[2Y2T2S] [PT10110] [3] Psych Variables in PT Setting

True or False: Physical therapy also involves addressing the psychological and emotional factors that can significantly impact rehabilitation outcomes

True

Play a crucial role in both the therapist’s ability to provide effective treatment and the client’s ability to recover successfully

Psychological variables

Three (3) Psychological Variables for the Physical Therapist

1. Therapeutic alliance & rapport building

2. Burnout prevention & self-regulation for PTs

3. Psychological flexibility & adaptability

PSYCH VARIABLES FOR THE PT

The relationship between therapist and patient significantly influences outcomes

Therapeutic alliance & rapport building

PSYCH VARIABLES FOR THE PT

What is the clinical impact of strong rapport building?

Higher adherence and trust

PSYCH VARIABLES FOR THE PT

What is the clinical impact of poor therapeutic alliance?

Dropouts and resistance to therapy

PSYCH VARIABLES FOR THE PT

What are the two (2) interventions done for therapeutic alliance & rapport building?

1. Active listening techniques

2. Empathy training and patient-centered communication

PSYCH VARIABLES FOR THE PT

Managing emotional exhaustion, workload stress, and professional fulfillment

Burnout prevention & self-regulation for PTs

PSYCH VARIABLES FOR THE PT

What is the clinical impact of PT burnout?

Lower patient satisfaction and quality of care

PSYCH VARIABLES FOR THE PT

What is the clinical impact of emotional exhaustion?

Reduces engagement with clients

PSYCH VARIABLES FOR THE PT

What are the two (2) interventions for burnout prevention & self-regulation?

1. Mindfulness-Based Cognitive Therapy (MBCT)

   • For stress reduction

2. Work-life balance strategies

   • For maintaining professional motivation

PSYCH VARIABLES FOR THE PT

The ability to adjust treatment approaches based on patient psychological states

Psychological flexibility & adaptability

PSYCH VARIABLES FOR THE PT

What is the clinical impact of higher flexibility?

Enhancement of patient-centered care

PSYCH VARIABLES FOR THE PT

True or False: Manifesting flexibility & adaptability reduces rigidity in treatment plans that may not work for all clients

True

PSYCH VARIABLES FOR THE PT

What are the two (2) interventions for psychological flexibility & adaptability?

1. Motivational interviewing (MI)

2. Acceptance and Commitment Therapy (ACT)

   • To help patients reframe expectations

PSYCH VARIABLES FOR THE PT

What intervention is being described below:

• Adjusting treatment based on patient motivation levels

Motivational interviewing (MI)

Four (4) Psychological Variables for the Client/Patient

1. Pain perception & pain catastrophizing

2. Self-efficacy in recovery

3. Emotion regulation in rehabilitation

4. Social support & adherence

PSYCH VARIABLES FOR CLIENT/PATIENT

A cognitive distortion where patients exaggerate pain experiences, leading to fear-avoidance behaviors and delayed rehabilitation

Pain catastrophizing

PSYCH VARIABLES FOR CLIENT/PATIENT

How patients interpret and react to pain influences their motivation, adherence, and recovery

Pain perception & pain catastrophizing

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of high levels of catastrophizing? (3)

1. Increased pain sensitivity

2. Reduced exercise compliance

3. Lower treatment outcomes

PSYCH VARIABLES FOR CLIENT/PATIENT

What are the two (2) interventions used for pain perception & pain catastrophizing?

1. Pain Neuroscience Education (PNE)

   • To help patients reframe pain perceptions

2. Cognitive-Behavioral Therapy (CBT) techniques

   • To reduce maladaptive thoughts about pain

PSYCH VARIABLES FOR CLIENT/PATIENT

Patients’ belief in their ability to engage in rehabilitation exercises and manage their condition

Self-efficacy in recovery

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of high self-efficacy levels? (2)

1. Better adherence to therapy programs

2. Faster recovery

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of patients with low self-efficacy?

Feelings of helplessness, frustration, or disengagement

PSYCH VARIABLES FOR CLIENT/PATIENT

What are the two (2) interventions for self-efficacy in recovery?

1. Verbal persuasion

   • Encouragement from PTs enhances confidence

2. Mastery experiences

   • Setting achievable goals to reinforce success

PSYCH VARIABLES FOR CLIENT/PATIENT

The ability to manage emotional responses to pain, frustration, or setbacks

Emotion regulation in rehabilitation

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of poor emotion regulation?

Increased stress, depression, and avoidance behaviors

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of adaptive emotion regulation?

Higher engagement in therapy and positive coping

PSYCH VARIABLES FOR CLIENT/PATIENT

What are the two (2) interventions for emotion regulation?

1. Mindfulness-Based Stress Reduction (MBSR)

   • Reducing negative emotional responses to pain

2. Cognitive Reappraisal Techniques

   • Reframing setbacks as part of the recovery process

PSYCH VARIABLES FOR CLIENT/PATIENT

Perceived social support from family, friends, or therapists enhances motivation and adherence

Social support & adherence

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of strong social networks

Better pain tolerance and emotional well-being

PSYCH VARIABLES FOR CLIENT/PATIENT

What is the clinical impact of lack of support?

Increased dropout rates from therapy

PSYCH VARIABLES FOR CLIENT/PATIENT

What are the two (2) interventions for social support & adherence?

1. Involving family members in therapy sessions

2. Group therapy models

   • To enhance peer support