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Impact of the interaction between selfefficacy, symptoms and catastrophizing on disability, quality of life and health in chronic pain patients
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-4385-428X
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Sinnescentrum, Pain and Rehabilitation Centre.
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences.
2010 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, no 17, 1387-1396 p.Article in journal (Refereed) Published
Abstract [en]

This study investigates the interactions between self-efficacy–including subcomponents–and symptoms (pain, depression, and anxiety), catastrophizing, disability, quality of life, and health in a population of chronic pain patients. The study used 433 chronic pain patients including 47 patients with spinal cord injuryrelated pain, 150 with chronic whiplash-associated disorders, and 236 with fibromyalgia. The participants answered a postal questionnaire that provided background data, pain intensity and duration, and psychological- and health-related items. In the multivariate context, depression, anxiety, catastrophizing, and disability were intercorrelated. Self-efficacy correlated positively with variables of quality of life and general health. These two groups of variables were negatively correlated. The pain variables–duration of pain, pain intensity, and spreading of pain–formed a third group of variables. Self-efficacy function was negatively correlated to these three pain variables. When regressing disability, quality of life, and health, we found that self-efficacy had a positive impact whereas symptoms, catastrophizing, and pain had a negative influence on these aspects. Different patterns of influencing variables were discerned for the three different analyses, and specific patterns of the subscales of self-efficacy corresponded to specific patterns of negative factors for the outcome of disability, quality of life, and health.

Perspective: This article presents the complex interaction of psychological factors and symptoms and their positive and negative influence on disability, quality of life, and health. The results indicate that it might be important to assess and influence both enhancing and detoriating factors to ensure an effective pain management programme.

Place, publisher, year, edition, pages
Informa Healthcare , 2010. Vol. 32, no 17, 1387-1396 p.
Keyword [en]
Chronic pain, self-efficacy, disability, quality of life, health, depression
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-15690DOI: 10.3109/09638280903419269ISI: 000280755100001OAI: oai:DiVA.org:liu-15690DiVA: diva2:126947
Note
Original Publication: Björn Börsbo, Björn Gerdle and Michael Peolsson, Impact of the interaction between selfefficacy, symptoms and catastrophizing on disability, quality of life and health in chronic pain patients, 2010, Disability and rehabilitation, (32), 17, 1387-1396. http://dx.doi.org/10.3109/09638280903419269 Copyright: Informa Healthcare http://informahealthcare.com/ Available from: 2008-12-04 Created: 2008-11-26 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Relationships between Psychological Factors, Disability, Quality of Life and Health in Chronic Pain Disorders
Open this publication in new window or tab >>Relationships between Psychological Factors, Disability, Quality of Life and Health in Chronic Pain Disorders
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Chronic pain is a very common condition with a prevalence of 40-65% in the community. The high prevalence of chronic pain causes a lot of human suffering but also high societal costs. The development and maintenance of chronic pain constitutes a complex interplay between neurobiological, psychosocial and genetic factors. A biopsychosocial model of chronic pain has been suggested to make a comprehensive context of the understanding of this issue.

The main aims of this thesis were to analyze the relationships of the different components of the biopsychosocial model of pain and to study the relative importance of pain, stress and different psychological factors on disability and health related quality of life.

The thesis is based on two groups of patients. One group consists of 275 patients with chronic Whiplash Associated Disorder (WAD) and one group comprise 433 patients with WAD, fibromyalgia (FM) and patients with chronic pain related to Spinal Cord Injury (SCI). The patients were investigated by questionnaires assessing different aspects of pain, depression, anxiety, catastrophizing, self-efficacy, disability and Health Related Quality of Life (HRQL).

The main results were that psychological factors (especially depression) correlated relatively strongly with perceived HRQL and disability. The degree of depression appeared to have the most important relationship to perceived HRQL. Despite the fact that the patients rated depression just mild or moderate, depression had a great importance for the outcome of HQRL and disability. Pain intensity and duration played, in the cross-sectional perspective, a minor role for perceived HRQL, whereas pain intensity related more to the outcome of perceived disability.

From a clinical point of view it is important to assess the complex and unique situation of each individual with respect to depression, anxiety, self-efficacy and pain when planning treatment and rehabilitation in order to optimise the outcome of such programmes.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2008. 75 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1079
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-15691 (URN)978-91-7393-797-9 (ISBN)
Public defence
2008-12-12, Originalet, Qulturumhuset, Länssjukhuset Ryhov, Jönköping, Sverige, Jönköping, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2008-11-26 Created: 2008-11-26 Last updated: 2013-09-03Bibliographically approved

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Börsbo, BjörnGerdle, BjörnPeolsson, Michael

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