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The relationship between self-efficacy and disability in chronic low back pain patients
Authors:Jennifer B. Levin  Kenneth R. Lofland  Jeffrey E. Cassisi  Amir M. Poreh  E. Richard Blonsky
Affiliation:(1) Department of Psychology, Illinois Institute of Technology, IIT Center, 60616 Chicago, Illinois;(2) Rehabilitation Institute of Chicago, 345 East Superior, 60611 Chicago, Illinois;(3) Department of Psychology, Hebrew University, Sherman Building, Mount Scopus, 91905 Jerusalem, Israel;(4) Present address: Pain and Rehabilitation Clinic of Chicago, 640 North LaSalle, Suite 610, 60610 Chicago, Illinois;(5) Department of Psychology, Jackson State University, P.O. Box 17550, 39217 Jackson, Mississippi
Abstract:This study examined the reliability of an adapted version of the Arthritis Self-Efficacy Scale in a sample of 59 chronic low back pain patients. The present study also investigated the relationship between self-efficacy and measures of disability. Regression analyses indicated a significant negative relationship between self-efficacy and low back pain disability. That is, patients who report higher levels of self-efficacy have higher activity levels (R2=0.34,P<0.01), work more hours (R2=0.25,P<0.01), and have lower levels of psychological distress (R2=0.29,P<0.01), pain severity (R2=0.46,P<0.01), and pain behavior (R2=0.27,P<0.01) after controlling for the demographic variables of gender, duration of back pain, and having a lawyer on retainer. The results support the use of the Back Pain Self-Efficacy Scale (BPSES) as a general measure of self-efficacy in the chronic low back pain population.
Keywords:low back pain  self-efficacy  chronic pain  disability  assessment
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