RT - Journal Article T1 - Effect of chronic and recurrent pain on the self-management of chronic spinal pain: Moderator role of pain self-efficacy and catastrophic thoughts JF - jap YR - 2017 JO - jap VO - 8 IS - 1 UR - http://jap.iums.ac.ir/article-1-5290-en.html SP - 60 EP - 77 K1 - Chronic pain self-management K1 - Intensity of pain K1 - Continuous pain K1 - Recurrent pain K1 - Catastrophic thoughts K1 - Pain self-efficacy AB - Aim and Background: Chronic pain self-management is one of the improvement, rehabilitation and prevent worsening of the pain programs influenced by several factors such as severity of pain and type of recurrent and continuous chronic pain, that the present study examines these two factors through catastrophic thoughts and pain self-efficacy. Methods and Materials: This study was descriptive and correlational which using available sampling was done in 1394 on 301 patients with backbone chronic pain. In this study, descriptive and inferential statistical methods such as fitting parameters, path coefficients and its significance in path analysis were used. Findings: The results obtained from path coefficient test indicate direct effects of self-efficacy (positively) and catastrophic thoughts )negatively) on the self-management, also pain intensity indirectly affect pain self management, but this effect was not significant in recurrent and continuous chronic pain. Conclusions: In chronic backbone pain self-management, in addition to disease characteristics we must pay special attention to cognitive factors such as self-efficacy and catastrophic thoughts and through this increase the areas of pain management. LA eng UL http://jap.iums.ac.ir/article-1-5290-en.html M3 ER -