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Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain.

Publication ,  Journal Article
Fisher, HM; Stalls, J; Winger, JG; Miller, SN; Plumb Vilardaga, JC; Majestic, C; Kelleher, SA; Somers, TJ
Published in: J Psychosoc Oncol
2023

PURPOSE: This study evaluated the relationship between pain and depressive symptoms through pain self-efficacy and pain catastrophizing in breast cancer patients with pain. DESIGN: Secondary analysis of a randomized trial investigating a cognitive-behavioral pain management protocol. SAMPLE: Females (N = 327) with stage I-III breast cancer and report of at least moderate pain. METHODS: Pain severity, pain self-efficacy, pain catastrophizing, and depressive symptoms were measured. The proposed model was assessed using structural equation modeling. RESULTS: Higher pain severity was significantly related to lower pain self-efficacy and higher pain catastrophizing. Lower pain self-efficacy and higher pain catastrophizing were significantly related to more depressive symptoms. Higher pain severity was significantly associated with more depressive symptoms through lower pain self-efficacy and higher pain catastrophizing. The association between pain severity and depressive symptoms was not significant when specified as a direct effect. CONCLUSION: Pain severity related to depressive symptoms in breast cancer patients via pain self-efficacy and pain catastrophizing. IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS: Measurement of pain self-efficacy and pain catastrophizing should be incorporated into comprehensive pain assessments for women with breast cancer, as these variables may be relevant therapeutic targets. Psychosocial symptom management interventions should include strategies that increase pain self-efficacy and decrease pain catastrophizing because these pain-related cognitive variables appear to drive the relationship between pain severity and depressive symptoms.

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Published In

J Psychosoc Oncol

DOI

EISSN

1540-7586

Publication Date

2023

Volume

41

Issue

1

Start / End Page

87 / 103

Location

United States

Related Subject Headings

  • Self Efficacy
  • Pain Measurement
  • Pain Management
  • Pain
  • Oncology & Carcinogenesis
  • Humans
  • Female
  • Depression
  • Catastrophization
  • Breast Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
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Fisher, H. M., Stalls, J., Winger, J. G., Miller, S. N., Plumb Vilardaga, J. C., Majestic, C., … Somers, T. J. (2023). Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain. J Psychosoc Oncol, 41(1), 87–103. https://doi.org/10.1080/07347332.2022.2046676
Fisher, Hannah M., Juliann Stalls, Joseph G. Winger, Shannon N. Miller, Jennifer C. Plumb Vilardaga, Catherine Majestic, Sarah A. Kelleher, and Tamara J. Somers. “Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain.J Psychosoc Oncol 41, no. 1 (2023): 87–103. https://doi.org/10.1080/07347332.2022.2046676.
Fisher HM, Stalls J, Winger JG, Miller SN, Plumb Vilardaga JC, Majestic C, et al. Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain. J Psychosoc Oncol. 2023;41(1):87–103.
Fisher, Hannah M., et al. “Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain.J Psychosoc Oncol, vol. 41, no. 1, 2023, pp. 87–103. Pubmed, doi:10.1080/07347332.2022.2046676.
Fisher HM, Stalls J, Winger JG, Miller SN, Plumb Vilardaga JC, Majestic C, Kelleher SA, Somers TJ. Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain. J Psychosoc Oncol. 2023;41(1):87–103.

Published In

J Psychosoc Oncol

DOI

EISSN

1540-7586

Publication Date

2023

Volume

41

Issue

1

Start / End Page

87 / 103

Location

United States

Related Subject Headings

  • Self Efficacy
  • Pain Measurement
  • Pain Management
  • Pain
  • Oncology & Carcinogenesis
  • Humans
  • Female
  • Depression
  • Catastrophization
  • Breast Neoplasms