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Cited by 136Fibromyalgia and Chronic Fatigue Syndrome ResearchMyofascial pain diagnosis and treatmentPsychosomatic Disorders and Their Treatments

Self-efficacy and pain behavior among subjects with fibromyalgia

Buckelew, Susan P., Parker, Jerry C., Keefe, Francis J., Deuser, William E., Crews, Timothy M., Conway, Robert, Kay, Donald R., Hewett, John E.·1994·Pain
DOI 10.1016/0304-3959(94)90024-8
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Abstract

Given the lack of objective physical measures for assessing fibromyalgia syndrome (FS), the role of pain assessment is particularly important. The role of psychological factors is controversial among FS patients. This study was designed to better understand the relationship between pain behaviors and psychological variables. Specifically, this study (1) refined a pain behavior observation (PBO) methodology for use with FS patients, (2) determined whether stretching is a valid pain behavior, and (3) assessed whether psychological variables including self-efficacy and/or depression can predict pain behaviors after controlling for disease severity and age. The 73 FS subjects meeting the American College of Rheumatology classification system completed questionnaires measuring self-efficacy, depression, and pain. Trained physicians conducted tender-point examinations. Subjects were video-taped using a standardized procedure. Two trained raters independently coded all pain behaviors. Kappa coefficients and correlations among pain behaviors and self-reported pain indicated that the PBO method was both reliable and valid. However, the newly defined pain behavior 'stretching' was found to be negatively associated with self-reported pain. Hierarchical multiple regression (MR) analyses revealed that depression did not predict pain behavior over and above myalgic scores and age; however, in 3 separate MR analyses, self-efficacy for function, pain, and other symptoms each predicted pain b…

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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 [12]

  • 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 [12]

  • 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 [12]

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Authors
Buckelew, S. P., Parker, J. C., Keefe, F. J., Deuser, W. E., Crews, T. M., Conway, R., Kay, D. R., & Hewett, J. E.
Affiliations
  • Duke University (US)
  • University of Missouri (US)
  • Duke Medical Center (US)
Corresponding author
Buckelew, Susan P.
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1994-12
Volume
59
Issue
3
Pages
377-384
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/0304-3959(94)90024-8
OpenAlex
W2004260122
Cited by
136
References
36
Citations by year
2025: 3 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 1 · 2015: 2 · 2014: 6 · 2013: 5 · 2012: 6
FWCI
2.13
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r29ar039481-04)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (1-R29-AR39481)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
fibromyalgia, self-efficacy, pain behavior, stretching, depression, psychological factors, pain assessment, tender points, inter-rater reliability, video observation
MeSH terms
Adult, Behavior, Depression, Female, Fibromyalgia, Humans, Male, Pain, Pain Measurement, Psychiatric Status Rating Scales, Self Concept, Socioeconomic Factors, Pain Management

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