Self-Efficacy for Managing Pain Is Associated With Disability, Depression, and Pain Coping Among Retirement Community Residents With Chronic Pain
Open accessAbstract
Unlabelled Little is known about cognitive and behavioral factors that influence older adults' adjustment to chronic pain. The objective of this study was to investigate the relationship of self-efficacy for managing pain to reports of pain intensity, pain-related disability, depressive symptoms, and pain coping strategy use among 140 retirement community residents (88% female; age mean = 81.7, range 66-99 years) with chronic pain. The 8-item Arthritis Self-Efficacy Scale, modified to specify pain rather than arthritis, demonstrated good psychometric characteristics (Cronbach alpha = .89, minimal floor and ceiling effects, and validity) in this sample. Controlling for age, gender, and pain intensity, self-efficacy was associated significantly and negatively with pain-related disability and depressive symptoms (P values < .001), and positively with use of pain coping strategies previously found to be associated with better outcomes (task persistence, exercise/stretch, coping self-statements, activity pacing; P values < .05). Self-efficacy for managing pain appears to be important in the adjustment of older adults with pain. Research is needed to determine whether interventions designed to increase self-efficacy improve quality of life and prevent functional declines in this population. Perspective Among retirement community residents (mean age of 82 years) with chronic pain, higher self-efficacy for managing pain is associated with less disability and depression and with the use of pain coping strategies related to better adjustment. This suggests the potential value of interventions to increase self-efficacy in this population.
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Turner et al reported good psychometric properties for a similarly modified SES, which focused on pain instead of arthritis.
“Turner et al48 reported good psychometric properties for a similarly modified SES, which focused on pain instead of arthritis.”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [48]
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- Authors
- Turner, J. A., Ersek, M., & Kemp, C.
- Affiliations
- University of Washington (US)
- Swedish Medical Center (US)
- Corresponding author
- Turner, Judith A.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2005-07
- Volume
- 6
- Issue
- 7
- Pages
- 471-479
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W2047376631
- Cited by
- 217
- References
- 15
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 12 · 2019: 12 · 2018: 18 · 2017: 12 · 2016: 14 · 2015: 7 · 2014: 11 · 2013: 20 · 2012: 10
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Nursing Research (R01NR007787)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain self-efficacy, chronic pain, older adults, retirement community residents, pain-related disability, depressive symptoms, pain coping, Arthritis Self-Efficacy Scale, pain intensity, activity pacing
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Age Factors, Aged, Aged, 80 and over, Aging, Chronic Disease, Depressive Disorder, Disability Evaluation, Female, Disabled Persons, Persons with Disabilities, Humans, Male, Pain Measurement, Pain, Intractable, Intractable Pain, Psychology, Surveys and Questionnaires, Relaxation Therapy, Retirement, Self Concept, Sex Factors, Housing for the Elderly, Exercise Tolerance
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