Structural model for pain self-efficacy based on health oriented lifestyle with mediating role of helplessness in patients with chronic pain

Document Type : Original Article

Authors

Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

Abstract

Background and Objective: Pain is a pervasive and distressing experience. Chronic musculoskeletal pain is highly prevalent in different communities. Exacerbation or improvement of pain is related to psychological factors in addition to biological aspects. The aim of the present study was to evaluate the structural model of the relationship between health oriented lifestyle, helplessness and pain self-efficacy in patients with chronic pain.
Materials and Methods: The present study was a descriptive cross sectional study using structural equation modeling. We used available sampling for selecting 384 patients with chronic musculoskeletal pain as the study population including patients with chronic musculoskeletal pain referred to Najafabad private clinics. Research tools included health oriented lifestyle questionnaire (HPLQ, 1988), Pain Self-Efficacy Questionnaire (PSQ, 2007) and Learned Helplessness Questionnaire (LHQ, 1988). The data were analyzed by SPSS23 and AMOS with help of structural equation modeling.
Results: The results indicated the health oriented lifestyles had significant direct relationship with pain self-efficacy. Learned helplessness had relative reverse relationship with pain self-efficacy and had significant reverse relationship with health promoting lifestyle. Also the mediatory role of learned helplessness in the relationship to health promoting lifestyle was supported and a relative reverse correlation was obtained (p < 0.05).In general, the model of research was fit and the considered factor structure was optimal.
Conclusion: Improving health promoting lifestyle was involved in pain self-efficacy in patients with chronic musculoskeletal pain.Changing and improving these indicators can be helpful in treatment along with medical treatment.

Keywords

References

  1. Galvez S, Reyes G, Duschek S. Cognitive impairments in fibromyal-gia syndrome. Association with positive and negative affect, alexithymia, pain catastrophizing and self-esteem: Frontiers in Psychology 2018; 22(9):377-389.
  2. Merskey, H. Pain terms: A current list with definitions and notes on usage. Pain 1986; 24: S215-S221. doi: 10.1016/0304-3959(86)90113-2
  3. Aziz Q, Giamberardino MA, Barke A, Korwisi B, Baranowski A, Andrew P, et al. The IASP classification of chronic pain for ICD-11: chronic secondary visceral pain. Narrative Review 2019; 160 (1): 69-76. 
  4. Anno K, Shibata M, Ninomiya T, Lwaki R, Kawta H, Sawamoto R. Paternal and maternal bonding styles in childhood are associated with the prevalence of chronic pain in a general adult population: the hisayama study. BMC Psychiatry 2015; 31(15):181-186.
  5. Flor H, Turk D. Chronic pain: An integrated biobehavioral approach. IASP Press, Seattle 2011.
  6. Jabalameli S, Banaeian A. Prediction of Pain Symptoms based on Meta-Cognitive Beliefs in Women with Migraine in Isfahan City. Journal of Anesthesiology and Pain 2020; 11 (3) :14-27.
  7. Garg A, kapellusch JM. Appli-cations of biomechanics for prevention of work related musculoskeletal dis-order. Ergonomics 2009; 52(1): 36-59.
  8. Shirvalkar P, Veuthey TL, Dawes HE, Chang EF. Closed Loop Deep Brain Stimulation for Refractory Chronic Pain. Frontiers in Computational Neuroscience 2018, 12: 18-19.
  9. Koenig A, Kupper A, Skidmor J, Murph K. Pain self-efficacy mediates the relationship between depressive symptoms and pain severity. Pain 2018; 31(2): 137-144.
  10. Turner JA, Anderson ML, Balder-son BH, Cook AJ, Sherman KJ, Cherkin DC. Mindfulnessbased stress reduction and cognitive behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain 2016;157(11): 34-44.
  11. Gatchel RJ, Kathryn HR. Evidence informed management of chronic low back pain with cognitive behavioral therapy. Spine 2008; 8: 40-44.
  12. Mazaheri M, Mohammadi N, Daq aqzadeh H, Afshar H. The Effect of Emotion Regulation on the Amount of Tension Tolerance and Emotion Regulation Difficulties in Women with Tension type Headaches. Journal of Shahid Sadoughi University of Medical Sciences 2017; 24(10):840-851.
  13. Maier S, Seligman M. Learned hel-plessness at fifty: Insights from neuro-science. Psychological Review 2016; 123 (4) : 349-367.
  14. O'Donnell S. Learned help lessn-ess. Encyclopedia of Human Development 2006; 778-780.
  15. Leyro T. Distress tolerance: The-ory, measurement, and relations to psy-chopathology. Current Directions in Psychological Science 2010; 19(6): 406 -410.
  16. Jabalameli Sh, Neshat doost H T, Moulavi H. Efficacy of cognitive-behavioral stress management intervention on quality of life and blood pressure in female patients with hypertension. Scientific Journal of Kurdistan University of Medical Sciences 2010; 15 (2) :88-97.
  17. Noroozinia R, Aghabarari M, Koh-an M, Karimi M. Study of health promoting behavior and its correlation with anxiety and some demographic characteristics of students Alborz University of Medical Sciences. Journal of Health Promotion Management 2013; 2(4): 39-49.
  18. Al-Qahtani MF. Health oriented lifestyles behaviors among nurses in private hospitals in Al-Khobar, Saudi Arabia. Journal of the Egyptian Public Health Association 2015; 90(1): 29-34.
  19. Archer K, Coronado RA, Ehde D, Vanston S, KoyamaT, Phillips S, et al. Fear of movement and pain self efficacy mediate out-comes following a targeted reha-bilitation intervention after spine surgery: opl4. Journal of Orthopaedic & Sports Physical Therapy 2017; 47(1):A3-4.
  20. Nicholas MK. The pain self effi-cacy questionnaire: Taking pain into account. European Journal of Pain 2007; 1(2): 153-163.
  21. O'Donnell, S. Learned helpless-ness. Encyclopedia of Human Deve-lopment. Thousand Oaks, CA Sage 2006; 778-780.
  22. Peterson, C. Learned helplessness. In I. Weiner & W. Craighead (Eds). The Corsini Encyclopedia of Psychology 2006; 4(2): 917-919.
  23. Walker SN, Hill Polerecky DM. Psychometric evaluation of Health oriented lifestyles Profile II. University of  Nebraska Medical Center 1997; 150-155.
  24. Middendorp V, Lumley M, Jacobs W, van Doornen J, Bijlsmac J, Geenen R. Emotions and emotional approach and avoidance strategies in fibro-myalgia. Journal of  Psychosomatic Research 2008; 64: 159 –167.
  25. Raisi M, kahrazei F, sanagouye moharer G. The effect of group mind-fulness based stress reduction program on pain self efficacy in patients with thalassemia major. Journal of Anesthesilology and Pain 2020;11(3) :88 -97.
  26. Biccheri E, Roussiau N, Mambet Doue C. Fibromyalgia, Spirituality, Coping and Quality of Life. Journal of Religion and Health 2016; 55: 1189- 97.
  27. Wachholtz AB, Pearce MJ,  Koenig H. Exploring the relationship between spirituality, coping, and pain. Journal of Behavioral Medicine 2007; 30(4): 311-318.
  28. Woby SR,  Roach NK, Urmston M, Watson PJ. The relation between cognitive factors and levels of pain and disability in chronic low back pain patients presenting for physiotherapy. European Journal of Pain 2007; 11: 869-877.
  29. McGillion M, WattWatson J, Stevens B, LeFort SM, Coyte P, Graham A. Randomized controlled trial of a psychoeducation program for the self management of chronic cardiac pain. Journal of Pain and Symptom Management  2008; 14: 45-57.
  30. Mahmoudpour A, Darba M, Shei-khi S, Nowzari M, Zolfaghari S. predicting students achievement motiv-ation based on academic self efficacy, academic self efficacy, dysfunctional attitudes, and the meaning of education. Frooyesh 2020; 9(8): 51-62.
  31. Sadeghi M, Aalipour K, Padervand H, Padervand E. The effectiveness of dialectical behavioral group therapy on tolerance of distress  and anger control skill in mothers with retarded mentally children. Shenakht Journal of Psychology and Psychiatry 2020; 7(4): 54-66.
  32. McCracken LM, Eccleston C. Comparison of the relative utility of coping and acceptance based measures in a sample of chronic pain sufferers. European Journal of Pain 2010;10(1): 23-29.
  33. Bandura A. Self-efficacy: The Exercise of control. New York: W.H. Freeman and Company 1997.
  34. Dworkin RH, Breitbat WS. Psychological aspects of pain Seattle. WA. LASP Press 2044.
  35. Bargiel-Matusiewicz K, Krzyszkowska A. Dispositional optimism and coping with pain. European Journal of Medical Research 2009;14 (4) :271-274.
  36. Boselie JJ, Vancleef LM, Smeets T, Peters ML. Increasing optimism aboli-shes pain induced impairments in exec-utive task performance. Pain 2014 ;155(2): 334-340.
  37. Smith BW, Tooley EM, Montague EQ, Robinson AE, Cosper CJ, Mullins PG. The role of resilience and purpose in life in habituation to heat and cold pain. European Journal of Pain 2009;10(5): 493-495.

  38. 130
     
    Ong AD, Zautra AJ, Reid MC. Psychological resilience predicts decreases in pain catastrophizing through positive emotions. Psychology and Aging 2010; 25(3): 516-523.
  39. Nejati A, Ahadi H, Meschi F, Seirafi M R, kraskian mojembari A. Pain Sensation and Long term Suffering due to Chronic Pain in Patients with Rheumatoid Arthritis: Mediating Role of Self efficacy. Iranian Journal of Health Education and Health Promotion 2020; 8(1) :10-22.
  40. Arnstein P, Caudill M, Mandle CL, NorrisA, Beasley R. Self efficacy as a mediator of the relationship between pain intensity, disability and depression in chronic pain patients. Pain 2018; 80 (3): 483-491.
  41. McCracken LM. Learning to live with the pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain 2016; 74(1): 21-27.
  42. Shaygan M, Mozafari M, Zahed-ian Nasab N, Shayegan L, Bagheri S. Comparison of Depression and Spiritual Well-being in Chronic Pain Patients and Healthy Control Group. Journal of Pizhūhish Dar Dīn va Salāmat 2020;6(2):100-114.
  43. Dehghani F, Barkhordari Sharif-abad M, Sedaghati kesbakhi M, Fallahzadeh H. Improving nurses perceived self efficacy with palliative care education. Journal of Nursing Education 2020; 9(2): 1-9.
  44. Tella D. M, Ghiggia A, Tesio V, Romeo A, Colonna F, Fusaro E, Torta R, Castelli L. Pain experience in Fibro-myalgia Syndrome: The role of alexi-thymia and psychological distress. Journal of Affective Disorders 2016; 9: 20-29.
  45. NeshatDoost H T, yousefzadeh M, Hashemi M, Talebi H, Taheri M, Momenzadeh S. Compare the effectiv-eness of cognitive behavior therapy and schema therapy on reducing the cognitive error of pain catastrophizing and increase of pain self efficacy in Tehranian patients with chronic low back pain. Journal of Anesthesiology and Pain 2020;11(2): 26-43.
  46. Sirois FM. A self regulation reso-urce model of selfcompassion and health behavior intentions emerging adults. Preventive Medicine Reports 2015; 2: 218-222.
  47. Wern AA, Somers TJ, Wright MA, Goetz MC, Leary MR, Fras AM, Huh BK, Rogers LL, Keefe FJ. Self compa-ssion in patients with persistent musculoskeletal pain: relationship of selfcompassion to adjustment to persistent pain. Journal of Pain and Symptom Management 2012; 43(4): 759-770.
  48. McGillion M, Watt Watson J, Stevens B, LeFort SM, Coyte P, Graham A. Randomized controlled trial of a psychoeducation program for the self management of chronic cardiac pain. Journal of Pain and Symptom Management 2008; 14: 45-57.
  49. Asghari A, Nicholas M. An Inves-tigation of Pain Self Efficacy Beliefs in Iranian Chronic Pain Patients: A Preliminary Validation of a Translated English Language Scale. Pain 2009;10: 619-632.
  50. Zandye S. The relationship betw-een family functioning and prayer coping strategies in patients with headache: role of Irrational Beliefs and pain catastrophizing. Master Disser-tation, Family research Institute, Shahid Beheshti University, Tehran 2012; 62.
  51. Sajadian I, Neshatdoost, H, Molavi H, Bagherian Sararoodi R, Abrisham-kar S. Effect of cognitive behavioral group therapy of pain management on reducing multi dimensional symptoms and pain catastrophizing in patients with chronic low back pain in Isfahan. 4th International Congress of Psychosomatic, psychological evalu-ation and intervention in psychosomatic disorders and addiction, Islamic Azad University of Khorasgan (Isfahan) 2012.
  52. Mirmohammadi F. An Investig-ation on Communication Patterns of Musculoskeletal Chronic Pain Patients and Spouses, and the Impact of these Patterns on Pain Severity, Pain Disability, Fear of Movement, Anxiety, and Depression in Patient. Master Dissertation, Family research Institute, Shahid Beheshti University, Tehran 2013; 36.
  53. Alizadeh I, Salari A, Ahmadnia Z, Moaddab F. An Investigation into Self-efficacy, Clinical Decision  making and the Level of Relationship between them among Nurses in Guilan Province. Journal of Guilan University of Medical Sciences 2020;29(114):38-49.
  54. Mesgarian F,Asghari-Moghaddam M A, Shairi M R. The Role of Self-Efficacy in Predicting Catastrophic Depression in Patients with Chronic Pain. Journal of Clinical Psychology 2013;4 (4):74-83.
  55. Galvez Sanchez C.M, Reyes Del Paso G,  Duschek, S. Cognitive  impair-ments  in fibromyalgia syndrome: Association with positive  and negative affect,  alexithymia, pain catastrophi-zing and self esteem. Frontiers in Psychology 2018; 22(9):377.
  56. Beheshti A. Chronic stress destroys the mind, Available at: http:// Clinical medicine. Ir/tag 2011.
Daneshvar Medicine
Volume 29, Issue 3 - Serial Number 154
September and October 2021
Pages 118-131

Files

Share

How to cite

Statistics