Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance

Objective Fibromyalgia is a long‐term condition of unknown aetiology characterised by widespread pain, fatigue, joint stiffness, and tenderness. Research in long‐term conditions traditionally focuses on negative aspects of coping. The objective of this study therefore was to investigate the role of...

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Main Authors: Sahar, Karan, Thomas, Shirley A., Clarke, Simon P.
Format: Article
Published: Wiley 2015
Subjects:
Online Access:https://eprints.nottingham.ac.uk/51962/
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author Sahar, Karan
Thomas, Shirley A.
Clarke, Simon P.
author_facet Sahar, Karan
Thomas, Shirley A.
Clarke, Simon P.
author_sort Sahar, Karan
building Nottingham Research Data Repository
collection Online Access
description Objective Fibromyalgia is a long‐term condition of unknown aetiology characterised by widespread pain, fatigue, joint stiffness, and tenderness. Research in long‐term conditions traditionally focuses on negative aspects of coping. The objective of this study therefore was to investigate the role of positive factors such as self‐efficacy and acceptance in the context of adjustment to fibromyalgia. Method The study employed a cross‐sectional design using online questionnaires measuring self‐efficacy, acceptance, kinesiophobia, coping, catastrophising, pain intensity, and fibromyalgia impact. A total of 117 participants with fibromyalgia (99 female) were recruited from fibromyalgia support‐groups, organisations, and online forums. Results Data were analysed using multiple regression analysis. After controlling for other cognitive and demographic variables, pain self‐efficacy remained a significant predictor of pain intensity (p = .003); symptom self-efficacy remained the best predictor of psychological fibromyalgia impact (p = .001); and function self‐efficacy remained the best predictor of functional (p < .001) and total fibromyalgia impact (p < .001). However, the contribution of acceptance upon pain intensity and fibromyalgia impact was not significant. Conclusions The results highlight the impact of different self‐efficacy domains on pain intensity in terms functional, psychological, and total adjustment to fibromyalgia, but suggest that the role of acceptance on these domains is less salient. The implications of these findings for future studies in self‐efficacy and fibromyalgia are discussed.
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spelling nottingham-519622024-08-15T15:16:39Z https://eprints.nottingham.ac.uk/51962/ Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance Sahar, Karan Thomas, Shirley A. Clarke, Simon P. Objective Fibromyalgia is a long‐term condition of unknown aetiology characterised by widespread pain, fatigue, joint stiffness, and tenderness. Research in long‐term conditions traditionally focuses on negative aspects of coping. The objective of this study therefore was to investigate the role of positive factors such as self‐efficacy and acceptance in the context of adjustment to fibromyalgia. Method The study employed a cross‐sectional design using online questionnaires measuring self‐efficacy, acceptance, kinesiophobia, coping, catastrophising, pain intensity, and fibromyalgia impact. A total of 117 participants with fibromyalgia (99 female) were recruited from fibromyalgia support‐groups, organisations, and online forums. Results Data were analysed using multiple regression analysis. After controlling for other cognitive and demographic variables, pain self‐efficacy remained a significant predictor of pain intensity (p = .003); symptom self-efficacy remained the best predictor of psychological fibromyalgia impact (p = .001); and function self‐efficacy remained the best predictor of functional (p < .001) and total fibromyalgia impact (p < .001). However, the contribution of acceptance upon pain intensity and fibromyalgia impact was not significant. Conclusions The results highlight the impact of different self‐efficacy domains on pain intensity in terms functional, psychological, and total adjustment to fibromyalgia, but suggest that the role of acceptance on these domains is less salient. The implications of these findings for future studies in self‐efficacy and fibromyalgia are discussed. Wiley 2015-03-27 Article PeerReviewed Sahar, Karan, Thomas, Shirley A. and Clarke, Simon P. (2015) Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance. Australian Journal of Psychology, 68 (1). pp. 29-37. ISSN 1742-9536 Adjustment; Acceptance; Fibromyalgia; Pain and pain management; Positive psychology; Self‐efficacy https://onlinelibrary.wiley.com/doi/abs/10.1111/ajpy.12089 doi:10.1111/ajpy.12089 doi:10.1111/ajpy.12089
spellingShingle Adjustment; Acceptance; Fibromyalgia; Pain and pain management; Positive psychology; Self‐efficacy
Sahar, Karan
Thomas, Shirley A.
Clarke, Simon P.
Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
title Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
title_full Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
title_fullStr Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
title_full_unstemmed Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
title_short Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
title_sort adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance
topic Adjustment; Acceptance; Fibromyalgia; Pain and pain management; Positive psychology; Self‐efficacy
url https://eprints.nottingham.ac.uk/51962/
https://eprints.nottingham.ac.uk/51962/
https://eprints.nottingham.ac.uk/51962/