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Self‐efficacy Mediates the Relation Between Pain‐related Fear and Outcome in Chronic Low Back Pain Patients by Steve R. Woby; Martin Urmston; Paul J. Watson is a Medicine article available to read on EtoBox.

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## Abstract This study aimed to determine whether self‐efficacy beliefs mediated the relation between pain‐related fear and pain, and between pain‐related fear and disability in CLBP patients who exhibited high pain‐related fear. In a cross‐sectional design, 102 chronic low back pain (CLBP) patients completed measures for pain, disability, self‐efficacy and pain‐related fear (fear of movement and catastrophizing). Multistep regression analyses were performed to determine whether self‐efficacy mediated the relation between pain‐related fear and outcome (pain and/or disability). Self‐efficacy was found to mediate the relation between pain‐related fear and pain intensity, and between pain‐related fear and disability. Therefore, this study suggests that when self‐efficacy is high, elevated pain‐related fear might not lead to greater pain and disability. However, in instances where self‐efficacy is low, elevated pain‐related fear is likely to lead to greater pain and disability. In view of these findings, we conclude that it is imperative to assess both pain‐related fear and self‐efficacy when treating CLBP patients with high pain‐related fear.

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Author

Steve R. Woby; Martin Urmston; Paul J. Watson

Publisher

Elsevier Science; Wiley (John Wiley & Sons); Wiley-Blackwell; Wiley; FASEB (ISSN 1090-3801)

Published

2007

Language

EN

Field

Medicine (Health Sciences)