Health-Related Self-Efficacy Moderates the Relationship Between Pain and Functional Impairment: A Cross-Sectional Study of Emerging Adults With Chronic Illnesses.

IF 1.6 4区 医学 Q2 NURSING
Imani Sims, Katherine Shircliff, Jonathan Singer, Caroline Cummings
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引用次数: 0

Abstract

Purpose: Individuals with chronic or complex illnesses often endorse pain as a symptom of their disease. Experiences of pain are positively associated with depression and anxiety symptomatology and can have a long-term impact on general functioning. Despite the prevalence of pain in emerging adults, most research has been conducted with adolescent, general adult, and older adult samples. Emerging adults often endorse lower health-related self-efficacy than older adults, and self-efficacy more broadly may be an important intervention target to improve general functioning for those with chronic or complex illnesses across the lifespan.

Design: The current cross-sectional study aimed to examine the impact of health-related self-efficacy on the relationship between pain intensity and general functioning in an emerging adult population.

Methods: Participants (N = 149) included undergraduate students (70.5% female, 68.9% White) aged 18-21 with at least one chronic or complex illness.

Results: Pain severity and health-related self-efficacy were significantly associated with physical health, emotional well-being, and role limitations due to physical health but not role limitations due to emotional problems. Health-related self-efficacy significantly moderated the relationship between pain severity and role limitations due to physical health.

Conclusions: Continued research with emerging adults is needed to further clarify possible differences in the interdependence of health-related self-efficacy and physical versus emotional well-being for this specific (age) demographic.

Clinical implications: It is possible that interventions might need to be tailored based on whether individuals have concurrent emotional problems, as health-related self-efficacy alone might not sufficiently assuage emotional problems in individuals with a chronic/complex illness and comorbid pain.

健康相关自我效能调节疼痛和功能障碍之间的关系:一项针对慢性疾病新发成人的横断面研究
目的:患有慢性或复杂疾病的个体通常认为疼痛是他们疾病的症状。疼痛经历与抑郁和焦虑症状呈正相关,并可能对全身功能产生长期影响。尽管疼痛在新生成人中普遍存在,但大多数研究都是在青少年、普通成人和老年人样本中进行的。与老年人相比,新成年往往表现出较低的健康相关自我效能感,而更广泛的自我效能感可能是改善慢性或复杂疾病患者一生中一般功能的重要干预目标。设计:当前的横断面研究旨在研究健康相关自我效能对新兴成年人群疼痛强度和一般功能之间关系的影响。方法:参与者149人,年龄18-21岁,至少患有一种慢性或复杂疾病,女性占70.5%,白人占68.9%。结果:疼痛严重程度和与健康相关的自我效能感与身体健康、情绪健康和由身体健康引起的角色限制显著相关,但与由情绪问题引起的角色限制无关。与健康相关的自我效能显著调节了疼痛严重程度与身体健康导致的角色限制之间的关系。结论:需要对新生成人进行进一步的研究,以进一步阐明与健康相关的自我效能感和身体与情绪健康之间的相互依赖关系在这一特定(年龄)人口统计学中的可能差异。临床意义:干预措施可能需要根据个体是否同时存在情绪问题而进行调整,因为健康相关的自我效能感本身可能不足以缓解患有慢性/复杂疾病和共病疼痛的个体的情绪问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
期刊介绍: This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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