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Arthritis self-efficacy and self-efficacy for resisting eating: relationships to pain, disability, and eating behavior in overweight and obese individuals with osteoarthritic knee pain.

Publication ,  Journal Article
Pells, JJ; Shelby, RA; Keefe, FJ; Dixon, KE; Blumenthal, JA; LaCaille, L; Tucker, JM; Schmitt, D; Caldwell, DS; Kraus, VB
Published in: Pain
June 2008

This study examined arthritis self-efficacy and self-efficacy for resisting eating as predictors of pain, disability, and eating behaviors in overweight or obese patients with osteoarthritis (OA) of the knee. Patients (N=174) with a body mass index between 25 and 42 completed measures of arthritis-related self-efficacy, weight-related self-efficacy, pain, physical disability, psychological disability, overeating, and demographic and medical information. Hierarchical linear regression analyses were conducted to examine whether arthritis self-efficacy (efficacy for pain control, physical function, and other symptoms) and self-efficacy for resisting eating accounted for significant variance in pain, disability, and eating behaviors after controlling for demographic and medical characteristics. Analyses also tested whether the contributions of self-efficacy were domain specific. Results showed that self-efficacy for pain accounted for 14% (p=.01) of the variance in pain, compared to only 3% accounted for by self-efficacy for physical function and other symptoms. Self-efficacy for physical function accounted for 10% (p=.001) of the variance in physical disability, while self-efficacy for pain and other symptoms accounted for 3%. Self-efficacy for other (emotional) symptoms and resisting eating accounted for 21% (p<.05) of the variance in psychological disability, while self-efficacy for pain control and physical function were not significant predictors. Self-efficacy for resisting eating accounted for 28% (p=.001) of the variance in eating behaviors. Findings indicate that self-efficacy is important in understanding pain and behavioral adjustment in overweight or obese OA patients. Moreover, the contributions of self-efficacy were domain specific. Interventions targeting both arthritis self-efficacy and self-efficacy for resisting eating may be helpful in this population.

Duke Scholars

Published In

Pain

DOI

EISSN

1872-6623

Publication Date

June 2008

Volume

136

Issue

3

Start / End Page

340 / 347

Location

United States

Related Subject Headings

  • Self Efficacy
  • Risk Assessment
  • Prognosis
  • Prevalence
  • Overweight
  • Osteoarthritis, Knee
  • Obesity
  • North Carolina
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pells, J. J., Shelby, R. A., Keefe, F. J., Dixon, K. E., Blumenthal, J. A., LaCaille, L., … Kraus, V. B. (2008). Arthritis self-efficacy and self-efficacy for resisting eating: relationships to pain, disability, and eating behavior in overweight and obese individuals with osteoarthritic knee pain. Pain, 136(3), 340–347. https://doi.org/10.1016/j.pain.2007.07.012
Pells, Jennifer J., Rebecca A. Shelby, Francis J. Keefe, Kim E. Dixon, James A. Blumenthal, Lara LaCaille, Jessica M. Tucker, Daniel Schmitt, David S. Caldwell, and Virginia B. Kraus. “Arthritis self-efficacy and self-efficacy for resisting eating: relationships to pain, disability, and eating behavior in overweight and obese individuals with osteoarthritic knee pain.Pain 136, no. 3 (June 2008): 340–47. https://doi.org/10.1016/j.pain.2007.07.012.
Pells JJ, Shelby RA, Keefe FJ, Dixon KE, Blumenthal JA, LaCaille L, Tucker JM, Schmitt D, Caldwell DS, Kraus VB. Arthritis self-efficacy and self-efficacy for resisting eating: relationships to pain, disability, and eating behavior in overweight and obese individuals with osteoarthritic knee pain. Pain. 2008 Jun;136(3):340–347.

Published In

Pain

DOI

EISSN

1872-6623

Publication Date

June 2008

Volume

136

Issue

3

Start / End Page

340 / 347

Location

United States

Related Subject Headings

  • Self Efficacy
  • Risk Assessment
  • Prognosis
  • Prevalence
  • Overweight
  • Osteoarthritis, Knee
  • Obesity
  • North Carolina
  • Middle Aged
  • Male