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- W2021272014 abstract "Self-efficacy for managing pain has been found to play an important role in arthritis pain problems, but has received little attention in studies of chronic temporomandibular disorder (TMD) pain patients. The objective of this study was to examine the relationship of self-efficacy to pain, disability, distress, and coping among TMD patients. We hypothesized that (1) self-efficacy would be associated negatively with pain, disability, and distress; (2) even after controlling for pain intensity, the associations of self-efficacy with disability and distress would remain significant; and (3) self-efficacy would be associated positively with use of an active, adaptive chronic pain coping strategy (task persistence) and negatively with use of a passive, maladaptive pain coping strategy (rest). TMD clinic patients (N = 156, 87% female, mean age = 37 years) completed measures of self-efficacy, pain, disability, distress, and coping. The 8-item Arthritis Self-Efficacy Scale, modified by replacing ‘arthritis’ with ‘facial pain,’ demonstrated good psychometric characteristics (Cronbach’s alpha = .91, minimal floor and ceiling effects, and validity). Controlling for age, gender, and pain duration, higher self-efficacy was associated with lower pain intensity (P < .001), disability (Graded Chronic Pain Scale pain-related disability, P < .001; SF-36 Physical Function, P < .01; SF-36 Role-Physical, P < .05), and psychological distress (SF-36 Mental Health, P < .001; Beck Depression Inventory, P < .001), and remained significantly associated with the disability and distress measures even after also controlling for pain intensity (Ps < .05). Patients with higher self-efficacy reported greater use of task persistence (P < .01) and less use of rest (P < .05) to cope with pain. Self-efficacy for managing pain appears to be important in TMD patient adjustment; research is needed to determine whether treatments designed to increase self-efficacy improve TMD patient outcomes." @default.
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- W2021272014 date "2005-03-01" @default.
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- W2021272014 title "Association of self-efficacy with pain, functioning, and coping among patients with temporomandibular disorder pain" @default.
- W2021272014 doi "https://doi.org/10.1016/j.jpain.2005.01.222" @default.
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