

    Article  Google Scholar 

  11. Flinn-Wagner S, Mladonicky A, Goodman G. Characteristics of workers with upper extremity injuries who make a successful transition to work.J Hand Ther 1990; 3: 51–55.

    Google Scholar 

  12. Carosella A, Lackner J, Feuerstein M. Factors associated with early discharge from multidisciplinary work rehabilitation program for chronic low back pain.Pain 1994; 57: 69–76.

    Article  PubMed  CAS  Google Scholar 

  13. Velozo C, Lustman P, Cole D, Montag J, Eubanks B. Prediction of return to work by rehabilitation professionals.J Occup Rehab 1991; 1(4), 271–280.

    Article  Google Scholar 

  14. Riikonen E. Problem models and interviewing practices in professional helping: From problem language to competence language.Psychiat Fenn 1993; 24: 143–151.

    Google Scholar 

  15. Ahlers C. Solution-oriented therapy for professionals working with physically impaired clients.J Syst Ther 1992; 11(3), 53–68.

    Google Scholar 

  16. Madsen W. Problematic treatment: Interaction of patient, spouse, and physician beliefs in medical noncompliance.Fam Syst Me 1992; 10(4): 365–383.

    Article  Google Scholar 

  17. Shapiro J. The use of narrative the doctor-patient encounter.Fam Syst Med 1993; 11(1): 47–53.

    Google Scholar 

  18. Campbell D, Stanley J.Experimental and quasi-experimental designs for research. Chicago, IL: Rand McNally, 1966.

    Google Scholar 

  19. McCubbin H, Olson D, Larsen A. Family crisis oriented personal evaluation scales. In: McCubbin H, ed.Family assessment for research and practice. Madison: University of Wisconsin, 1982, pp. 194–207.

    Google Scholar 

  20. Derogatis L.The psychosocial adjustment to illness scale. Baltimore, MD: Clinical Psychometric Research, 1983.

    Google Scholar 

  21. Bureau of Labor Statistics.Occupational injuries and illnesses: Counts, rates, and characteristics, 1993. Washington, DC: United States Department of Labor, 1995.

    Google Scholar 

  22. Brewer C, Storms B. The final phase of rehabilitation: Work hardening.Orthop Nursing 1993; 12(6): 9–15.

    Article  CAS  Google Scholar 

  23. Watzlawick P, Weakland J. Fisch R.Change: Principles of problem formation and problem resolution. New York: W.W. Norton, 1974.

    Google Scholar 

  24. Schulman B. Worklessness and disability: Expansion of the biopsychosocial perspective.J Occup Rehab 1994; 4(2): 113–122.

    Article  Google Scholar 

  25. Banks M. Psychological effects of prolonged unemployment: Relevance to models of work re-entry following injury.J Occup Rehab 1995; 5(1): 37–53.

    Article  Google Scholar 

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Cockburn, J.T., Thomas, F.N. & Cockburn, O.J. Solution-focused therapy and psychosocial adjustment to orthopedic rehabilitation in a work hardening program. J Occup Rehab 7, 97–106 (1997). https://doi.org/10.1007/BF02765880

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