The potential bufering role of self‑efcacy and pain acceptance against invalidation in rheumatic diseases

A substantial amount of people with a rheumatic disease perceive invalidation consisting of lack of understanding and discounting (negative social responses). To get insight into the potential bufering role of self-efcacy and pain acceptance against invalidation, this crosssectional study examined a...

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Bibliographic Details
Authors: Cameron, Nigel , Kool, Marianne, Geenen, Rinie, Estévez López, Fernando, López Chicheri, Isabel
Format: article
Publication Date:2018
Country:España
Institution:Universidad Católica San Antonio de Murcia (UCAM)
Repository:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
OAI Identifier:oai:repositorio.ucam.edu:10952/2939
Online Access:http://hdl.handle.net/10952/2939
Access Level:Open access
Keyword:Acceptance
Acceptance and commitment therapy
Invalidation
Psychological adjustment
Rheumatic disease
Self-efcacy
Description
Summary:A substantial amount of people with a rheumatic disease perceive invalidation consisting of lack of understanding and discounting (negative social responses). To get insight into the potential bufering role of self-efcacy and pain acceptance against invalidation, this crosssectional study examined associations between these variables. Spanish speaking people (N = 1153, 91% female, mean age 45 ± 11 years) with one or multiple rheumatic diseases completed online the Illness Invalidation Inventory, the Chronic Pain Acceptance Questionnaire, and the Chronic Disease Self-Efcacy Scale. Higher self-efcacy (t = − 4.80, p = < 0.001) and pain acceptance (t = − 7.99, p = < 0.001) were additively associated with discounting. Higher self-efcacy (t = − 5.41, p = < 0.001) and pain acceptance (t = − 5.71, p = < 0.001) were also additively associated with lack of understanding. The combined occurrence of high self-efcacy and high acceptance was associated most clearly with lower lack of understanding (interaction: t = − 2.12, p = 0.034). The fndings suggest the usefulness of examining whether interventions aimed at increasing self-efcacy and pain acceptance can help people with rheumatic diseases for whom invalidation is a considerable burden.