Pain self-efficacy beliefs and pain behaviour. A prospective study
Pain self-efficacy beliefs and pain behaviour. A prospective study
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DOI：
10.1016/s0304-3959(01)00344-x
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发表时间：
2001-10-01
期刊：
影响因子：
7.4
通讯作者：
Nicholas, MK
中科院分区：
文献类型：
--
作者：
Asghari, A;Nicholas, MK
本研究采用前瞻性设计，通过疼痛行为问卷（PBQ）测量疼痛自我效能感信念与一系列疼痛行为之间的关系。在9个月的时间里，145名慢性疼痛患者完成了四次问卷调查。多重层次回归分析显示，在9个月的研究期间，受试者对自己在疼痛中执行一系列任务的能力的信心（基线评估）可以预测总体疼痛行为和回避行为。这一发现特别重要，因为分析控制了疼痛严重程度（在每个测量场合）、疼痛慢性、年龄、性别、身体残疾、抑郁、神经质和灾难的可能影响。这些发现表明，疼痛自我效能信念是疼痛行为和与疼痛相关的残疾的重要决定因素，超过疼痛、痛苦和人格变量的影响。特别是，较高的疼痛自我效能感信念预示着在较长一段时间内回避行为的减少。(C) 2001国际疼痛研究协会。Elsevier Science B.V.版权所有。
This study examined the relationship between pain self-efficacy beliefs and a range of pain behaviours, as measured by the pain behaviour questionnaire (PBQ), using a prospective design. A heterogeneous sample of 145 chronic pain patients completed sets of questionnaires on four occasions over a nine-month period. Multiple hierarchical regression analyses revealed that the subjects' confidence in their ability to perform a range of tasks despite pain (assessed at baseline), was predictive of total pain behaviour and avoidance behaviour over the nine-month study period. This finding was particularly significant because the analyses controlled for the possible effects of pain severity (at each measurement occasion), pain chronicity, age, gender, physical disability, depression, neuroticism and catastrophising. These findings suggest that pain self-efficacy beliefs are an important determinant of pain behaviours and disability associated with pain, over and above the effects of pain, distress and personality variables. In particular, higher pain self-efficacy beliefs are predictive of reduced avoidance behaviours over an extended period. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.