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

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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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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: Parker, Jerry C.
Keefe, Francis J.
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
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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Self-efficacy and pain behavior among subjects with fibromyalgia

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