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

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