Cited by 48Fibromyalgia and Chronic Fatigue Syndrome ResearchPsychosomatic Disorders and Their TreatmentsMusculoskeletal pain and rehabilitation

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Helplessness as a Mediator of Health Status in Fibromyalgia

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Crossref · 10.1023/a:1018731312503

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  • Patients scoring high on helplessness have much poorer medical therapy outcomes.

    “During the past decade, a number of cross-sectional and longitudinal studies have shown that patients scoring high on helplessness report higher levels of pain, depression, and disability and have much poorer medical therapy outcomes.35,84,86,107,108”
  • During the past decade, cross-sectional and longitudinal studies have shown that patients scoring high on helplessness report higher levels of pain, depression, and disability.

    “During the past decade, a number of cross-sectional and longitudinal studies have shown that patients scoring high on helplessness report higher levels of pain, depression, and disability and have much poorer medical therapy outcomes.35,84,86,107,108”

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References 36 · Cited by 48

Research works printed but not linked: 36

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  2. Ahles, T. A., Khan, S. A., Yunus, M. B., Spiegel, D. A., & Masi, A. T. (1991). Psychiatric status of patients with primary fibromyalgia, patients with rheumatoid arthritis, and subjects without pain: A blind comparison of DSM—III diagnosis. American Journal of Psychiatry, 148, 1721–1726. · DOI
  3. Baron, K., & Kenny, D. (1986). The moderator-mediator distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. · DOI · Paper page
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  5. Callahan, L. F., Brooks, R. H., & Pincus, T. (1988). Further analysis of learned helplessness in rheumatoid arthritis using a rheumatology attitudes index. Journal of Rheumatology, 15, 418–426.
  6. Cathey, M. A., Wolfe, F., Kleinheksel, S. M., Miller, S., & Patetti, K.H. (1988). Functional ability and work status in patients with fibromyalgia. Arthritis Care and Research, 1, 85–89. · DOI
  7. Clemmey, P. & Nicassio, P. M. (1997). Illness self-schemas in depressed and nondepressed rheumatoid arthritis patients. Journal of Behavioral Medicine, 20, 273–290. · DOI
  8. DeVellis, R. F. & Callahan, L. F. (1993). A brief measure of helplessness in rheumatic disease: The helplessness subscale of the rheumatology attitudes index. Journal of Rheumatology, 20, 866–869.
  9. Derogatis, L. R., Fleming, M. P., Sudler, N. C., & DellaPietra, L. (1995). Psychological assessment. In P. M. Nicassio & T. W. Smith (Eds.), Managing chronic illness: A biopsychosocial perspective (pp. 59–115). Washington, DC: American Psychological Association. · DOI
  10. Engle, E. W., Callahan, L. F., Pincus, T., & Hochberg, M. C. (1990). Learned helplessness in systemic lupus erythematosus: Analysis using the rheumatology attitudes index. Arthritis and Rheumatism, 33, 281–286. · DOI
  11. Fryback, D. G., Dasbach, E. J., Klein, R., Klein, B. E., Dorn, N., Peterson, K., & Martin, P. (1993). The Beaver Dam health outcome s study: Initial catalog of health± state quality factors. Medical Decision-Making, 13, 89–102. · DOI
  12. Gabriel, S. E. & Bombardier, C. (1989). Clinical trials in fibrositis: A critical review and future directions. Journal of Rheumatology, 16, (Suppl 19), 177–179.
  13. Keefe, F. & Block, A. (1982). Development of an observation method for assessing pain behavior in chronic low back pain patients. Behavior Therapy, 13, 363–375. · DOI
  14. Keefe, F. J., Brown, G. K., Wallstron, K. A., & Caldwell, D. S. (1989). Coping with rheumatoid arthritis pain: Catastrophizing as a maladaptive strategy. Pain, 37, 51–56. · DOI · Paper page
  15. Keefe, F. J., Caldwell, D. S., Queen, K. T., Gil, K. M., Martinez, S., Crisson, J. E., Ogden, W., & Nunley, J. (1987). Pain coping strategies in osteoarthritis patients. Journal of Consulting and Clinical Psychology, 55, 208–212. · DOI
  16. Kerns, R., Haythornthwaite, J., Rosenberg, R., Southwick, S., Giller, E., & Jacob, M. (1991). The Pain Behavior Check List: Factor structure and psychometric properties. Journal of Behavioral Medicine, 14, 155–167. · DOI
  17. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
  18. Leavitt, F., Katz, R. S., Golden, H. E., Glickman, P. B., & Layfe r, L. F. (1986). Comparison of pain properties in fibromyalgia patients and rheumatoid arthritis patients. Arthritis and Rheumatism, 29, 775–781. · DOI
  19. Lindroth, Y., Strombeck, B., Brossner, M., Gullberg, B., & Wollheim, F. A. (1994). Learned helplessness and its correlation to impairment, pain, anxiety, and depression in rheumatoid arthritis. Scandinavian Journal of Rheumatology, 23, 299–304. · DOI
  20. Mason, J. H., Silverman, S. L., Weaver, A. L., & Simms, R. W. (1992). The impact of fibromyalgia on multiple aspects of health status. Scandinavian Journal of Rheumatology, 94, (Suppl), S33.
  21. Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1, 272–299.
  22. Nicassio, P. M., Radojevic, V., Weisman, M. H., Schuman, C., Kim, J., Schoenfeld-Smith, K., & Krall, T. (1997). A comparison of behavioral and educational interventions for fibromyalgia. Journal of Rheumatology, 24, 2000–2007.
  23. Nicassio, P. M., Wallston, K. A., Callahan, L. F., Herbert, M., & Pincus, T. (1985). The measurement of helplessness in rheumatoid arthritis: The development of the Arthritis Helplessness Index. Journal of Rheumatology, 12, 462–467.
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  25. Peterson, C. (1982). Learned helplessness and health psychology. Health Psychology, 1, 53–68. · DOI
  26. Radloff, L. (1977). The CES-D Scale:A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. · DOI · Paper page
  27. Schoenfeld-Smith, K., Nicassio, P. M., Radojevic, V., & Patte rson, T. (1995). Multiaxial taxonomy of fibromyalgia syndrome patients. Journal of Clinical Psychology in Medical Settings, 2, 149–166. · DOI
  28. Seligman, M. E. (1975). Helplessness: On depression, development, and death. San Francisco: W.H. Freeman.
  29. Smith, T. W., Peck, J. R. & Ward, J. R. (1990). Helplessness and depression in rheumatoid arthritis. Health Psychology, 9, 377–389. · DOI
  30. Stein, M. J., Wallston, K. A. & Nicassio, P. M. (1988). Factor structure of the Arthritis Helplessness Index. Journal of Rheumatology, 15, 427–432.
  31. Stein, M. J., Wallston, K. A., Nicassio, P. M., & Castner, N. (1988). Correlates of a clinical classification schema for the Arthritis Helplessness Subscale. Arthritis and Rheumatism, 31, 876–881. · DOI
  32. Tayer, W. T. (1996). Evaluation of a biopsychosocial model of fatigue in systemic lupus erythematosus. Doctoral dissertation. California School of Professional Psychology, San Diego, CA.
  33. Tayer, W. T., Nicassio, P. M., Radojevic, V., & Krall, T. (1996). Pain and helplessness as correlate s of depression in systemic lupus erythematosus. British Journal of Health Psychology, 1, 253–262. · DOI
  34. Turk, D. C. & Okifuji, A. (1994). Detecting depression in chronic pain patients: Adequacy of selfreports. Behaviour Research and Therapy, 32, 9–16. · DOI
  35. Wallston, K. A., Wallston, B. S., Smith, S., & Dobbins, C. J. (1987). Perceived control and health. Current Psychological Research & Reviews, 6, 5–25. · DOI
  36. Wolfe, F., Smythe, H. A., Yunus, M. B., Benne tt, R. M., Bombardier, C., Goldenberg, D. L., Tugwell, P., Campbell, S. M., Abeles, M., Clark, P., Fam, A. G., Farber, S. J., Fiechtner, J. J., Franklin, C. M., Gatter, R. A., Hamaty, D., Lessard, J., Lichtbroun, A. S., Masi, A. T., McCain, G. A., Reynolds, W. J., Romano, T. J., Russell, I. J., & Sheon, R. P. (1990). The American College of Rheumatology criteria for the classification of fibromyalgia. Arthritis and Rheumatism, 33, 16–172. · DOI · Paper page

Metadata

Authors
Nicassio, P. M., Schuman, C., Radojevic, V., & Weisman, M. H.
Venue
Cognitive Therapy and Research
Published
1999-04
Volume
23
Issue
2
Pages
181-196
ISSN
  • 0147-5916 (ISSN-L)
  • 1573-2819
OpenAlex
W135353326
Cited by
48
References
36
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2022: 2 · 2019: 1 · 2018: 2 · 2017: 3 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
0.47
Type
journal article
Language
en
Open access
closed
Locations
Cognitive Therapy and Research (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords
fibromyalgia, learned helplessness, perceived control, internality, pain behavior, depression, disability, chronic pain, mediation, quality of well-being

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