title: Predicting outcome of chronic pain treatment via a modified self-efficacy scale.
abstract: This study utilized a modified self-efficacy scale and examined the relationship of perceived self-efficacy to treatment outcome in a chronic, intractable, benign pain population (N = 62). In two separate studies a self-efficacy scale was given to inpatients in a combined cognitive-behavioral and medical treatment program. The scale categories consisted of (1) walking distance, (2) lifting ability, (3) pain coping, (4) working ability, and (5) social and recreational engagement. Self-efficacy beliefs were found to be associated with the level of functioning of these patients and their response to treatment. Patients with higher self-efficacy scores following treatment rated themselves as more improved and demonstrated better overall functioning with greater reductions in chronic illness behavior at followup. These observations support the merits of self-efficacy measures as predictors of treatment outcome in chronic pain patients.
authors.affiliation: Department of Anesthesiology, University of Tennessee, Memphis 38105.
authors.forename: R C
authors.initials: RC
authors.lastname: Kores
authors.forename: W D
authors.initials: WD
authors.lastname: Murphy
authors.forename: T L
authors.initials: TL
authors.lastname: Rosenthal
authors.forename: D B
authors.initials: DB
authors.lastname: Elias
authors.forename: W C
authors.initials: WC
authors.lastname: North
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010148:Intractable Pain / Q000523:psychology / Q000628:therapy*; D010556:Personality Tests; D011379:Prognosis; D012649:Self Concept; D012803:Sick Role