Self‐efficacy for arthritis pain: Relationship to perception of thermal laboratory pain stimuli
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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Patients vary considerably in their self-efficacy.
“patients vary considerably in their self-efficacy”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [49]
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.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [49]
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.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [49]
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”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [49]
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”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [49]
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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.
- ORCID
- 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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