Problem-focused coping and self-efficacy as correlates of quality of life and severity of fibromyalgia in primary fibromyalgia patients
| Autor: | Ragini Alok, Siddharth Kumar Das, Sarvada Chand Tiwari, Ragini Srivastava, Girdhar G. Agarwal, Latika Salwahan |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Coping (psychology) Fibromyalgia medicine.medical_treatment India Coping behavior Severity of Illness Index Rheumatology Surveys and Questionnaires Adaptation Psychological medicine Humans Pain Management Problem Solving Self-efficacy Rehabilitation business.industry Primary Fibromyalgia Chronic pain Problem focused Middle Aged medicine.disease humanities Self Efficacy Case-Control Studies Physical therapy Quality of Life Regression Analysis Female business |
| Zdroj: | Journal of clinical rheumatology : practical reports on rheumaticmusculoskeletal diseases. 20(6) |
| ISSN: | 1536-7355 |
| Popis: | OBJECTIVES Patients with fibromyalgia syndrome (FMS) often experience problems such as poor quality of life (QoL), loss of self-efficacy (SE), inappropriate coping behavior, and chronic widespread pain along with other symptoms. Recent studies have indicated that sense of SE and effective coping strategies (CSs) are the crux on which the management of chronic pain and enrichment of QoL of FMS patients depend. Realizing the importance of this subject for the rehabilitation of the people with FMS, this study aimed at analyzing the correlation between severity of FMS, and QoL, SE, and CSs among the patients of FMS. METHODS One hundred patients with fibromyalgia (FM) and 100 control subjects were studied. Fibromyalgia Impact Questionnaire-Revised, Quality of Life Scale, Arthritis Self-efficacy Scale, and COPE Scales for CSs were administered to both the groups. RESULTS Significantly lower SE, poor QoL, and less use of CSs were reported by FM patients (P < 0.01) vis-a-vis healthy people. Problem-focused coping (r = 0.27, P < 0.01) and SE (r = 0.20, P < 0.05) were found to be significantly and positively associated with QoL. Components of Fibromyalgia Impact Questionnaire-Revised, namely, pain, function, and symptoms, were found to be significantly and negatively associated with problem-focused coping (P < 0.05), SE (P < 0.01), and QoL (P < 0.01). CONCLUSIONS This study confirms that problem-focused CSs and SE are important correlates of QoL and severity of FM in Indian as well as other populations. |
| Databáze: | OpenAIRE |
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