The association between psychological factors and pain exacerbations in hip osteoarthritis

Rheumatology ◽  
2020 ◽  
Author(s):  
Kai Fu ◽  
Ben Metcalf ◽  
Kim L Bennell ◽  
Yuqing Zhang ◽  
Leticia A Deveza ◽  
...  

Abstract Objectives To evaluate the association between psychological factors and pain exacerbations in people with hip OA. Methods Eligible participants with symptomatic hip OA were instructed to complete online questionnaires every 10 days over a 90-day follow-up period. In addition, they were required to complete the questionnaire whenever they perceived they were experiencing a hip pain exacerbation. Hip pain exacerbation was defined as an increase of 2 points in pain intensity compared with baseline on an 11-point numeric rating scale (0–10). The Depression, Anxiety and Stress Scale–21 Items, Positive and Negative Affect Schedule, Pain Catastrophizing Scale and Pain Self-Efficacy Questionnaire were used to evaluate psychological factors. The associations of these with risk of hip pain exacerbation were examined by conditional logistic regression. Results Of 252 participants recruited, 131 (52.0%) contributed both case and control period data and were included in the analysis. A significant association was found between Pain Catastrophizing Scale overall score (1 point increase) with hip pain exacerbations (odds ratio: 1.07, 95% CI: 1.04, 1.11). An increase of a minimal important change (5.5 points) of Pain Self-Efficacy Questionnaire score was associated with a lower odds of pain exacerbations (odds ratio: 0.74, 95% CI: 0.65, 0.85). No significant associations were found between Depression, Anxiety and Stress Scale–21 Items or Positive and Negative Affect Schedule scores with hip pain exacerbations. Conclusion Both pain catastrophizing and pain self-efficacy beliefs were associated with pain exacerbations in people with hip OA, but other psychological factors including depression, anxiety and stress or positive and negative affects, were not associated with pain exacerbations.

2003 ◽  
Vol 11 (2) ◽  
pp. 265-274 ◽  
Author(s):  
Glenn V. Ostir ◽  
Jiska Cohen-Mansfield ◽  
Suzanne Leveille ◽  
Stefano Volpato ◽  
Jack M. Guralnik

This study investigated whether positive or negative affect has an independent association with exercise self-efficacy. Participants (N= 324) age 75-85 were classified as high or at-risk performers, and three exercise-self-efficacy items (scored 1-10) were assessed. For at-risk performers, positive affect was significantly associated with confidence in the ability to perform strength and flexibility (b= 0.83,SE= 0.23,p= .001) and aerobic exercise (b= 0.59,SE= 0.28,p= .04) and with the perception that exercise would not worsen preexisting symptoms (b= 0.73,SE= 0.24,p= .001). Among high performers, nonsignificant associations were found for positive and negative affect and exercise-self-efficacy. For at-risk performers, higher positive affect was associated with an increased odds ratio of 2.72 for scoring 10 on the muscle strength and flexibility item, 4.08 on the aerobic item, and 2.94 on the item assessing preexisting symptoms. The results suggest that improving at-risk older adults’ positive affect might increase their participation in exercise.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
María Dolores López-Bravo ◽  
Javier Lorenzo-Prol ◽  
Eva Pascual-Vaquerizo

Objetivo: El objetivo principal de este estudio es hacer una comparativa por sexos y analizar la asociación entre las variables: sensibilidad y autopercepción de sensibilidad, resistencia y disposición a informar del dolor, catastrofismo y autoeficacia en una muestra de sujetos jóvenes sanos.  El objetivo secundario es analizar la imagen social sobre la sensibilidad, resistencia y disposición a informar del dolor en ambos sexos. Diseño: Estudio descriptivo transversal. Marco: Lugar de realización Centro Superior de Estudios Universitarios La Salle (Madrid). Participantes: Individuos sanos de edades comprendidas entre los 18 y 35 años, sin conocimientos fisiológicos del dolor. Se dividieron en dos grupos: hombres (n=35) y mujeres (n=44). Variables: Las variables psicológicas fueron la autopercepción de sensibilidad, la resistencia y la expresión del dolor (Gender Role Expectation of Pain), catastrofismo (Pain Catastrophizing Scale), autoeficacia (Chronic Pain Self-Efficacy Scale). La Variable física fue la medición del umbral de sensibilidad a la presión con el algómetro. Resultados: Los resultados mostraron un menor umbral de sensibilidad a la presión en mujeres que además se correlacionaba con menores puntuaciones en autoeficacia. No se observaron diferencias en autopercepción de sensibilidad, resistencia y disposición a informar del dolor ni en los niveles de catastrofismo entre ambos sexos.  Conclusión: Debido a la cantidad de variables que pueden influir en la percepción de dolor entre hombres y mujeres, se necesitan futuros estudios que sigan con esta línea de investigación.


2019 ◽  
Vol 30 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Kelly M. Pennington ◽  
Roberto P. Benzo ◽  
Terry D. Schneekloth ◽  
Marie Budev ◽  
Satish Chandrashekaran ◽  
...  

Background: We examined the association of adult lung transplant candidates’ self-reported affect with transplant-related outcomes, evaluating whether a positive (vs negative) frame of mind might be protective. Method: Consenting waitlisted candidates from 6 centers completed the questionnaires including the Positive and Negative Affect Schedule annually and posttransplant. Univariate logistic regression analysis was performed to determine the association of baseline affect with outcomes of death or delisting. Models were subsequently adjusted for age, marital status, and education. Results: Questionnaires were completed by 169 candidates (77.9% participation). Mean positive affect, negative affect, and positive-to-negative affect ratio (positivity ratio) were similar to expected norms. The scores of the questionnaire did not change significantly over time. Fifteen (8.9%) waitlisted participants died. Candidates who died while waiting had lower positivity ratios compared to those who survived (1.82 vs 2.45; P = .02). A more negative affect was associated with increased death on the waiting list (adjusted odds ratio [OR] 1.10; P = .021). Conversely, a higher positivity ratio was associated with decreased death while waiting (adjusted OR: 0.45; P = .027). Conclusion: Negative affect may represent a novel risk factor for death on the waitlist. Enhancing positive affect may represent a useful target for psychological optimization in lung transplant candidates.


2016 ◽  
Vol 10 (4) ◽  
pp. 726-745 ◽  
Author(s):  
Tomas G. Thundiyil ◽  
Dan S. Chiaburu ◽  
Ning Li ◽  
Dave T. Wagner

Purpose The purpose of this study is to test a model connecting Chinese employees’ positive and negative affect and creative self-efficacy with supervisor-rated creative performance in Chinese business. Building on the cognitive tuning theory, this paper answers several calls for research to examine the joint effects of positive and negative affects on creative performance in the China business environment. Design/methodology/approach The participants were drawn from one of the largest petrochemical companies in China. We drew 459 leader-subordinate dyads across different jobs situated in multiple divisions to complete our surveys. The authors used hierarchical linear modeling to test the hypotheses. Findings The findings suggest that creative self-efficacy has a positive influence on creative performance during low PA scenarios. The authors also demonstrated that for employees in China, creative self-efficacy has a positive influence on creativity when employees experience both low levels of positive affect and high levels of negative affect. Originality/value As the findings suggest, Chinese employees who experience positive affect may engage in heuristic, top-down cognitive processes. Furthermore, findings from the present study also serve to extend the scope of the cognitive tuning model by testing the informational roles of positive and negative affects in self-regulatory processes rather than focusing directly on the main effects of employee affect. An important finding in this study is the three-way interaction indicating that individuals experiencing low positive affect and high negative affect will see a strong connection between creative self-efficacy and creative performance.


1996 ◽  
Vol 10 (1) ◽  
pp. 73-83 ◽  
Author(s):  
Darren C. Treasure ◽  
Jeffrey Monson ◽  
Curt L. Lox

This study examined the relationship between self-efficacy, wrestling performance, and affect prior to competition. 15 minutes prior to competition, 70 male high school wrestlers (M = 16.03 years) completed a self-efficacy assessment, the Positive and Negative Affect Schedule (Watson, Clark, & Tellegen, 1988), and the Cognitive and Somatic Anxiety Inventory-2 (Martens, Burton, Vealey, Bump, & Smith, 1990). Self-efficacy was found to be significantly associated with positive and negative affect and cognitive and somatic anxiety. Consistent with social cognitive theory, self-efficacy was a stronger predictor of performance when the measure was process oriented rather than win-loss. The findings suggest that confusion and equivocality in the literature could be removed if researchers assessed self-efficacy in a microanalytical fashion. Future research investigating the affective antecedents of performance should go beyond merely assessing negative states and recognize the potential role positive affect may play in sport behavior.


2020 ◽  
Author(s):  
Juan P. Sanabria-Mazo ◽  
Mayte Serrat ◽  
Corel Mateo Canedo ◽  
Albert Feliu Soler ◽  
Míriam Almirall ◽  
...  

Aim: To provide a preliminary assessment of the efficacy of the NAT-FM protocol as a complimentary treatment in patients with fibromyalgia (FM). Methods: A trial was conducted, with two arms: TAU (n = 6) and TAU+NAT-FM (n = 6). Results: There was a reduction in physical limitations and anxious/depressive symptoms and an improvement in positive affect in the intervention group. Also, this group showed a decrease in pain, catastrophizing, negative affect, and positively refocusing, and an increase in positive affect. Intrasession assessments showed an increase in positive affect, self-efficacy, and energy, along with a decrease in stress. Intersession assessments revealed an increase in pain, valence, and dominance. Conclusion: The results suggest the appropriateness of the NAT-FM protocol.


2012 ◽  
Vol 111 (3) ◽  
pp. 805-813 ◽  
Author(s):  
Erkan Işik

This study examined the relationship between career decision self-efficacy and personal-emotional life, including trait anxiety and positive and negative affect in a sample of 249 undergraduate students. Turkish versions of Career Decision Self-Efficacy Scale—Short Form, Positive and Negative Affect Schedule, and Trait Anxiety Inventory were administrated. Higher career decision self-efficacy was associated with higher positive affectivity and lower trait anxiety and negative affectivity. Trait anxiety and positive affect were the significant predictors of career decision self-efficacy. Implications for career counseling and ideas for future research were discussed.


2015 ◽  
Vol 37 (4) ◽  
pp. 393-409 ◽  
Author(s):  
Ian D. Boardley ◽  
Ben Jackson ◽  
Alexander Simmons

This research aimed to investigate (a) the effect of golfers’ perceptions of coach motivation efficacy on golfers’ precompetition task self-efficacy, (b) the effect of performance on pre-to-postround changes in self-efficacy, (c) the effect of pre-to-postround changes in self-efficacy on pre-to-postround changes in affect and emotion, and (d) whether any effects of performance on pre-to-postcompetition changes in affect and emotion were mediated by pre-to-postcompetition changes in self-efficacy. In Study 1, a scale measuring golf self-efficacy was developed and validated using data from 197 golfers. In Study 2, 200 golfers completed this measure alongside measures of coach motivation efficacy, and positive and negative affect before a golf competition; all measures (except coach motivation efficacy) were again completed following the competition. Structural equation modeling showed that coach motivation efficacy positively predicted precompetition self-efficacy, performance positively predicted pre-to-postcompetition changes in self-efficacy, which had positive and negative effects, respectively, on pre-to-postcompetition changes in positive and negative affect; mediation analyses demonstrated that pre-to-postcompetition changes in self-efficacy mediated effects of performance on pre-to-postcompetition changes in positive and negative affect. In Study 3, the Study-2 procedures were replicated with a separate sample of 212 golfers, except measures of excitement, concentration disruption, somatic anxiety, and worry replaced those for positive and negative affect. Structural analyses showed the findings from Study 2 were largely replicated when specific emotions were investigated in place of general indices of affect. This investigation makes novel contributions regarding the potential importance of perceptions of coach efficacy for golfers’ own efficacy beliefs, and the role personal efficacy beliefs may play in facilitating the effects of performance on affective outcomes.


Sign in / Sign up

Export Citation Format

Share Document