Is there a relationship between self-efficacy, disability, pain and sociodemographic characteristics in chronic low back pain? A multicenter retrospective analysis.

ABSTRACT: Background:Pain-related self-efficacy is defined as the beliefs held by people with chronic pain that certain activities can be carried out despite the pain. Poor self-efficacy is an obstacle to the recovery and predicts long-term disability. The aims of this study are to investigate the prevalence of poor pain self-efficacy in Italian subjects with chronic low back pain (LBP), and to inquire the relationships between self-efficacy, disability, pain, and main demographic and clinical characteristics. Methods:A secondary multicenter retrospective analysis was done on 310 outpatients with chronic non-specific LBP. The pain self-efficacy measured with the Pain Self-Efficacy Questionnaire (PSEQ), the disability measured with the Roland & Morris Disability Questionnaire, and the pain intensity measured with the Numerical Rating Scale were considered variables to investigate, whereas demographic and clinical variables were considered predictors or potential confounders. A 40/60 PSEQ score was adopted as cut-off to distinguish between good and poor self-efficacy. Results:199 subjects (64.2% of the sample) showed poor self-efficacy. The odds of having poor self-efficacy appeared significantly related to female gender (OR?=?1.80, 95%CI [1.12;2.90]; p =?0.015) and drugs use (OR?=?1.68, 95%CI [1.06;2.70]; p?=?0.029). Significant relationships also emerged between disability and higher age (??=?0.07, 95%CI [0.01; 0.12]; p =?0.02), being female (??=?1.80, 95%CI [0.32;3.29]; p?=?0.018), low educational level (??=?-?1.68, 95%CI [-?2.59;-3.29]; p?

SUBMITTER: Ferrari S 

PROVIDER: S-EPMC6790029 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature