scholarly journals Evaluating the Relationship Between Emotion Regulation and Pain Self-efficacy with Psychosocial Adjustment in Athletes with Chronic Pain Considering the Mediating Role of Mental Fatigue

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mina Karami ◽  
Zohreh Rafezi ◽  
Maryam Sadat Motavalli ◽  
Nader Ayadi

Background: Pain is a pervasive and disabling barrier for the injured athlete threatening his/her ability to participate in sporting events and professional goals. However, psychological factors in the treatment process of chronic diseases are an important factor in involving the patient in treatment and making treatment decisions. Objectives: This research aimed to investigate the relationship between emotion regulation and pain self-efficacy with psychosocial adjustment in athletes with chronic pain, considering the mediating role of mental fatigue. Methods: The statistical population of this descriptive correlational study was all athletes with chronic pain referred to the Iranian Sports Medicine Federation. Using the convenience sampling method, a total of 200 injured athletes were selected as the sample size. For data collection, Psychosocial Adjustment to Illness Scale (PAIS), Pain Self-Efficacy Questionnaire (PSEQ), Pain Fatigue Scale (PFS), and Cognitive Emotion Regulation Questionnaire (CERQ-short) were used. Descriptive statistics, correlation matrix, and path analysis (structural model) were used to analyze data. Also, SPSS (v21) and AMOS (v23) software were used to analyze the data. Results: According to the results, pain self-efficacy (β = 0.18), adaptive emotion regulation (β = 0.27), and mental fatigue (β = -0.19) had a direct positive and significant impact on psychosocial adjustment. Also, the direct effect of pain self-efficacy (β = -0.19), maladaptive emotion regulation (β = 0.17), and adaptive emotion regulation (β = -0.12) on mental fatigue was significant. In addition, the indirect effect of pain self-efficacy and maladaptive emotions on psychosocial adjustment via mental fatigue was significant. Conclusions: Mental fatigue plays a good mediating role between pain self-efficacy and emotion regulation with psychosocial adjustment of athletes with chronic pain.

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Esmaeil Sadri Damirchi ◽  
Shahriar Dargahi ◽  
Nader Ayadi ◽  
Davod Fathi

Background: The majority of patients living with chronic pain faces several challenges; therefore, factors affecting their adaptation to the disease to provide appropriate therapeutic methods and meditation and relaxation therapy should be identified. Objectives: The present study aimed at investigating the relationship between perceived burdensomeness and psychosocial adjustment, and the mediating role of pain self-efficacy. Methods: This descriptive correlational study was conducted on 240 patients with chronic pain referred to the orthopedic centers in Ardabil in 2019 selected by convenience sampling. Psychosocial Adjustment to Illness Scale, Pain Self-efficacy Questionnaire, and Interpersonal Needs Questionnaire were used for data collection. Also, Pearson correlation and multiple regressions were used for data analysis. Data were analyzed using SPSS V. 19 and AMOS V. 21. Results: The findings confirmed the negative and direct effect of perceived burdensomeness (β = -0.11 and P < 0.01), as well as the positive and direct effect of pain self-efficacy (β = 0.86 and P < 0.01) on psychosocial adjustment. On the other hand, perceived burdensomeness (β = -0.32, P < 0.01) had a negative and direct effect on pain self-efficacy. The indirect effect of perceived burdensomeness and pain self-efficacy on psychosocial adjustment to illness was also confirmed. Conclusions: According to the findings of the present study, it can be concluded that the feelings of pain self-efficacy mediate the relationship between perceived burdensomeness and psychosocial adjustment in patients with chronic pain. That can also be important for the patient and their caregivers in relation to other chronic illnesses. Chronic diseases can also affect patients and their caregivers.


2021 ◽  
Author(s):  
Antonio Varela

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.


2020 ◽  
pp. 84-92

INTRODUCTION: The present study aimed to investigate the mediating role of Islamic work ethic in the relationship between spiritual intelligence and occupational self-efficacy in the Red Crescent relief workers. METHODS: This applied research was conducted based on a descriptive-survey design. The statistical population consisted of all Red Crescent relief workers in Torbat Heydariyeh, Iran (n=146). In total, 106 relief workers were selected using simple random sampling and the required data were collected through standard questionnaires. Finally, the collected data were analyzed in SPSS (version?) and Smart PLS software (version?). FINDINGS: Based on the results, there is a significant positive relationship between spiritual intelligence and occupational self-efficacy of Red Crescent relief workers and the Islamic work ethic is able to mediate this relationship. CONCLUSION: According to the findings, it can be concluded that it is possible to improve the occupational self-efficiency of relief workers through the development and reinforcement of spiritual intelligence and promotion and institutionalization of Islamic work ethic. Therefore, they will be able to play a more effective role in the achievement of organizational goals.


2020 ◽  
Vol 8 (4) ◽  
pp. 287-296
Author(s):  
Arezoo Khaleghian ◽  
◽  
Ilnaz Sajjadian ◽  
Maryam Fatehizade ◽  
Gholamreza Manshaei ◽  
...  

Objective: The present study aimed to predict the tendency to Internet Pornography Viewing (IPV) in married men based on difficulty in Emotion Regulation (ER) with the mediating role of impulsivity and experiential avoidance. Methods: The study participants were recruited via advertising banners posted on some of the most popular social networking applications in Iran. A total sample of 123 married men in Isfahan City, Iran, participated in the study. The study participants completed the Pornography Craving Questionnaire (PCQ), the Short-form version of Difficulties in Emotion Regulation Scale (DERS-SF), the Acceptance and Action Questionnaire-II (AAQ-II), and Barratt Impulsiveness Scale (BIS-15) through the internet. The collected data were analyzed in SPSS using descriptive statistics (Mean±SD) and correlation tests. For analyzing the study model, the PLS-SEM technique was performed in WarpPLS. Results: The current research results indicated that difficulties in ER provided a positive direct effect on the tendency to IPV (β=0.37, P<0.01). The results also revealed that impulsivity (β=0.64, P<0.01) and experiential avoidance (β=0.71, P<0.01) played mediating roles between difficulties in ER and the tendency to IPV. The model presented a good fit with the data (AVIF=2.88, GOF=0.63, SPR=1, RSCR=1, SSR=1, NLBCDR=1). Conclusion: Difficulties in ER, impulsivity, and experiential avoidance play important roles in the tendency to IPV. Impulsivity and experiential avoidance, as two modes of ER, can mediate the relationship between difficulties in ER and the tendency to IPV; therefore, they should be taken into consideration in this regard.


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