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Beliefs of self-esteem, self-confidence, control, faith in therapy, optimism, will to live, and recovery of back and neck patients Kenworthy, Shirra

Abstract

This study examined the differences in beliefs of self-esteem, self-confidence, control, faith in therapy, optimism, and the will to live between recovery groups of poor recovery, moderate recovery, and good recovery, in back and neck patients. In addition, this study examined how these beliefs related to the rate of recovery when patients were divided into three groups of slow rate of recovery, moderate rate of recovery, and high rate of recovery. It was hypothesized that the patient group with a greater degree of recovery and a greater rate of recovery would be related to significantly stronger beliefs of self-esteem, self-confidence, locus of control, faith in therapy, optimism, and will to live, compared to the groups with moderate recovery degree and moderate recovery rate, and these groups would be followed by the group with a poor degree of recovery and a slower rate of recovery. The subjects were back and neck patients who were discharged from the physiotherapy department of St.Vincent's Hospital during the period from January, 1986 to December, 1988. A package containing a covering letter of explanation and the questionnaires was mailed with a response rate of 45%. Respondents were men (n = 47) and women (n = 103) ranging from 20 to 89 years of age (M = 52.7, SD = 16.89). Two multivariate analysis of variances (MANOVAS) were computed with the dependent measures of self-esteem, self-confidence, locus of control, faith in therapy, optimism, and will to live, examining group differences on degree of recovery and rate of recovery. The results of the MANOVA for degree of recovery demonstrated significant differences for faith in therapy, F(2, 147) = 18.13, p <.001, optimism, F(2, 147) = 7.24, p <.001, and self-esteem, F(2, 147) = 3.16, p <.001. An examination of the means and post hoc Scheffe tests (p <.05) revealed that those with a good degree of recovery held stronger beliefs of faith in therapy, than those with a moderate degree of recovery, followed by those with poor recovery. While those with a good degree of recovery and a moderate degree of recovery held stronger beliefs of optimism than the poor recovery group, and those with a good degree of recovery held stronger beliefs of self-esteem than the poor recovery group. No group differences were found for rate of recovery. The importance of the study as well as its limitations, and the implications for future research are discussed.

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