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Self-efficacy and pain acceptance as mediators of the relationship between pain and performance of valued life activities in women and men with rheumatoid arthritis
School of Health and Welfare, Jönköping University, Jönköping, Sweden.
School of Occupational Therapy & Social Work, CHIRI, Curtin University, Perth, WA, Australia.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
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2016 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVE: To study whether personal factors (self-efficacy and pain acceptance) mediate the relationship between pain and performance of valued life activities in persons with rheumatoid arthritis.

METHODS: Persons with rheumatoid arthritis for at least four years (n = 737; 73% women) answered a questionnaire measuring self-efficacy, pain acceptance, performance of valued life activities, and self-rated pain. Relationships among these constructs were explored using univariate and multivariate analyses. Structural equation modelling was then used to examine the mediational role of personal factors on the relationship between pain and performance of valued life activities.

RESULTS: A direct negative association between pain and performance of valued life activities was identified (Beta = .34, P < .001). This suggests that people with rheumatoid arthritis who had higher levels of pain has increased difficulties in performing valued life activities. Self-efficacy and activity engagement component of pain acceptance mediated the relationship between pain and performance of valued life activities, however the pain willingness component of pain acceptance did not influence participation in valued life activities.

CONCLUSION: These findings highlight the importance of considering personal factors, such as pain acceptance and self-efficacy, in facilitating participation in valued life activities.

Place, publisher, year, edition, pages
Sage Publications, 2016.
Keyword [en]
Disability, ICF, mediation, pain, personal factors, rheumatoid arthritis, structural equation modelling, valued life activities scale
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:liu:diva-129964DOI: 10.1177/0269215516646166PubMedID: 27146888OAI: oai:DiVA.org:liu-129964DiVA: diva2:945697
Available from: 2016-07-02 Created: 2016-07-02 Last updated: 2016-07-05Bibliographically approved

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Falkmer, TorbjörnThyberg, IngridBjörk, Mathilda
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Division of Community MedicineFaculty of Medicine and Health SciencesPain and Rehabilitation CenterDivision of Neuro and Inflammation ScienceDepartment of RheumatologyDivision of Occupational TherapyRehabilitation Center
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Clinical Rehabilitation
Rheumatology and Autoimmunity

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