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Dissertation
A model of psychosocial factors and pain in fibromyalgia: an integrative approach
Doctor of Philosophy (Ph.D.), Medical College of Pennsylvania and Hahnemann University
May 2001
DOI:
https://doi.org/10.17918/00007920
Abstract
Fibromyalgia (FM) is a well-recognized musculoskeletal pain disorder of unknown etiology. The purpose of this study was to evaluate an exploratory model of psychosocial factors that contribute to the experience of FM pain. Seventy-six women with FM were recruited from two outpatient rheumatology offices. Patients completed a battery of psychosocial measures including measures of perceived and attentional (solicitous) social support, internal locus of control (LOC), self-efficacy, active and passive coping, and depression. Women also reported pain levels and pain-related disability. A series of hierarchal regression equations were conducted for the purpose of path analysis. Analysis of the individual paths suggested that perceived social support, self-efficacy, and passive coping affect the pain experience, and that an internal LOC, perceived social support, self-efficacy, and passive coping are related to psychosocial outcomes in this model. Importantly, this investigation also demonstrated the mediating influence of self-efficacy in coping with FM pain. Clinical interventions to target these psychosocial factors in FM are discussed. Future prospective studies are needed to test the causal relationships among these variables.
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Details
- Title
- A model of psychosocial factors and pain in fibromyalgia
- Creators
- Susan R. Rudnicki
- Contributors
- Julie Landel Graham (Advisor) - Drexel University, Medical College of Pennsylvania and Hahnemann University (1993-1996, 1998-2002)
- Awarding Institution
- Medical College of Pennsylvania and Hahnemann University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Medical College of Pennsylvania and Hahnemann University; Philadelphia, Pennsylvania
- Number of pages
- ix, 179 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Clinical and Health Psychology [Historical]; Medical College of Pennsylvania and Hahnemann University (1993-1996, 1998-2002); College of Nursing and Health Professions (2000-2002)
- Other Identifier
- 991021888772904721