Self-efficacy beliefs mediate the association between pain intensity and pain interference in acute/subacute whiplash-associated disorders

Author(s):  
Yolanda Pedrero-Martin ◽  
Deborah Falla ◽  
Javier Martinez-Calderon ◽  
Bernard X. W. Liew ◽  
Marco Scutari ◽  
...  
2020 ◽  
Vol 9 (7) ◽  
pp. 2195 ◽  
Author(s):  
Antonio Rondon-Ramos ◽  
Javier Martinez-Calderon ◽  
Juan Luis Diaz-Cerrillo ◽  
Francisco Rivas-Ruiz ◽  
Gina Rocio Ariza-Hurtado ◽  
...  

Self-efficacy beliefs are associated with less physical impairment and pain intensity in people with chronic pain. Interventions that build self-efficacy beliefs may foster behavioral changes among this population. A non-randomized trial has been carried out to evaluate the effectiveness of pain neuroscience education (PNE) plus usual care in modifying self-efficacy beliefs, pain intensity, pain interference and analgesics consumption in people with chronic musculoskeletal pain. Participants were allocated to an experimental (PNE plus usual care, n = 49) and a control (usual care alone, n = 51) group. The primary outcome was self-efficacy beliefs (Chronic Pain Self-Efficacy Scale), and the secondary outcomes were pain intensity, pain interference (Graded Chronic Pain Scale) and analgesics consumption. The participant’s pain knowledge (revised Neurophysiology of Pain Questionnaire) after PNE intervention was also assessed to analyze its influence on every outcome measure. All the outcome measures were assessed at the baseline and at four-week and four-month follow-ups. PNE plus usual care was more effective than usual care alone to increase self-efficacy beliefs and decrease pain intensity and pain interference at all follow-up points. No differences between groups were found in terms of analgesics consumption. Knowledge of pain neurophysiology did not modify the effects of PNE plus usual care in any of the outcome measures. These results should be taken with caution because of the non-randomized nature of this design, the limited follow-ups and the uncertainty of the presence of clinical changes in self-efficacy for participants. Larger, methodological sound trials are needed.


2012 ◽  
Vol 28 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Lia C. C. van der Maas ◽  
Henrica C. W. de Vet ◽  
Albère Köke ◽  
Ruud J. Bosscher ◽  
Madelon L. Peters

Self-efficacy beliefs are an important psychosocial determinant of pain behavior and predict the outcome of pain management programs. Participants in these programs are challenged to live a life as normal as possible despite the pain. In view of the continuous presence of pain, self-efficacy measurement should take this into account. The Pain Self-Efficacy Questionnaire (PSEQ) asks participants to take the pain into account when rating their self-efficacy beliefs. In the present study, this questionnaire is examined on its psychometric qualities. The study also examines self-efficacy as an independent predictor of outcome measures after controlling for pain intensity. 278 chronic pain patients participate in this study, divided into two samples. Exploratory and confirmatory factor analysis supported a 1-factor solution. Internal consistency was excellent, and test-retest reliability was adequate. Regression analysis showed that pain self-efficacy was an independent predictor of disability and quality of life after controlling for pain intensity. Furthermore, the PSEQ discriminated between workers and nonworkers, and between patients who used medication and those who did not.


2020 ◽  
Vol 9 (10) ◽  
pp. 3252
Author(s):  
Javier Martinez-Calderon ◽  
Mar Flores-Cortes ◽  
Susana Clavero-Cano ◽  
Jose Miguel Morales-Asencio ◽  
Mark P. Jensen ◽  
...  

This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.


2003 ◽  
Vol 8 (3) ◽  
pp. 131-147 ◽  
Author(s):  
Gian Vittorio Caprara ◽  
Mariagiovanna Caprara ◽  
Patrizia Steca

Three cross-sectional studies examined stability and change in personality over the course of life by measuring the relations linking age to personality traits, self-efficacy beliefs, values, and well-being in large samples of Italian male and female participants. In each study, relations between personality and age were examined across several age groups ranging from young adulthood to old age. In each study, personality constructs were first examined in terms of mean group differences accrued by age and gender and then in terms of their correlations with age across gender and age groups. Furthermore, personality-age correlations were also calculated, controlling for the demographic effects accrued by marital status, education, and health. Findings strongly indicated that personality functioning does not necessarily decline in the later years of life, and that decline is more pronounced in males than it is in females across several personality dimensions ranging from personality traits, such as emotional stability, to self-efficacy beliefs, such as efficacy in dealing with negative affect. Findings are discussed in terms of their implications for personality theory and social policy.


ReCALL ◽  
2021 ◽  
Vol 33 (2) ◽  
pp. 143-160
Author(s):  
Zsuzsanna Bárkányi

AbstractThis paper examines the role of motivation, anxiety, and self-efficacy beliefs and their interplay with regard to speaking on beginners’ Spanish LMOOCs. It answers three research questions: (1) what are learners’ motivations and goals for joining these LMOOCs and how do these relate to foreign language speaking anxiety; (2) how do learners’ self-efficacy beliefs and anxiety levels change as a result of course completion; and (3) is there a correlation between motivation, foreign language speaking anxiety, and self-efficacy beliefs in this context? A mixed-methods research design used quantitative and qualitative data gathered from self-reflective questionnaires and forum discussions. The results reveal that learners with intrinsic motivation are more likely to complete the courses than those who sign up to manage a personal situation or advance in their career or studies. No direct correlation was, however, found between motivation and the other variables under scrutiny. Learners present higher self-efficacy beliefs at the end of the courses than at the beginning, while anxiety levels are affected to a much smaller degree by course completion. Although spoken interactions in this learning environment are not synchronous, apprehension and anxiety prevent many learners from fully participating in the speaking activities.


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