Cited by 108Musculoskeletal pain and rehabilitationPain Management and Placebo EffectPain Mechanisms and Treatments

Self‐efficacy for arthritis pain: Relationship to perception of thermal laboratory pain stimuli

Keefe, Francis J., Lefebvre, John C., Maixner, William, Salley, Alfred N., Caldwell, David S.·1997·Arthritis & Rheumatism

Abstract

Objective To examine how self-efficacy for arthritis pain relates to the perception of controlled laboratory pain stimuli. Methods Forty patients with osteoarthritis completed self-report measures of self-efficacy for arthritis pain. They then participated in a single experimental session in which measures of thermal pain threshold and tolerance were collected, as well as measures of the perceived intensity and unpleasantness of a range of thermal pain stimuli. Results Correlational analyses revealed that patients reporting high self-efficacy for arthritis pain rated the thermal pain stimuli as less unpleasant than those reporting low self-efficacy. When subjects scoring very high and very low in self-efficacy were compared, it was found that subjects scoring high on self-efficacy for arthritis pain had significantly higher pain thresholds and pain tolerance than those scoring low on self-efficacy. Conclusions These results indicate that self-efficacy for arthritis pain is related to judgments of thermal pain stimuli. Implications for the understanding of arthritis pain and for future laboratory research are discussed.

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Registry

Crossref · 10.1002/art.1790100305

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28 of 28 references verified0 citation errors · 0 not checkable

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  • Patients vary considerably in their self-efficacy.

    “patients vary considerably in their self-efficacy”
  • In a study of 40 patients with persistent osteoarthritic knee pain, patients who rated their self-efficacy for managing clinical pain as high exhibited significantly higher pain thresholds and pain tolerance than patients who rated their self-efficacy as low.

    “patients who had rated their self-efficacy for managing their clinical pain as high exhibited significantly higher pain thresholds and pain tolerance than patients who rated their self-efficacy for controlling clinical pain as low.”
  • In that study, patients scoring high on self-efficacy for clinical pain rated laboratory thermal pain stimuli as significantly less unpleasant.

    “Those scoring high on self-efficacy for clinical pain also rated the laboratory thermal pain stimuli as significantly less unpleasant.”
  • Patients reporting higher levels of self-efficacy have lower levels of pain as well as lower levels of psychological distress and negative medical outcomes.

    “patients reporting higher levels of self-efficacy have lower levels of pain as well as lower levels of psychological distress and negative medical outcomes.11,12,49,66,87”
  • There is evidence that self-efficacy relates not only to self-reported measures of pain but also to more objective measures, such as observed pain behavior and the perception of controlled, thermal laboratory pain stimuli.

    “there is evidence that self-efficacy not only relates to self-reported measures of pain but also to more objective measures, such as observed pain behavior and the perception of controlled, thermal laboratory pain stimuli.12,13,49,87”

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Authors
Keefe, F. J., Lefebvre, J. C., Maixner, W., Salley, A. N., & Caldwell, D. S.
Affiliations
  • Duke Medical Center (US)
  • Duke University (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Keefe, Francis J.
Venue
Arthritis & Rheumatism
Publisher
Wiley
Published
1997-06
Volume
10
Issue
3
Pages
177-184
ISSN
  • 0004-3591 (ISSN-L)
  • 1529-0131
OpenAlex
W2064179159
Cited by
108
References
26
Citations by year
2026: 1 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 9 · 2013: 2 · 2012: 13
FWCI
3.66
Type
journal article
Language
en
Open access
closed
Locations
  • Arthritis & Rheumatism (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01ar035270-11)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-42261, AR 35270, R01AR042261)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Keywords
self-efficacy, arthritic pain, osteoarthritis, thermal pain, pain threshold, pain tolerance, pain unpleasantness, pain perception
MeSH terms
Attitude to Health, Female, Humans, Male, Middle Aged, Osteoarthritis, Pain, Pain Measurement, Self Care

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