Self-efficacy in multimorbid elderly patients with osteoarthritis in primary care-influence on pain-related disability

被引：13

作者：

Schulz, Sven ^{[1
]}

Brenk-Franz, Katja ^{[1
]}

Kratz, Anne ^{[1
]}

Petersen, Juliana J. ^{[2
]}

Riedel-Heller, Steffi G. ^{[3
]}

Schaefer, Ingmar ^{[4
]}

Weyerer, Siegfried ^{[5
]}

Wiese, Birgitt ^{[6
]}

Fuchs, Angela ^{[7
]}

Maier, Wolfgang ^{[8
]}

Bickel, Horst ^{[9
]}

Koenig, Hans-Helmut ^{[10
]}

Scherer, Martin ^{[4
]}

van den Bussche, Hendrik ^{[4
]}

Gensichen, Jochen ^{[1
]}

机构：

[1] Friedrich Schiller Univ, Jena Univ Hosp, Inst Gen Practice & Family Med, D-07743 Jena, Germany

[2] Goethe Univ Frankfurt, Inst Gen Practice & Family Med, D-60590 Frankfurt, Germany

[3] Univ Leipzig, Dept Social Med, D-04103 Leipzig, Germany

[4] Univ Med Ctr Hamburg Eppendorf, Dept Primary Med Care, D-20246 Hamburg, Germany

[5] Cent Inst Mental Hlth, D-68159 Mannheim, Germany

[6] Hannover Med Sch, Inst Biometry, D-30623 Hannover, Germany

[7] Univ Dusseldorf, Dept Gen Practice, D-40225 Dusseldorf, Germany

[8] Univ Bonn, Dept Psychiat & Psychotherapy, D-53105 Bonn, Germany

[9] Tech Univ Munich, Dept Psychiat, D-81675 Munich, Germany

[10] Univ Med Ctr Hamburg Eppendorf, Dept Med Sociol & Hlth Econ, D-20246 Hamburg, Germany

来源：

CLINICAL RHEUMATOLOGY | 2015年 / 34卷 / 10期

关键词：

Elderly patients; Multimorbidity; Osteoarthritis; Pain; Primary care; Self-efficacy; RANDOMIZED CONTROLLED-TRIAL; PRIMARY-HEALTH-CARE; MANAGEMENT PROGRAM; CHRONIC DISEASE; OLDER-ADULTS; PREVALENCE; ARTHRITIS; PATTERNS; COMORBIDITY; DEPRESSION;

D O I：

10.1007/s10067-014-2766-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The impact of self-efficacy on pain-related disability in multimorbid elderly patients in primary care is not known. The aim of our study was to analyze the influence of self-efficacy on the relation between pain intensity and pain-related disability, controlled for age and disease count, in aged multimorbid primary care patients with osteoarthritis and chronic pain. Patients were recruited in the German MultiCare study (trial registration: ISRCTN89818205). Pain was assessed using the Graded Chronic Pain Scale, and self-efficacy using the General Self-Efficacy Scale. We employed SPSS for statistical analysis. One thousand eighteen primary care patients were included in the study. Correlation analyses showed significant correlations between pain intensity and pain-related disability (r = 0.591, p < 0.001), pain intensity and general self-efficacy (r = 0.078, p < 0.05), and between general self-efficacy and pain-related disability (r = 0.153, p < 0.001). Multiple mediator analysis gives indications that self-efficacy partially mediates the relation between pain intensity and pain-related disability. In our results, we found little evidence that self-efficacy partially mediates the relation between pain intensity and pain-related disability in aged multimorbid primary care patients with osteoarthritis and chronic pain. Further research is necessary to prove the effect.

引用

页码：1761 / 1767

页数：7

共 50 条

[1] Self-efficacy in multimorbid elderly patients with osteoarthritis in primary care—influence on pain-related disability [J].

Sven Schulz ;

Katja Brenk-Franz ;

Anne Kratz ;

Juliana J. Petersen ;

Steffi G. Riedel-Heller ;

Ingmar Schäfer ;

Siegfried Weyerer ;

Birgitt Wiese ;

Angela Fuchs ;

Wolfgang Maier ;

Horst Bickel ;

Hans-Helmut König ;

Martin Scherer ;

Hendrik van den Bussche ;

Jochen Gensichen .

Clinical Rheumatology, 2015, 34 :1761-1767

[2] Sex Differences in Pain and Pain-Related Disability among Primary Care Patients with Chronic Musculoskeletal Pain [J].

Stubbs, DaWana ;

Krebs, Erin ;

Bair, Matthew ;

Damush, Teresa ;

Wu, Jingwei ;

Sutherland, Jason ;

Kroenke, Kurt .

PAIN MEDICINE, 2010, 11 (02) :232-239

[3] Functional self-efficacy and pain-related disability among older veterans with chronic pain in a primary care setting [J].

Barry, LC ;

Guo, Z ;

Kerns, RD ;

Duong, BD ;

Reid, MC .

PAIN, 2003, 104 (1-2) :131-137

[4] Self-Efficacy, Pain-Related Fear, and Disability in a Heterogeneous Pain Sample [J].

Perry, Elle V. ;

Francis, Andrew J. P. .

PAIN MANAGEMENT NURSING, 2013, 14 (04) :E124-E134

[5] Pain Catastrophizing and Pain-Related Fear in Osteoarthritis Patients: Relationships to Pain and Disability [J].

Somers, Tamara J. ;

Keefe, Francis J. ;

Pells, Jennifer J. ;

Dixon, Kim E. ;

Waters, Sandra J. ;

Riordan, Paul A. ;

Blumenthal, James A. ;

Mckee, Daphne C. ;

LaCaille, Lara ;

Tucker, Jessica N. ;

Schmitt, Daniel ;

Caldwell, David S. ;

Kraus, Virginia B. ;

Sims, Ershela L. ;

Shelby, Rebecca A. ;

Rice, John R. .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2009, 37 (05) :863-872

[6] Domain Specific Self-Efficacy Mediates the Impact of Pain Catastrophizing on Pain and Disability in Overweight and Obese Osteoarthritis Patients [J].

Shelby, Rebecca A. ;

Somers, Tamara J. ;

Keefe, Francis J. ;

Pells, Jennifer J. ;

Dixon, Kim E. ;

Blumenthal, James A. .

JOURNAL OF PAIN, 2008, 9 (10) :912-919

[7] Pain-Related Attitudes and Functioning in Elderly Primary Care Patients [J].

Miro, Jordi ;

Queral, Rosa ;

del Carme Nolla, Maria .

SPANISH JOURNAL OF PSYCHOLOGY, 2014, 17 :E104

[8] Treating disability in knee osteoarthritis with exercise therapy: A central role for self-efficacy and pain [J].

Rejeski, WJ ;

Ettinger, WH ;

Martin, K ;

Morgan, T .

ARTHRITIS CARE AND RESEARCH, 1998, 11 (02) :94-101

[9] Influence of upper limb disability, manual dexterity and fine motor skill on general self-efficacy in institutionalized elderly with osteoarthritis [J].

Manuel Perez-Marmol, Jose ;

Azucena Ortega-Valdivieso, Maria ;

Elias Cano-Deltell, Enrique ;

Isabel Peralta-Ramirez, Maria ;

Carmen Garcia-Rios, Ma ;

Aguilar-Ferrandiz, Maria-Encarnacion .

JOURNAL OF HAND THERAPY, 2016, 29 (01) :58-65

[10] Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care [J].

Denison, E ;

Åsenlöf, P ;

Lindberg, P .

PAIN, 2004, 111 (03) :245-252

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