The DOI matches its Crossref record; 35 of the 36 references it cites were found in a registry or an index.
Self-efficacy and pain behavior among subjects with fibromyalgia
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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In the citing paper
“patients vary considerably in their self-efficacy”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [12]
In the citing paper
“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]
In the citing paper
“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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Metadata
- 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.
- Venue
- Pain
- Published
- 1994-12
- Volume
- 59
- Issue
- 3
- Pages
- 377-384
- ISSN
- 0304-3959 (ISSN-L)
- 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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