Self-efficacy and affect as mediators between pain dimensions and emotional symptoms and functional limitation in women with fibromyalgia
| Autor: | César Fernández-de-las-Peñas, Lilian Velasco Furlong, Dolores Bedmar Cruz, Margarita Cigarán Méndez, Carmen Écija Gallardo, Cecilia Peñacoba Puente |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Fibromyalgia Pain Anxiety Affect (psychology) Hospital Anxiety and Depression Scale Severity of Illness Index Activities of Daily Living Adaptation Psychological Medicine Humans Depression (differential diagnoses) Advanced and Specialized Nursing business.industry Depression Chronic pain Cognition Middle Aged medicine.disease Self Efficacy Cross-Sectional Studies Physical therapy Pain catastrophizing Female Self Report medicine.symptom business |
| Zdroj: | Pain management nursing : official journal of the American Society of Pain Management Nurses. 16(1) |
| ISSN: | 1532-8635 |
| Popis: | The aim of this study was to investigate the role of self-efficacy and affect as mediators of the relationship between pain and several fibromyalgia (FM) symptoms (functional limitation, depression, and anxiety). We evaluated 144 women with FM for self-reported pain (numerical pain scale), pressure pain sensitivity (pressure pain thresholds), functional limitation (Fibromyalgia Impact Questionnaire), self-efficacy (Chronic Pain Self-Efficacy Scale), depression-anxiety (Hospital Anxiety and Depression Scale), and positive-negative affect (Positive-Negative Affect Scale). Mediating analyses were conducted with ordinary least squares multiple regression analysis. The results demonstrated that self-reported pain and pressure pain sensitivity exhibited significant relationships with functional limitation, anxiety, depression, self-efficacy, and affect. Affect mediated the relationship between pressure pain sensitivity and anxiety, whereas self-efficacy was the mediating variable between self-reported pain and functional limitation and depression. Our results support a complex nature of pain in women presenting with FM, as cognitive and emotional variables have different mediator relationships between pain dimensions and functional and emotional outcomes in women with FM. |
| Databáze: | OpenAIRE |
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