Volume 16, Issue 3 (12-2025)
JAP 2025, 16(3): 53-66 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mohammadi H A, jabalameli S, jafari F. Development of Structural Model for Pain Self-efficacy and Chronic Pain Acceptance Based on Distress Tolerance in Patients With Chronic Musculoskeletal Pain: Study of the Mediating Role of Learned Helplessness. JAP 2025; 16 (3) :53-66
URL: http://jap.iums.ac.ir/article-1-5801-en.html
URL: http://jap.iums.ac.ir/article-1-5801-en.html
1- PhD in Health Psychology, Department of Health Psychology, Najafabad Azad University, Isfahan, Iran , maseeha.nafas@gmail.com
2- Assistant Professor, Department of Psychology, Najafabad Azad University, Isfahan, Iran
3- Master of Science in Psychology, Payam Noor Zarrinshahr University, Isfahan, Iran
2- Assistant Professor, Department of Psychology, Najafabad Azad University, Isfahan, Iran
3- Master of Science in Psychology, Payam Noor Zarrinshahr University, Isfahan, Iran
Abstract: (4 Views)
Introduction: In contrast to acute pain, which is usually caused by a short-term injury or illness and recovers quickly, chronic pain lasts for a longer period of time and lasts more than three months. This pain may be continuous and uninterrupted or occur periodically.
Method: The present study aimed to develop a structural model of self-efficacy and pain acceptance based on distress tolerance, mediated by learned helplessness in patients with chronic musculoskeletal pain. The present study is descriptive-correlational and its statistical population included all patients with chronic musculoskeletal pain in Najafabad city in the summer of 2019. 384 people were selected using the convenience method. The research tools included Walker's Health Promoting Lifestyle Questionnaire, Simmons and Gaher's Distress Tolerance, McCracken's Pain Acceptance, Nicholas' Pain Self-Efficacy, and Quinless and Nielson's Learned Helplessness. Structural equation modeling and SPSS-23 and AMOS-23 software were used to perform and analyze the data.
Findings: Based on this study, the proposed structural equation model has a good fit to explain the relationships between the aforementioned variables. The results of this study showed that distress tolerance and pain self-efficacy were positively and strongly related (p<0.05) and had a relative and negative relationship with learned helplessness (r=0.22). As a result, distress tolerance was a predictor and learned helplessness was a significant mediator for pain acceptance and self-efficacy in patients with chronic musculoskeletal pain.
Conclusion: Therefore, paying attention to these psychological components in patients with musculoskeletal pain is important in order to improve patient performance.
Method: The present study aimed to develop a structural model of self-efficacy and pain acceptance based on distress tolerance, mediated by learned helplessness in patients with chronic musculoskeletal pain. The present study is descriptive-correlational and its statistical population included all patients with chronic musculoskeletal pain in Najafabad city in the summer of 2019. 384 people were selected using the convenience method. The research tools included Walker's Health Promoting Lifestyle Questionnaire, Simmons and Gaher's Distress Tolerance, McCracken's Pain Acceptance, Nicholas' Pain Self-Efficacy, and Quinless and Nielson's Learned Helplessness. Structural equation modeling and SPSS-23 and AMOS-23 software were used to perform and analyze the data.
Findings: Based on this study, the proposed structural equation model has a good fit to explain the relationships between the aforementioned variables. The results of this study showed that distress tolerance and pain self-efficacy were positively and strongly related (p<0.05) and had a relative and negative relationship with learned helplessness (r=0.22). As a result, distress tolerance was a predictor and learned helplessness was a significant mediator for pain acceptance and self-efficacy in patients with chronic musculoskeletal pain.
Conclusion: Therefore, paying attention to these psychological components in patients with musculoskeletal pain is important in order to improve patient performance.
Keywords: Acceptance and pain self-efficacy, Distress tolerance, Learned helplessness, Musculoskeletal Chronic pains
Type of Study: Original |
Subject:
Chronic pain managment
Received: 2025.09.9 | Accepted: 2025.09.20 | Published: 2025.12.1
Received: 2025.09.9 | Accepted: 2025.09.20 | Published: 2025.12.1
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
