scholarly journals Pain-related beliefs are associated with arm function in persons with frozen shoulder

2020 ◽  
Vol 12 (6) ◽  
pp. 432-440
Author(s):  
L De Baets ◽  
T Matheve ◽  
J Traxler ◽  
JWS Vlaeyen ◽  
A Timmermans
Keyword(s):  
Pain Intensity ◽  
Self Efficacy ◽  
Glenohumeral Joint ◽  
Pain Catastrophizing ◽  
Frozen Shoulder ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Negative Effect ◽  
Explained Variance ◽  
Arm Function

Background Frozen shoulder is a painful glenohumeral joint condition. Pain-related beliefs are recognized drivers of function in musculoskeletal conditions. This cross-sectional study investigates associations between pain-related beliefs and arm function in frozen shoulder. Methods Pain intensity, arm function (Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH)), pain catastrophizing (Pain Catastrophizing Scale (PCS)), pain-related fear (Tampa Scale for Kinesiophobia (TSK-11)) and pain self-efficacy (Pain Self-Efficacy Questionnaire (PSEQ)) were administered in 85 persons with frozen shoulder. Correlation analyses assessed associations between pain-related beliefs and arm function. Regression analysis calculated the explained variance in arm function by pain-related beliefs. Results Pain-related fear, pain catastrophizing and pain self-efficacy were significantly associated with arm function (r = 0.51; r = 0.45 and r = −0.69, all p < .0001, respectively). Thirty-one percent of variance in arm function was explained by control variables, with pain intensity being the only significant one. After adding TSK-11, PCS and PSEQ scores to the model, 26% extra variance in arm function was explained, with significant contributions of pain intensity, pain-related fear and pain self-efficacy (R2 = 0.57). Conclusions Attention should be paid towards the negative effect of pain-related fear on outcomes in frozen shoulder and towards building one’s pain self-efficacy given its protective value in pain management.

scholarly journals Modifiable Psychological Factors Affecting Functioning in Fibromyalgia

2021 ◽  
Vol 10 (4) ◽  
pp. 803
Author(s):  
Myrella Paschali ◽  
Asimina Lazaridou ◽  
Theodoros Paschalis ◽  
Vitaly Napadow ◽  
Robert R. Edwards
Keyword(s):  
Linear Regression ◽  
Pain Intensity ◽  
Psychological Factors ◽  
Pain Catastrophizing ◽  
Behavioral Therapy ◽  
Cross Sectional Study ◽  
Important Variable ◽  
Self Report ◽  
Cross Sectional ◽  
Patient Reported

Objective: To examine the role of several interrelated, potentially modifiable psychological factors (i.e., mindfulness and catastrophizing) in influencing patient-reported functioning. Methods: In this cross-sectional study, 107 patients with fibromyalgia completed self-report assessments of pain severity, functioning and impact of symptoms, mindfulness, and pain catastrophizing. Linear regression and bootstrapping mediation analyses were performed to assess the relationships between these factors. Results: Pain intensity was significantly and positively associated with pain catastrophizing and impact of fibromyalgia on functioning. Linear regression analyses indicated that pain intensity, catastrophizing, and mindfulness affect functioning in fibromyalgia. Follow-up mediation analysis revealed a significant indirect effect of pain catastrophizing on the relationship between pain intensity and fibromyalgia functioning. Conclusion: Individuals with fibromyalgia who have higher levels of pain and catastrophizing, and lower levels of mindfulness, are more likely to experience impaired functioning. Our findings suggest that pain catastrophizing appears to be an especially important variable contributing to reduced functioning in women with fibromyalgia. Therefore, catastrophizing-reducing treatments (e.g., cognitive behavioral therapy) are likely to have direct, beneficial impacts on functioning.

scholarly journals Relationship Between Pain Intensity, Pain Catastrophizing, Self-efficacy in Patients With a Frozen Shoulder

2021 ◽  
Author(s):  
Junya Hirata ◽  
Minori Tomiyama ◽  
Yasuhiro Koike ◽  
Manabu Yoshimura ◽  
Keiko Inoue
Keyword(s):  
Pain Intensity ◽  
Self Efficacy ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Catastrophizing ◽  
Frozen Shoulder ◽  
Estimation Method ◽  
P Value ◽  
Hypothesis Model ◽  
The Relationship

Abstract Background: The evaluation of pain catastrophizing and self-efficacy is useful for predicting pain and is also associated with shoulder pain. The purposes of our study were to examine the relationship between pain catastrophizing, self-efficacy, and pain intensity in patients with a frozen shoulder.Methods: Ninety-three patients who were diagnosed with frozen shoulder were included in this study. Pain intensity (Numerical Rating Scale: NRS), pain catastrophizing (Pain Catastrophizing Scale: PCS), and self-efficacy (Pain Self-Efficacy Questionnaire: PSEQ) were measured at the first examination, and the relationship was examined using Bayesian estimation method. We developed a hypothesis model in which self-efficacy affects pain catastrophizing and pain catastrophizing affects pain intensity.Results: The path coefficients from the PSEQ score to the PCS score and from the PCS score to the NRS score were significant. The convergence of the hypothesized model was confirmed and validated (posterior prediction p-value 0.35). Conclusion: Our results suggest that self-efficacy affects pain catastrophizing, and pain catastrophizing affects pain intensity.

The association between pain characteristics, pain catastrophizing and health care use – Baseline results from the SWEPAIN cohort

2017 ◽  
Vol 16 (1) ◽  
pp. 122-128 ◽  
Author(s):  
Anna Jöud ◽  
Jonas Björk ◽  
Björn Gerdle ◽  
Anna Grimby-Ekman ◽  
Britt Larsson
Keyword(s):  
Health Care ◽  
Pain Intensity ◽  
Pain Catastrophizing ◽  
Population Based ◽  
Cross Sectional Study ◽  
Health Care Use ◽  
Cross Sectional ◽  
Pain Duration ◽  
Care Consultation ◽  
Provide Health Care

AbstractBackground and aimPain is common and adds to the global burden of disease. However, individuals suffering from pain are a heterogeneous group in terms of pain spreading, intensity and duration. While pain influences overall health care consultation not everyone with pain consult health care. To be able to provide health care matching the patients’ needs increased knowledge about what factors determines the decision to consult health care is essential. The aim of this study was to explore the combined importance of pain spreading, intensity, duration and pain catastrophizing for consulting health care.MethodsIn this cross-sectional study we used population based survey data from southeast Sweden (SWEPAIN) including 7792 individuals’ aged 16–85 reporting pain. We used Modified Poisson regressions to analyse factors of importance related to the decision to consult health care.ResultsHigh and moderate pain intensity, as compared to low, increases the probability of consulting health care (High PR = 1.7 [95% CI 1.51–1.88], moderate PR = 1.2 [1.15–1.41]). Having widespread pain, as compared to localised pain, increased the probability of consulting health (PR = 1.2 [1.03–1.36). Pain duration was not associated with increased probability of consulting health care (PR = 1.0 CI0.88–1.07). However an interaction (p = 0.05) between pain duration and pain catastrophizing beliefs was seen indicating a combined importance of the two when consulting health care.ConclusionOur result suggests that pain intensity, pain spreading and pain catastrophizing independently influence the decision to consult health care while there is an interaction effect between pain duration and pain catastrophizing beliefs where the importance of pain catastrophizing believes differ with pain duration; the importance of pain catastrophizing believes differ with pain duration.ImplicationsTreatment and rehabilitation strategies should incorporate this finding in order to meet the individual’s needs focusing on the biopsychosocial model within health care focusing not only on actual pain reliefs but also on for example acceptance and behavioural changes.

scholarly journals Relationship between pain intensity, pain catastrophizing, and self-efficacy in patients with frozen shoulder: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Junya Hirata ◽  
Minori Tomiyama ◽  
Yasuhiro Koike ◽  
Manabu Yoshimura ◽  
Keiko Inoue
Keyword(s):  
Pain Intensity ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Rating Scale ◽  
Pain Catastrophizing ◽  
Explanatory Power ◽  
Frozen Shoulder ◽  
Estimation Method ◽  
Information Criterion ◽  
The Impact

Abstract Background Pain catastrophizing and self-efficacy are useful for predicting pain; these are associated with pain intensity and facilitate evaluation of psychological factors. However, it remains unclear whether the effects are direct or indirect in patients with frozen shoulder; the impact on each variable has also not been clarified. Thus, this study aimed to examine the structural relationship between pain catastrophizing, self-efficacy, and pain intensity in patients with frozen shoulder. Methods Participants who were diagnosed with frozen shoulder between January 2016 and March 2017 were recruited from a single orthopedic clinic. Patients aged 18 years or older, who had been symptomatic for < 1 year and reported localized pain in one shoulder, experienced night pain, and had restricted active and passive shoulder motions were included. Pain intensity (Numerical Rating Scale (NRS)), pain catastrophizing (Pain Catastrophizing Scale (PCS)), and self-efficacy (Pain Self-Efficacy Questionnaire (PSEQ)) were measured at the first examination, and the relationship was examined using the Bayesian estimation method. The model was modified repeatedly based on the posterior prediction p value, deviance information criterion (DIC), and Bayesian information criterion (BIC); the model with the highest explanatory power was adopted as the final model. Results Ninety-three patients diagnosed with frozen shoulder were included in this study. On path analysis, the model in which pain intensity affected psychological factors had the most explanation. The convergence index potential scale reduction was below 1.1, and the convergence of the estimate was confirmed. The posterior prediction p value was 0.25, DIC = 1328.705, and BIC = 1356.872; the validity of the fit of the model was confirmed. The path coefficients from the NRS to the PSEQ, from the NRS to the PCS, and from the PSEQ to the PCS scores were − 0.232 (95% confidence interval (CI), − 0.406 to − 0.033), 0.259 (95% CI, 0.083–0.419), and − 0.504 (95% CI, − 0.646 to − 0.334), respectively; these values were statistically significant (p < 0.05). Conclusion Our results show that pain intensity increases the risk of chronic pain including pain catastrophizing and self-efficacy and that pain catastrophizing increases by decreasing self-efficacy in patients with frozen shoulder.

scholarly journals Pain catastrophizing and related influencing factors in pro-operative total knee arthroplasty in Lanzhou, China : a cross-sectional study

2021 ◽  
Author(s):  
Tong Ma ◽  
Juhong Pei ◽  
Xiangfu Wang ◽  
Chenxu Li ◽  
Bingli Ye ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Pain Intensity ◽  
Physical Function ◽  
Influencing Factors ◽  
Knee Arthroplasty ◽  
Pain Catastrophizing ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Total Knee

Abstract Background The pain catastrophizing of preoperative total knee arthroplasty (TKA) patients is influenced by many factors and have not been well characterized in the literature. Therefore, the present study aims to investigate the current state and risk factors of pro-operative pain catastrophizing in subjects undergoing TKA. Methods This descriptive cross-sectional study was conducted at the orthopaedics ward of two tertiary hospitals in Lanzhou, China. The Chinese version of the Pain Catastrophizing Scale (PCS), the SF-36 (the physical function domain), the Numerical Rating Scale (NRS), the Oxford Knee Score (OKS), the Hospital Anxiety and Depression Scale (HADS) and the Life Orientation Test-Revised (LOT-R) were used. Results The study included 360 participants. Among all participants, pro-operative TKA patients’ pain catastrophizing was at a high level, with a mean score of 24.92 (SD 12.38). The stepwise multiple linear regression analysis showed that anxiety (β = 0.548, P < 0.01), education level (β=-0.179, P < 0.01), physical function (β=-0.156, P < 0.01), and pain intensity during activity (β = 0.105, P = 0.015) are influencing factors for pain catastrophizing, which could explain 51.2% of the total variation in pain catastrophizing (F=95.149, P < 0.01). Conclusion Anxiety is the most important variable influencing pain catastrophizing in pro-operative TKA patients, and lower education levels, poor physical function and stronger pain intensity during activity were also associated with higher pain catastrophizing.

scholarly journals The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

2020 ◽  
Vol 9 (10) ◽  
pp. 3252
Author(s):  
Javier Martinez-Calderon ◽  
Mar Flores-Cortes ◽  
Susana Clavero-Cano ◽  
Jose Miguel Morales-Asencio ◽  
Mark P. Jensen ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Musculoskeletal Pain ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Cross Sectional Study ◽  
Chronic Musculoskeletal Pain ◽  
Pain Interference ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pain Acceptance

This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.

Determinants of Dutch general practitioners’ nutrition and physical activity guidance practices

2012 ◽  
Vol 16 (7) ◽  
pp. 1321-1331 ◽  
Author(s):  
Sonja ME van Dillen ◽  
Gerrit J Hiddink ◽  
Cees MJ van Woerkum
Keyword(s):  
Physical Activity ◽  
General Practice ◽  
General Practitioners ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Mail Questionnaire ◽  
Sectional Study ◽  
Cross Sectional ◽  
Explained Variance ◽  
Nutrition And Physical Activity

AbstractObjectiveGeneral practitioners (GP) are uniquely placed to guide their patients on nutrition and physical activity. The aims of the present study were to assess: (i) the extent to which GP guide on nutrition and physical activity; (ii) the determinants that cause GP to give guidance on nutrition and physical activity; and (iii) the extent to which these guidance practices have the same determinants.DesignCross-sectional study, mail questionnaire.SettingDutch general practice.SubjectsFour hundred and seventy-two GP in practice for 5–30 years.ResultsOur study showed that the majority of GP had similar practices for both nutrition and physical activity guidance. Fair associations were found between nutrition and physical activity guidance practices. More than half of the explained variance in the models of physical activity guidance practices was improved by the inclusion of nutrition guidance practices in the models. Moreover, GP reported higher frequencies of physical activity guidance practices than nutrition guidance practices. Nutrition guidance practices predicted the same physical activity guidance practices.ConclusionsThe majority of GP had similar practices for nutrition and physical activity guidance. GP were more inclined to guide their patients on physical activity than on nutrition. Self-efficacy was found to be a determinant in most models for guidance practices. Guidance practices proved to be a mix of prevention and treatment components. Consequently, we advise raising the self-efficacy of GP by training in medical school and in continuing medical education. We also recommend the combination of both nutrition and physical activity guidance in general practice.

scholarly journals A Study of the Predictors of Breastfeeding Self-Efficacy in Mothers During the Covid-19 Pandemic

2021 ◽  
Author(s):  
Maryam Ahmad Zadeh Beheshti ◽  
Zainab Alimoradi ◽  
Nasim Bahrami
Keyword(s):  
Social Support ◽  
Self Efficacy ◽  
Strong Predictor ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Social Characteristics ◽  
Cross Sectional ◽  
Significance Level ◽  
Negative Effect

Abstract Background and Purpose: Breastfeeding has a vital role in ensuring the health of mother and infant, and ultimately the health of society. Breastfeeding self-efficacy is a strong predictor of the duration of breastfeeding, which in a variety of situations - including crises - may be affected by a number of factors. The aim of this study is to determine the predictors of breastfeeding self-efficacy in breastfeeding mothers during the Covid-19 pandemic.Materials and Methods: A cross-sectional study was conducted with the participation of 300 breastfeeding mothers whose children were breastfed during the Covid-19 pandemic. Sampling was based on convenience sampling and online method using a checklist of personal and social characteristics and breastfeeding self-efficacy questionnaires, spouse postpartum social support, perceived social support, anxiety and depression, and fear of Covid-19. Data were analyzed using Pearson correlation coefficient, one-way ANOVA and multi variable linear regression model via stepwise method. Significance level in this study was considered to be 0.05.Results: The mean breastfeeding self-efficacy score among participants was 58.19±10.48 (out of 70). Spouse postpartum social support (β = 0.732, p =0.04), intention to breastfeed (p = 0.001, β = 0.17), use of formula while breastfeeding (β = - 0.09, p<0.001), and depression (β = - 0.11, p<0.001), were predictors of breastfeeding self-efficacy. But fear of Covid-19 was not significantly correlated with breastfeeding self-efficacy (p = 0.514).Conclusion: The results of the present study showed that spouse postpartum social support and having the intention of breastfeeding with a positive effect; and depression and simultaneous use of formula in feeding the infant with a negative effect; are predictors of women’s breastfeeding self-efficacy during the Covid-19 pandemic. It seems that breastfeeding can be improved by counseling to improve receiving the spouse support, increasing the breastfeeding intent, and reducing the depression.

The Relationship Between Career Adaptability and Job-Search Self-Efficacy of Graduates: The Bifactor Approach

2021 ◽  
pp. 106907272110022
Author(s):  
Marijana Matijaš ◽  
Darja Maslić Seršić
Keyword(s):  
Job Search ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Sem Analysis ◽  
Bifactor Model ◽  
Specific Factor ◽  
General Factor ◽  
Career Adaptability ◽  
Cross Sectional ◽  
Interview Performance

Career adaptability is an important resource for dealing with career transitions such as the transition from university to work. Previous research emphasized the importance of focusing on career adapt-abilities instead only on general career adaptability. The aim of this research was to investigate whether career adaptability can be conceptualized as a bifactor model and whether general and specific dimensions of career adaptability have a relationship with job-search self-efficacy of graduates. In an online cross-sectional study, 667 graduates completed the Career Adapt-Abilities Scale and Job Search Skill and Confidence Scale. The CFA analysis showed that the bifactor model of career adaptability had a good fit where general factor explained most of the items’ variance. The SEM analysis revealed that general career adaptability and the specific factor of confidence positively correlated with job-search and interview performance self-efficacy. Control only correlated with interview performance self-efficacy. Neither concern nor curiosity showed a significant relationship with job-search and interview performance self-efficacy.

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