The relationship of arthritis self-efficacy to daily pain, daily mood, and daily pain coping in rheumatoid arthritis patients
The relationship of arthritis self-efficacy to daily pain, daily mood, and daily pain coping in rheumatoid arthritis patients
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DOI：
10.1016/s0304-3959(98)00242-5
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发表时间：
1999-03-01
期刊：
影响因子：
7.4
通讯作者：
Tennen, H
中科院分区：
文献类型：
--
作者：
Lefebvre, JC;Keefe, FJ;Tennen, H
医学界越来越认识到，心理社会变量，如自我效能的信念是治疗结果的重要决定因素。然而，在自我效能的措施被广泛纳入临床实践之前，需要更好地了解它们与日常疼痛，情绪和应对的关系。在本研究中，128例类风湿性关节炎患者完成了30天的日记，其中他们提供了每日评级的关节疼痛，消极和积极的情绪，疼痛应对策略的使用，和应对效果。然后，患者参加了一个评估会议，在此期间，自我效能的措施（关节炎自我效能量表（ASES）），人口统计学变量和医疗状况进行了收集。进行了一系列分层回归分析，以确定在评估会议时收集的自我效能指标与前30天收集的每日日记指标相关的程度。结果发现，自我效能感与疼痛、情绪、应对和应对效能感的日常评定显著相关。有趣的是，即使在考虑了重要的人口统计学和医疗状况变量的影响后，也获得了关于自我效能的研究结果。两者合计，这些结果表明，在评估会议的时间从关节炎患者收集的自我效能等级可能与最近的经验，日常疼痛和情绪，以及日常使用和感知的有效性疼痛应对策略。(C)1999年国际疼痛研究协会。出版社：Elsevier Science B.V.
There is an increasing awareness in the medical community that psychosocial variables such as beliefs in self-efficacy are important determinants of treatment outcome. However, before measures of self-efficacy are widely incorporated into clinical practice, there needs to be a better understanding of how they relate to daily pain, mood and coping. In the present study 128 rheumatoid arthritis patients completed diaries for 30 days in which they provided daily ratings of joins pain, negative and positive mood, the use of pain coping strategies, and coping efficacy. The patients then participated in an evaluation session during which measures of self-efficacy (the Arthritis Self Efficacy Scale (ASES)), demographic variables, and medical status were collected. A series of hierarchical regression analyses was conducted to determine the degree to which self-efficacy measures collected at the time of the evaluation session were related to daily diary measures collected during the 30 preceding days. The results revealed that self-efficacy was significantly related to daily ratings of pain, mood, coping and coping efficacy. Interestingly, the findings regarding self-efficacy were obtained even after taking into account the effects of important demographic and medical status variables. Taken together, these results suggest that self-efficacy ratings collected from arthritis patients at the time of an evaluation session may well be related to recent experiences of daily pain and mood, as well as the daily use and perceived effectiveness of pain coping strategies. (C) 1999 international Association for the Study of Pain. Published by Elsevier Science B.V.