The factors driving self-efficacy in intractable chronic pain patients: a retrospective study
Abstract Background The fear-avoidance model is a theoretical paradigm for explaining acute and chronic pain. In this model, pain catastrophizing plays an important role. On the other hand, self-efficacy influences whether patients view their pain optimistically, ultimately preventing the conversion...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-019-1535-9 |
| _version_ | 1828138459992162304 |
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| author | Hironori Tsuji Tomoko Tetsunaga Tomonori Tetsunaga Keiichiro Nishida Haruo Misawa Toshifumi Ozaki |
| author_facet | Hironori Tsuji Tomoko Tetsunaga Tomonori Tetsunaga Keiichiro Nishida Haruo Misawa Toshifumi Ozaki |
| author_sort | Hironori Tsuji |
| collection | DOAJ |
| description | Abstract Background The fear-avoidance model is a theoretical paradigm for explaining acute and chronic pain. In this model, pain catastrophizing plays an important role. On the other hand, self-efficacy influences whether patients view their pain optimistically, ultimately preventing the conversion of pain into intractable pain. The aim of the present study was to evaluate the factors that influence self-efficacy in patients with chronic pain. Methods Study participants included 147 outpatients (35 men, 112 women) with intractable chronic pain who visited our hospital between September 2014 and July 2015. Their mean age was 71.0 (range 32–92) years. Pain sites were as follows: low back, 97 patients; knee, 71 patients; shoulder, 34 patients; and hip, 15 patients. All patients were assessed using the following measures: Numeric Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Hospital Anxiety and Depression Scale (HADS), Pain Disability Assessment Scale (PDAS), and Pain Self-Efficacy Questionnaire (PSEQ). All participants were further divided into two groups based on median PSEQ scores (group L: PSEQ of 35 points or less, n = 74; group H: PSEQ greater than 35 points, n = 73). The factors that influenced self-efficacy in these patients were analyzed using univariate and multiple linear regression analyses. Results Significant differences were observed in gender; pain duration; and NRS, PDAS, HADS, and PCS scores between group L and group H. Multiple linear regression analysis revealed that self-efficacy was correlated with PDAS score, HADS depression score, and pain duration. Conclusions Patients with longer pain duration indicated greater self-efficacy and patients with higher pain disability and depression exhibited lower self-efficacy. |
| first_indexed | 2024-04-11T18:36:07Z |
| format | Article |
| id | doaj.art-1b6b00bfea4943ac9cba7f03c80b25e6 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T18:36:07Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-1b6b00bfea4943ac9cba7f03c80b25e62022-12-22T04:09:14ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-12-011411610.1186/s13018-019-1535-9The factors driving self-efficacy in intractable chronic pain patients: a retrospective studyHironori Tsuji0Tomoko Tetsunaga1Tomonori Tetsunaga2Keiichiro Nishida3Haruo Misawa4Toshifumi Ozaki5Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University HospitalDepartment of Orthopaedic Surgery, Okayama University HospitalDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesAbstract Background The fear-avoidance model is a theoretical paradigm for explaining acute and chronic pain. In this model, pain catastrophizing plays an important role. On the other hand, self-efficacy influences whether patients view their pain optimistically, ultimately preventing the conversion of pain into intractable pain. The aim of the present study was to evaluate the factors that influence self-efficacy in patients with chronic pain. Methods Study participants included 147 outpatients (35 men, 112 women) with intractable chronic pain who visited our hospital between September 2014 and July 2015. Their mean age was 71.0 (range 32–92) years. Pain sites were as follows: low back, 97 patients; knee, 71 patients; shoulder, 34 patients; and hip, 15 patients. All patients were assessed using the following measures: Numeric Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Hospital Anxiety and Depression Scale (HADS), Pain Disability Assessment Scale (PDAS), and Pain Self-Efficacy Questionnaire (PSEQ). All participants were further divided into two groups based on median PSEQ scores (group L: PSEQ of 35 points or less, n = 74; group H: PSEQ greater than 35 points, n = 73). The factors that influenced self-efficacy in these patients were analyzed using univariate and multiple linear regression analyses. Results Significant differences were observed in gender; pain duration; and NRS, PDAS, HADS, and PCS scores between group L and group H. Multiple linear regression analysis revealed that self-efficacy was correlated with PDAS score, HADS depression score, and pain duration. Conclusions Patients with longer pain duration indicated greater self-efficacy and patients with higher pain disability and depression exhibited lower self-efficacy.https://doi.org/10.1186/s13018-019-1535-9Self-efficacyChronic painFear-avoidance model |
| spellingShingle | Hironori Tsuji Tomoko Tetsunaga Tomonori Tetsunaga Keiichiro Nishida Haruo Misawa Toshifumi Ozaki The factors driving self-efficacy in intractable chronic pain patients: a retrospective study Journal of Orthopaedic Surgery and Research Self-efficacy Chronic pain Fear-avoidance model |
| title | The factors driving self-efficacy in intractable chronic pain patients: a retrospective study |
| title_full | The factors driving self-efficacy in intractable chronic pain patients: a retrospective study |
| title_fullStr | The factors driving self-efficacy in intractable chronic pain patients: a retrospective study |
| title_full_unstemmed | The factors driving self-efficacy in intractable chronic pain patients: a retrospective study |
| title_short | The factors driving self-efficacy in intractable chronic pain patients: a retrospective study |
| title_sort | factors driving self efficacy in intractable chronic pain patients a retrospective study |
| topic | Self-efficacy Chronic pain Fear-avoidance model |
| url | https://doi.org/10.1186/s13018-019-1535-9 |
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