Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients
The aim of this study was to examine the relationship between biopsychosocial functioning and pain severity and to evaluate whether pain self-efficacy (PSE) mediates this relationship. This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (6...
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| Veröffentlicht in: | Journal of rehabilitation research and development 2014-01, Vol.51 (8), p.1277-1286 |
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| creator | Koenig, Alex L Kupper, Amy E Skidmore, Jay R Murphy, Karly M |
| description | The aim of this study was to examine the relationship between biopsychosocial functioning and pain severity and to evaluate whether pain self-efficacy (PSE) mediates this relationship. This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (69% female) with chronic low back pain who completed measures of biological, psychological, and social functioning, pain severity, and PSE at admission. They ranged in age from 18 to 72 yr (mean = 42.6, standard deviation = 12.1). Structural equation modeling and bootstrapping techniques were used to test the significance of the mediated model. As we predicted, lower biological functioning (beta = -0.011; 95% confidence interval [CI] = -0.019 to -0.004, p = 0.002) and social functioning (beta = -0.009; 95% CI = -0.016 to -0.003, p = 0.007) were found to significantly predict higher pain severity, and lower social functioning was found to significantly predict lower PSE (beta = 0.196; 95% CI = -0.130 to 0.273, p = 0.002). PSE did not mediate the relationship between biopsychosocial functioning and pain severity, and psychological functioning did not significantly predict pain severity or PSE. These findings suggest that social functioning is an important factor in predicting outcomes and has a number of treatment implications. |
| doi_str_mv | 10.1682/JRRD.2014.02.0047 |
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This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (69% female) with chronic low back pain who completed measures of biological, psychological, and social functioning, pain severity, and PSE at admission. They ranged in age from 18 to 72 yr (mean = 42.6, standard deviation = 12.1). Structural equation modeling and bootstrapping techniques were used to test the significance of the mediated model. As we predicted, lower biological functioning (beta = -0.011; 95% confidence interval [CI] = -0.019 to -0.004, p = 0.002) and social functioning (beta = -0.009; 95% CI = -0.016 to -0.003, p = 0.007) were found to significantly predict higher pain severity, and lower social functioning was found to significantly predict lower PSE (beta = 0.196; 95% CI = -0.130 to 0.273, p = 0.002). PSE did not mediate the relationship between biopsychosocial functioning and pain severity, and psychological functioning did not significantly predict pain severity or PSE. These findings suggest that social functioning is an important factor in predicting outcomes and has a number of treatment implications.</description><identifier>ISSN: 0748-7711</identifier><identifier>EISSN: 1938-1352</identifier><identifier>DOI: 10.1682/JRRD.2014.02.0047</identifier><identifier>PMID: 25671549</identifier><identifier>CODEN: JRRDDB</identifier><language>eng</language><publisher>United States: Department of Veterans Affairs</publisher><subject>Activities of daily living ; Adult ; Aged ; Analysis ; Back pain ; Behavior ; Chronic pain ; Chronic Pain - physiopathology ; Chronic Pain - psychology ; Cross-Sectional Studies ; Female ; Health aspects ; Hospitals ; Humans ; Hypotheses ; Low back pain ; Low Back Pain - physiopathology ; Low Back Pain - psychology ; Male ; Middle Aged ; Pain management ; Patients ; Psychological aspects ; Quality of life ; Rehabilitation ; Self Efficacy ; Self-efficacy (Psychology) ; Social aspects ; Social support ; Studies ; Surveys and Questionnaires ; Teenagers ; Young Adult</subject><ispartof>Journal of rehabilitation research and development, 2014-01, Vol.51 (8), p.1277-1286</ispartof><rights>COPYRIGHT 2014 Department of Veterans Affairs</rights><rights>Copyright Superintendent of Documents 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-8aab10054b5bb0ed42568293c61a12b707cefadf8bd511cde089d92c002855be3</citedby><cites>FETCH-LOGICAL-c439t-8aab10054b5bb0ed42568293c61a12b707cefadf8bd511cde089d92c002855be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25671549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koenig, Alex L</creatorcontrib><creatorcontrib>Kupper, Amy E</creatorcontrib><creatorcontrib>Skidmore, Jay R</creatorcontrib><creatorcontrib>Murphy, Karly M</creatorcontrib><title>Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients</title><title>Journal of rehabilitation research and development</title><addtitle>J Rehabil Res Dev</addtitle><description>The aim of this study was to examine the relationship between biopsychosocial functioning and pain severity and to evaluate whether pain self-efficacy (PSE) mediates this relationship. This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (69% female) with chronic low back pain who completed measures of biological, psychological, and social functioning, pain severity, and PSE at admission. They ranged in age from 18 to 72 yr (mean = 42.6, standard deviation = 12.1). Structural equation modeling and bootstrapping techniques were used to test the significance of the mediated model. As we predicted, lower biological functioning (beta = -0.011; 95% confidence interval [CI] = -0.019 to -0.004, p = 0.002) and social functioning (beta = -0.009; 95% CI = -0.016 to -0.003, p = 0.007) were found to significantly predict higher pain severity, and lower social functioning was found to significantly predict lower PSE (beta = 0.196; 95% CI = -0.130 to 0.273, p = 0.002). PSE did not mediate the relationship between biopsychosocial functioning and pain severity, and psychological functioning did not significantly predict pain severity or PSE. These findings suggest that social functioning is an important factor in predicting outcomes and has a number of treatment implications.</description><subject>Activities of daily living</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Back pain</subject><subject>Behavior</subject><subject>Chronic pain</subject><subject>Chronic Pain - physiopathology</subject><subject>Chronic Pain - psychology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Low back pain</subject><subject>Low Back Pain - physiopathology</subject><subject>Low Back Pain - psychology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain management</subject><subject>Patients</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Rehabilitation</subject><subject>Self Efficacy</subject><subject>Self-efficacy (Psychology)</subject><subject>Social aspects</subject><subject>Social support</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Young Adult</subject><issn>0748-7711</issn><issn>1938-1352</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkU2L1TAUhoMozvXqD3AjBTduWs_JR5sux_GbAWEY1yFJk5mMvUltWuT-e1PuqCiSReDwvIc3eQh5jtBgK-nrz1dXbxsKyBugDQDvHpAd9kzWyAR9SHbQcVl3HeIZeZLzHQBQRvExOaOi7VDwfkeu34Q05aO9TTnZoMfKr9EuIcUQbyodh2rSIVbZjb523ger7bEqA3s7F8RWY_pRGW2_nbBJL8HFJT8lj7wes3t2f-_J1_fvri8-1pdfPny6OL-sLWf9UkutDQIIboQx4AZeaknaM9uiRmo66KzzevDSDALRDg5kP_TUlmdIIYxje_LqtHea0_fV5UUdQrZuHHV0ac0KWyFoC1j-ZE9e_oPepXWOpV2huISetVT8oW706FSIPi2ztttSdc6Bcd5zCoVq_kOVM7hDsCk6H8r8rwCeAnZOOc_Oq2kOBz0fFYLaTKrNpNpMKqBqM1kyL-4Lr-bght-JX-rYT-YOl0g</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Koenig, Alex L</creator><creator>Kupper, Amy E</creator><creator>Skidmore, Jay R</creator><creator>Murphy, Karly M</creator><general>Department of Veterans Affairs</general><general>Superintendent of Documents</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients</title><author>Koenig, Alex L ; Kupper, Amy E ; Skidmore, Jay R ; Murphy, Karly M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-8aab10054b5bb0ed42568293c61a12b707cefadf8bd511cde089d92c002855be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of daily living</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Back pain</topic><topic>Behavior</topic><topic>Chronic pain</topic><topic>Chronic Pain - physiopathology</topic><topic>Chronic Pain - psychology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Low back pain</topic><topic>Low Back Pain - physiopathology</topic><topic>Low Back Pain - psychology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain management</topic><topic>Patients</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Rehabilitation</topic><topic>Self Efficacy</topic><topic>Self-efficacy (Psychology)</topic><topic>Social aspects</topic><topic>Social support</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koenig, Alex L</creatorcontrib><creatorcontrib>Kupper, Amy E</creatorcontrib><creatorcontrib>Skidmore, Jay R</creatorcontrib><creatorcontrib>Murphy, Karly M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation research and development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koenig, Alex L</au><au>Kupper, Amy E</au><au>Skidmore, Jay R</au><au>Murphy, Karly M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients</atitle><jtitle>Journal of rehabilitation research and development</jtitle><addtitle>J Rehabil Res Dev</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>51</volume><issue>8</issue><spage>1277</spage><epage>1286</epage><pages>1277-1286</pages><issn>0748-7711</issn><eissn>1938-1352</eissn><coden>JRRDDB</coden><abstract>The aim of this study was to examine the relationship between biopsychosocial functioning and pain severity and to evaluate whether pain self-efficacy (PSE) mediates this relationship. This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (69% female) with chronic low back pain who completed measures of biological, psychological, and social functioning, pain severity, and PSE at admission. They ranged in age from 18 to 72 yr (mean = 42.6, standard deviation = 12.1). Structural equation modeling and bootstrapping techniques were used to test the significance of the mediated model. As we predicted, lower biological functioning (beta = -0.011; 95% confidence interval [CI] = -0.019 to -0.004, p = 0.002) and social functioning (beta = -0.009; 95% CI = -0.016 to -0.003, p = 0.007) were found to significantly predict higher pain severity, and lower social functioning was found to significantly predict lower PSE (beta = 0.196; 95% CI = -0.130 to 0.273, p = 0.002). PSE did not mediate the relationship between biopsychosocial functioning and pain severity, and psychological functioning did not significantly predict pain severity or PSE. These findings suggest that social functioning is an important factor in predicting outcomes and has a number of treatment implications.</abstract><cop>United States</cop><pub>Department of Veterans Affairs</pub><pmid>25671549</pmid><doi>10.1682/JRRD.2014.02.0047</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; U.S. Government Documents |
| subjects | Activities of daily living Adult Aged Analysis Back pain Behavior Chronic pain Chronic Pain - physiopathology Chronic Pain - psychology Cross-Sectional Studies Female Health aspects Hospitals Humans Hypotheses Low back pain Low Back Pain - physiopathology Low Back Pain - psychology Male Middle Aged Pain management Patients Psychological aspects Quality of life Rehabilitation Self Efficacy Self-efficacy (Psychology) Social aspects Social support Studies Surveys and Questionnaires Teenagers Young Adult |
| title | Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients |
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