Self‐efficacy mediates the relation between pain‐related fear and outcome in chronic low back pain patients

Woby, Steve; Urmston, Martin; Watson, P. J.

doi:10.1016/j.ejpain.2006.10.009

Cited by 212 publications

(175 citation statements)

References 34 publications

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“…Pain self-efficacy belief is an important psychological factor underpinning outcome as it mediates the relationship between pain-related fear and chronic pain [35] [36]. This is consistent with the current literature suggesting that self-efficacy is a predictor of treatment outcome for multidisciplinary pain management [35].…”

Section: Discussionsupporting

confidence: 79%

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

Tay¹,

Willcocks²,

Chen³

et al. 2014

PST

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2 -0.4). At 12-month follow-up, improvements were maintained on pain intensity, self-efficacy and three out of eight domains of SF-36. There were distinctive pre-and post-treatment gender differences in these outcomes and overall females showed better short-and long-term outcomes than males. Conclusion: Multidisciplinary pain management using an individualized patient centered approach remains an effective treatment for chronic pain in both the short-(6 month) and long-term (12 month). The distinctive pre-and post-treatment gender differences particularly in the psychological outcomes, suggest that it may be beneficial to further delineate and better manage vulnerable patient subgroups.

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Section: Discussionsupporting

confidence: 79%

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

Tay¹,

Willcocks²,

Chen³

et al. 2014

PST

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“…This finding was surprising given that several chronic pain researchers have demonstrated that selfefficacy significantly predicted pain intensity (Porter et al, 2008;Woby et al, 2007) and, further, that catastrophizing is negatively correlated with self-efficacy appraisals for controlling or decreasing pain (Desrochers et al, 2009;Geisser, Robinson, & Riley, 1999). However, Desrochers et al (2009Desrochers et al ( , 2010 have reported some inconsistent results regarding the role of selfMediation in Couples with PVD 24 efficacy in PVD pain.…”

Section: Discussionmentioning

confidence: 97%

“…Another cognitive variable, pain self-efficacy-beliefs about one's ability to cope and control pain-has emerged as an important predictor of both pain and disability in chronic pain populations (Ayre & Tyson, 2001;Lefebvre et al, 1999;Porter, Keefe, Garst, McBride, & Baucom, 2008;Porter et al, 2002;Woby, Urmston, & Watson, 2007). Studies have demonstrated associations between participant-and partner-perceived self-efficacy and participant pain as well as the psychosocial functioning of both members of the dyad (Porter et al, 2002(Porter et al, , 2008.…”

Section: Introductionmentioning

confidence: 99%

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

et al. 2012

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Provoked vestibulodynia (PVD) is a chronic, recurrent vulvo-vaginal pain condition affecting 12% of the general population, and is associated with sexual dysfunction, psychological distress, and reduced quality of life. There is growing interest in the role of interpersonal variables in PVD, which have been widely neglected. In a sample of 175 couples, the present study examined the mediating roles of partner and participant catastrophizing and self-efficacy in the association between solicitous partner responses and pain intensity, and that of dyadic adjustment in the association between solicitous and negative partner responses and sexual satisfaction. Couples completed measures of partner responses, catastrophizing, self-efficacy, dyadic adjustment, and depression. Women also completed measures of pain, sexual satisfaction, and sexual function. Controlling for depression and solicitousness perceived by the other member of the couple, catastrophizing and self-efficacy partially mediated the association between higher solicitous responses and higher pain during intercourse, accounting for 26% and 25% of the variance in this association for woman and partner-perceived responses, respectively.For both women and partners, only pain catastrophizing was a unique mediator. Controlling for depression, sexual function and partner-perceived responses, dyadic adjustment partially mediated the association between higher participant-perceived solicitous responses and higher sexual satisfaction, and between higher participant-perceived negative responses and lower sexual satisfaction, accounting for 26% of the variance in each association. The current findings suggest that catastrophizing and dyadic adjustment may constitute a route by which partner responses exacerbate pain and increase or decrease sexual satisfaction in PVD couples.

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“…Finding self-efficacy to more highly associated with outcomes than FAM cognitions and emotions is not entirely surprising. Recent studies in chronic pain have demonstrated that self-efficacy is a powerful predictor of pain and painrelated disability 13,33 . Furthermore, in women with PVD, using cross-sectional designs, selfefficacy has been found to be the only significant predictor of sexual function, although catastrophizing was a better predictor of pain 8 .…”

Section: Discussionmentioning

confidence: 99%

A Prospective 2-Year Examination of Cognitive and Behavioral Correlates of Provoked Vestibulodynia Outcomes

Davis

Bergeron

Bois

et al. 2015

The Clinical Journal of Pain

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Background: Provoked vestibulodynia (PVD) is a common genital pain disorder in women, which is associated with sexual dysfunction and lowered sexual satisfaction. A potentially applicable cognitive-behavioral model of chronic pain and disability is the fearavoidance model (FAM) of pain. The FAM posits that cognitive variables, such as pain catastrophizing, fear, and anxiety lead to avoidance of pain-provoking behaviors (intercourse), resulting in continued pain and disability. Although some of the FAM variables have been shown to be associated with PVD pain and sexuality outcomes, the model as a whole has never been tested in this population. An additional protective factor, pain self-efficacy, is also associated with PVD, but has not been tested within the FAM model.

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Self‐efficacy mediates the relation between pain‐related fear and outcome in chronic low back pain patients

Cited by 212 publications

References 34 publications

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

A Descriptive Longitudinal Study of Chronic Pain Outcomes and Gender Differences in a Multidisciplinary Pain Management Centre

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

A Prospective 2-Year Examination of Cognitive and Behavioral Correlates of Provoked Vestibulodynia Outcomes

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