Self-Efficacy and Chronic Pain Outcomes: A Meta-Analytic Review

Jackson, Todd; Wang, Yalei; Wang, Yan; Fan, Huiyong

doi:10.1016/j.jpain.2014.05.002

Cited by 276 publications

(218 citation statements)

References 109 publications

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“…Pain self-efficacy has received quite some research attention as a resilience mechanism explaining less impairment, affective distress and pain severity (Jackson et al, 2014;Tomlinson et al, 2017). Most of the research described in this paragraph only focuses on the role of resilience resources and mechanisms for recovery from chronic pain, and failed to consider sustainability as an important resilience outcome.…”

Section: Resilience Resources and Mechanismsmentioning

confidence: 99%

Towards a science and practice of resilience in the face of pain

Goubert

Trompetter

2017

European Journal of Pain

124

135

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. Electronic mail may be sent to Liesbet.Goubert@UGent.be. Conflicts of interestThe authors declare to have no conflicts of interest. 2 Statement of "significance":What does this review add? The resilience approach put forward in this review spotlights sustainability of positive outcomes (e.g. engagement in meaningful activities) in the presence of pain as an outcome to pursue beyond recovery of negative outcomes. We illuminate the evidence-base and practical application of promising resilience mechanisms (positive emotions, psychological flexibility, needs satisfaction).3 Abstract Background and Objective: The primary objective of this paper is to discuss how a resilience approach to (chronic) pain may advance our current understanding of (mal)adaptation to pain. Different resilience perspectives are described, and future challenges for research, prevention and treatment of (chronic) pain are discussed. Databases and Data Treatment:Literature searches were performed in Web of Science and PubMed to identify relevant literature on risk and resilience in the context of pain. Results:Resilience can be best defined as the ability to restore and sustain living a fulfilling life in the presence of pain. The Psychological Flexibility Model, the Broaden-and-Build Theory, and Self-Determination Theory are described as theories that may provide insight into resilience within the context of (chronic) pain. Conclusions:We describe how a resilience paradigm shifts the outcomes to pursue in pain research and intervention and argue the need for including positive outcomes in addition to negative outcomes. Psychological flexibility, positive affect and basic psychological needs satisfaction are described as potentially important resilience mechanisms with the potential to target both sustainability and recovery from pain. A resilience approach to chronic pain may have important implications for the prevention and treatment of chronic pain problems, as it may give specific indications on how to empower patients to continue living a fulfilling life (in the presence of pain).4

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Section: Resilience Resources and Mechanismsmentioning

confidence: 99%

Towards a science and practice of resilience in the face of pain

Goubert

Trompetter

2017

European Journal of Pain

124

135

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“…This uncertainty could impede self-efficacy and reduce their confidence that they can successfully execute a course of action to relieve their symptoms (Bandura 1997). Self-efficacy has an important psychological influence on chronic pain, and higher self-efficacy is associated with less functional impairment, less affective distress and reduced pain (Jackson et al 2014). Addressing the need for more clear and consistent advice (theme 1) may enhance self-efficacy in women with persistent PGP postpartum.…”

Section: Seeking Advice and Supportmentioning

confidence: 99%

The health-seeking behaviours of first-time mothers with persistent pelvic girdle pain after childbirth in Ireland: A descriptive qualitative study

Wuytack¹,

Curtis²,

Begley

2015

Midwifery

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ObjectiveTo explore the health-seeking behaviours of primiparous women with Pelvic Girdle Pain persisting for more than three months postpartum. DesignA descriptive qualitative design involving face-to-face semi-structured interviews following institutional ethical approval. Transcripts were analysed using thematic analysis. SettingAn urban hospital in (blinded). ParticipantsA purposive, criterion-based sample of 23 consenting first-time mothers with Pelvic Girdle Pain persisting for at least three months postpartum. Findings'They didn't ask, I didn't tell' was a key theme, which included emerging categories of a perceived lack of follow-up postpartum, and feeling ignored by healthcare professionals. The theme 'Seeking advice and support' describes women's role of talking to others, and triggers and barriers to getting help. 'Coping strategies' was the third theme emerging from the interviews, whereby participants described different strategies they used to deal with their symptoms, although many expressed uncertainty about what to do or who to see. 3 Conclusion and implications for practiceOur findings show the importance of appropriate information and follow-up care for women with Pelvic Girdle Pain and highlight barriers they encounter in seeking help.They also question the duration of postnatal care as participants felt that postnatal care was stopped too early. The findings may assist maternity care providers in addressing mothers' expectations and needs related to persistent Pelvic Girdle Pain.

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“…Self-efficacy describes an individual's perceived confidence in performing a certain behaviour, or behaviours during certain circumstances. Pain self-efficacy, an individuals confident in performing activities in presence of pain [130], has earlier been studied in research on chronic pain and PA&E, and associations to pain severity, disability and psychological distress has been proposed [131], as well as an association between low self-efficacy and poor adherence to PA&E as treatment [174,238]. However, there are conflicting evidence for the impact of self-efficacy on adherence to treatment in chronic pain [240].…”

Section: Discussionmentioning

confidence: 99%

“…General self-efficacy refers to an overall perception of a personal ability to effectively handle a broad range of stressful situations [129], whereas pain self-efficacy is a domain specific self-efficacy related to performing activities and tasks despite of pain [130]. Self-efficacy has received attention in research about chronic pain [130,131] and has been defined as an important aspect for the performance of activities in spite of pain.…”

Section: Psychological Factorsmentioning

confidence: 99%

Chronic Pain and Exercise: Studies on pain intensity, biochemistry, adherence and attitudes

Karlsson¹

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Self-Efficacy and Chronic Pain Outcomes: A Meta-Analytic Review

Cited by 276 publications

References 109 publications

Towards a science and practice of resilience in the face of pain

Towards a science and practice of resilience in the face of pain

The health-seeking behaviours of first-time mothers with persistent pelvic girdle pain after childbirth in Ireland: A descriptive qualitative study

Chronic Pain and Exercise: Studies on pain intensity, biochemistry, adherence and attitudes

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