Volume 11, Issue 4 (12-2020)
JAP 2020, 11(4): 80-93 |
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Ethics code: IR.TUMS.VCR.REC.1396.2626
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Barzegari Soltanahmadi M, Akhlaghi M, Zahedi S M, Mahmoudi M, Jamshidi A. The role of self-efficacy, pain catastrophizing, and fear of movement
on chronic pain adjustment of rheumatoid arthritis patients. JAP 2020; 11 (4) :80-93
URL: http://jap.iums.ac.ir/article-1-5527-en.html
URL: http://jap.iums.ac.ir/article-1-5527-en.html
Mahdieh Barzegari Soltanahmadi1 
, Maassoumeh Akhlaghi2 , Seyed mohammad Zahedi3 , Mahdi Mahmoudi2 , Ahmadreza Jamshidi 
4
, Maassoumeh Akhlaghi2 , Seyed mohammad Zahedi3 , Mahdi Mahmoudi2 , Ahmadreza Jamshidi 4
1- Shahed University
2- Rheumatology Research Center
3- Health Promotion Counseling Center
4- Rheumatology Research Center ,jamshida@tums.ac.ir
2- Rheumatology Research Center
3- Health Promotion Counseling Center
4- Rheumatology Research Center ,
Abstract: (6517 Views)
Aims and background: People respond to chronic pain in various ways and pain adjustment is not the same in
different individuals. The aim of the current study is the assessment of the level of chronic pain adjustment in
rheumatoid arthritis (RA) patients based on the quality of life, physical disability, and the level of their depression.
In addition, the role of three variables, pain catastrophizing, fear of movement, and self-efficacy in a relationship
with chronic pain adjustment was assessed.
Materials and methods: In this cross-sectional study, 123 RA patients who had chronic pain and were over
18 years old were included. Patients were attending the outpatient rheumatology clinic, Shariati Hospital from
May 2017 until May 2018. Patients were assessed by the Short-Form Health Survey (SF-36), Pain Self-Efficacy
Questionnaire (PSEQ), Physical Disability Questionnaire (PDQ), Depression, Anxiety and Stress Scales (DASS),
Tampa Scale for Kinesiophobia (TSK), and Pain Catastrophizing Scale (PCS). Data were analyzed by Pearson
correlation and multiple linear regression methods.
Findings: Our results showed that there is an association between self-efficacy, fear of movement, and pain
catastrophizing with chronic pain adjustment (P<0.01). According to the multiple linear regression analysis, fear
of movement and pain catastrophizing are in a correlation with the physical disability. The finding demonstrated
that self-efficacy and pain catastrophizing variables influence the patient’s depression. In addition, pain
catastrophizing, fear of movement, and self-efficacy influenced the patient’s physical and mental quality of life.
Conclusion: The relationship between pain and physical disability and other aspects of chronic pain adjustment
are adjusted by pain beleifs and pain coping strategies.
different individuals. The aim of the current study is the assessment of the level of chronic pain adjustment in
rheumatoid arthritis (RA) patients based on the quality of life, physical disability, and the level of their depression.
In addition, the role of three variables, pain catastrophizing, fear of movement, and self-efficacy in a relationship
with chronic pain adjustment was assessed.
Materials and methods: In this cross-sectional study, 123 RA patients who had chronic pain and were over
18 years old were included. Patients were attending the outpatient rheumatology clinic, Shariati Hospital from
May 2017 until May 2018. Patients were assessed by the Short-Form Health Survey (SF-36), Pain Self-Efficacy
Questionnaire (PSEQ), Physical Disability Questionnaire (PDQ), Depression, Anxiety and Stress Scales (DASS),
Tampa Scale for Kinesiophobia (TSK), and Pain Catastrophizing Scale (PCS). Data were analyzed by Pearson
correlation and multiple linear regression methods.
Findings: Our results showed that there is an association between self-efficacy, fear of movement, and pain
catastrophizing with chronic pain adjustment (P<0.01). According to the multiple linear regression analysis, fear
of movement and pain catastrophizing are in a correlation with the physical disability. The finding demonstrated
that self-efficacy and pain catastrophizing variables influence the patient’s depression. In addition, pain
catastrophizing, fear of movement, and self-efficacy influenced the patient’s physical and mental quality of life.
Conclusion: The relationship between pain and physical disability and other aspects of chronic pain adjustment
are adjusted by pain beleifs and pain coping strategies.
Keywords: Chronic pain adjustment, Pain catastrophizing, Self-efficacy, Fear of movement, Quality of life, Phisical disability, Depression
Type of Study: Original |
Subject:
Chronic pain managment
Received: 2020.06.10 | Accepted: 2020.10.13 | Published: 2020.12.30
Received: 2020.06.10 | Accepted: 2020.10.13 | Published: 2020.12.30
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