Skip to main content
Journal cover image

Self-efficacy and pain catastrophizing in systemic lupus erythematosus: relationship to pain, stiffness, fatigue, and psychological distress.

Publication ,  Journal Article
Somers, TJ; Kurakula, PC; Criscione-Schreiber, L; Keefe, FJ; Clowse, MEB
Published in: Arthritis Care Res (Hoboken)
September 2012

OBJECTIVE: To determine how self-efficacy for pain control and pain catastrophizing, both potentially modifiable pain coping cognitions, are related to pain, stiffness, fatigue, and psychological distress in patients with systemic lupus erythematosus (SLE). METHODS: We conducted a cross-sectional study of patients with SLE who completed measures of pain coping cognitions (i.e., self-efficacy for pain control, pain catastrophizing), symptom ratings (i.e., pain, stiffness, fatigue), and psychological distress. RESULTS: Correlational analyses revealed that self-efficacy for pain control and pain catastrophizing were associated with the patients' physical symptom reports and psychological distress. After controlling for age, race, and disease activity, patients with lower levels of self-efficacy for pain control reported much higher levels of pain, stiffness, and fatigue. Patients with higher levels of pain catastrophizing reported much lower positive mood. SLE activity as assessed by the rheumatologist was not associated with physical symptoms, psychological distress, self-efficacy for pain control, or pain catastrophizing. CONCLUSION: These results suggest that pain coping cognitions (i.e., either self-efficacy for pain control or pain catastrophizing) are significantly related to physical symptoms and psychological distress in patients with SLE. This finding is important because the results of studies from other samples of patients with persistent pain conditions have shown that these pain coping variables can be modified using psychological interventions, and that such treatment-related changes in pain cognitions are related to improved patient outcomes.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Arthritis Care Res (Hoboken)

DOI

EISSN

2151-4658

Publication Date

September 2012

Volume

64

Issue

9

Start / End Page

1334 / 1340

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Self Efficacy
  • Pain Measurement
  • Pain
  • North Carolina
  • Musculoskeletal System
  • Middle Aged
  • Male
  • Lupus Erythematosus, Systemic
  • Linear Models
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Somers, T. J., Kurakula, P. C., Criscione-Schreiber, L., Keefe, F. J., & Clowse, M. E. B. (2012). Self-efficacy and pain catastrophizing in systemic lupus erythematosus: relationship to pain, stiffness, fatigue, and psychological distress. Arthritis Care Res (Hoboken), 64(9), 1334–1340. https://doi.org/10.1002/acr.21686
Somers, Tamara J., Preethi C. Kurakula, Lisa Criscione-Schreiber, Francis J. Keefe, and Megan E. B. Clowse. “Self-efficacy and pain catastrophizing in systemic lupus erythematosus: relationship to pain, stiffness, fatigue, and psychological distress.Arthritis Care Res (Hoboken) 64, no. 9 (September 2012): 1334–40. https://doi.org/10.1002/acr.21686.
Somers TJ, Kurakula PC, Criscione-Schreiber L, Keefe FJ, Clowse MEB. Self-efficacy and pain catastrophizing in systemic lupus erythematosus: relationship to pain, stiffness, fatigue, and psychological distress. Arthritis Care Res (Hoboken). 2012 Sep;64(9):1334–40.
Somers, Tamara J., et al. “Self-efficacy and pain catastrophizing in systemic lupus erythematosus: relationship to pain, stiffness, fatigue, and psychological distress.Arthritis Care Res (Hoboken), vol. 64, no. 9, Sept. 2012, pp. 1334–40. Pubmed, doi:10.1002/acr.21686.
Somers TJ, Kurakula PC, Criscione-Schreiber L, Keefe FJ, Clowse MEB. Self-efficacy and pain catastrophizing in systemic lupus erythematosus: relationship to pain, stiffness, fatigue, and psychological distress. Arthritis Care Res (Hoboken). 2012 Sep;64(9):1334–1340.
Journal cover image

Published In

Arthritis Care Res (Hoboken)

DOI

EISSN

2151-4658

Publication Date

September 2012

Volume

64

Issue

9

Start / End Page

1334 / 1340

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Self Efficacy
  • Pain Measurement
  • Pain
  • North Carolina
  • Musculoskeletal System
  • Middle Aged
  • Male
  • Lupus Erythematosus, Systemic
  • Linear Models