Self-Efficacy and Fear Avoidance Beliefs in Chronic Low Back Pain Patients: Coexistence and Associated Factors
Self-Efficacy and Fear Avoidance Beliefs in Chronic Low Back Pain Patients: Coexistence and Associated Factors
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DOI：
10.1016/j.pmn.2013.04.004
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发表时间：
2014-09-01
影响因子：
1.7
通讯作者：
de Mattos Pimenta, Cibele Andrucioli
中科院分区：
文献类型：
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作者：
de Moraes Vieira, Erica Brandao;Salvetti, Marina de Goes;de Mattos Pimenta, Cibele Andrucioli
本研究采用横断面研究的方法，探讨自我效能感与恐惧回避信念的共存性及其相关因素。数据收集进行（215个人在三个卫生服务和两个行业的腰痛）。使用以下工具：坦帕运动恐惧量表、贝克抑郁量表、派珀疲劳量表、奥斯韦斯特里残疾指数和慢性疼痛自我效能量表。采用Wilks' lambda检验，然后采用MANOVA模型评估自我效能信念和恐惧回避对自变量的影响。大多数受试者为女性（65.1%），45岁或以下（50.7%），家庭月收入在450美元至1，350美元之间（49.3%）。抑郁症占21.4%，疲劳占29.3%，残疾占68%。自我效能感的平均值（标准差）为180.8（60.4），恐惧回避为42.0（11.5）。两种信念的总分呈显著负相关。Wilks λ检验表明，性别、收入、抑郁、残疾和疲劳是显著的，并被包括在模型中。在Manova分析中，低自我效能与低收入、疲劳、抑郁和残疾程度相关（p
A cross sectional study was conducted with the objective to assess the coexistence of self-efficacy and fear avoidance beliefs and establish the associated factors. Data collection was performed (215 individuals with lower back pain at three health services and two industries). The following instruments were used: Tampa Scale for Kinesiophobia, Beck's Depression Inventory, Piper's Fatigue Scale, Oswestry Disability Index, and the Chronic Pain Self-Efficacy Scale. Wilks' lambda test was performed, followed by MANOVA model to assess the effect of self-efficacy beliefs and fear avoidance on independent variables. Most subjects were women (65.1%), 45 years of age or younger (50.7%), with a family income between $450 and $1,350 per month (49.3%). Depression was present in 21.4%, fatigue in 29.3%, and disability in 68%. The average (standard deviation) of self-efficacy was 180.8 (60.4), and fear avoidance was 42.0 (11.5). A significant negative correlation was observed between the total score of both beliefs. The Wilks' lambda test showed that gender, income, depression, disability, and fatigue were significant and were included in the model. In the Manova analysis, low self-efficacy was associated with lower income, fatigue, depression, and level of disability (p