The Mediational Role of Pain Self-Efficacy and Fear of Movement in Explaining the Relationship between Chronic Pain and Disability | ||
| مطالعات روانشناسی بالینی | ||
| Article 6, Volume 3, Issue 6, March 2012, Pages 141-168 PDF (29.98 K) | ||
| Document Type: Research Paper | ||
| Authors | ||
| Mohammad-Ali Asghari Moqaddam* 1; Narjes Rahmati2; Mohammad-Rezā Sho’eyri3 | ||
| 1. Associate Professor, Clinical Psychology, Shahed University | ||
| 2MA Student in Clinical Psychology Shahed University | ||
| 3Assistant Professor, Psychology, Shahed University | ||
| Abstract | ||
| Background: There is considerable individual variation in the levels of pain-related disability among people with chronic pain. Pain self-efficacy and fear of movement have been proposed to explain individual differences in the level of pain-related disability. Objective: This study aims to investigate whether pain self-efficacy and fear of movement mediate the relationship between pain intensity and disability in patients with chronic pain. Method: In a cross-sectional design, 195 chronic pain patients completed measures for pain intensity, disability, pain self-efficacy and fear of movement. Results: The mean age (SD) of the sample was 45.6 years (12) and 73% of the sample reported their main pain sites as low back and legs. Regression analyses were used to test the mediational hypothesis. The first regression analysis indicated that pain self-efficacy beliefs partially mediated the effects of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 3.40, p < 0.001). The second regression analysis indicated that fear of movement partially mediated the effect of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 4.43, p< 0.001). Conclusion: Pain self-efficacy and fear of movement are important in terms of understanding the relationship between pain and disability. The clinical implications of these findings are discussed in the paper. | ||
| Keywords | ||
| Chronic Pain; Disability; pain self-efficacy; fear of movement | ||
| References | ||
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