..role of self-efficacy & catastrophizing in .. improvements in disability, pain & fatigue .. patients w/chronic widespread pain.., 2021, Thompson

Andy

Andy

Retired committee member
Full title: The role of self-efficacy and catastrophizing in explaining improvements in disability, pain and fatigue among patients with chronic widespread pain treated with physiotherapy: An exploratory analysis

Authors: Thompson, Antcliff and Woby

Abstract

Objectives
Most research exploring the relationship between cognitive factors (catastrophizing and self-efficacy beliefs) and levels of pain, disability and fatigue in patients with chronic widespread pain has been performed in multi-disciplinary environments. It is less clear whether these associations are valid in other clinical environments. This study therefore aimed to establish whether changes in cognitive factors were related to changes in pain, disability and fatigue among patients treated in a physiotherapy-led symptom management programme.

Design
A longitudinal pre-post treatment study. Regression analyses were performed with change in pain, disability, physical and mental fatigue as the dependent measures. Demographics, change in pain and fatigue (when not dependent variables) and cognitive factors were entered as independent variables. β values were calculated for the final model.

Setting
Two out-patient physiotherapy departments in Manchester, UK.

Participants
Fifty patients with persistent widespread pain.

Intervention
A physiotherapist-led symptom management programme.

Main Outcome Measures
Disability (Fibromyalgia Impact Questionnaire), Pain (Numeric Pain Rating Scale and Fatigue (Chalder Fatigue Scale)

Results
Significant changes in disability, fatigue and cognitive factors were observed after treatment. Changes in self-efficacy beliefs (β = -0.38, p < 0.05) and catastrophizing (β = 0.41, p < 0.05) were significantly related to reductions in disability. There was no significant relationship between change in the cognitive variables and change in pain or fatigue.

Conclusions
Self-efficacy beliefs and catastrophizing were important determinants of change in disability, but not pain or fatigue among patients with chronic widespread pain attending physiotherapy. Cognitively-informed physiotherapy appeared to be effective in reducing disability and fatigue and modifying cognitive factors. Such interventions may offer an effective treatment option for patients with chronic widespread pain and future randomised controlled trials are required to fully assess this.

Paywall, https://www.physiotherapyjournal.com/article/S0031-9406(21)00028-6/fulltext
 
Chronic widespread pain = fibromyalgia. Which is resistant to any intervention.

So, when you have a relapse you catastrophize a little. So damn what.

When you're feeling better, you're feeling better and have forgotten the down time. I need a psych to tell me that?
 
Maths with fake numbers isn't real maths.

This is even worse than imaginary numbers, because imaginary numbers, despite their names, reflect real mathematical properties.

Those numbers are worse than imagined, they are made-up. There is no such thing as a valid number for "self-efficacy", they could have used colors for all that it matters. And they use floating point precision on feelings. What an absurd mess.

Someone really needs to do a proper accounting of how many of those copy-paste studies have been done. It must be in the thousands already. We even reached the point where systematic reviews review other systematic reviews, there are that many of them. And many of those reviews filter out most of the studies, because it's all just quantity. You'd frankly need a moderate size team just to go through it all, there are simply too many to even count them.

And still people keep doing them, because they keep getting approved, funded and, somehow, praised and rewarded. Just turning the invisible wall wheel in the background because someone has to turn that wheel.
 
A whole new dictionary....self efficacy = self confidence, but self efficacy sounds more posh. :banghead:

Biomedical science is increasingly revealing physiological abnormalities in these diseases. The day will come when sufferers will not be blamed and called hysterical or catastrophizing because they are ill.
 
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