title: Perceived self-efficacy and outcome expectancies in coping with chronic low back pain.
abstract: The purposes of this study were to explore the coping strategies used by patients with chronic low back pain, to test hypothesized mediators of the relationship between self-efficacy and pain outcomes, and to determine the roles of self-efficacy and outcome expectancies in coping with pain in patients (N = 85) with chronic low back pain. The most common coping behaviors were reporting pain, using pain medications, and coping self-statements. Patients' self-efficacy to cope with pain was inversely correlated with pain intensity. Self-efficacy was positively correlated with perseverance of coping effort. Perseverance of coping effort was found to mediate the effects of self-efficacy on pain outcomes; however, level of distress was not found to be a mediator. Outcome expectancies were positively correlated with perseverance of coping effort. These findings are discussed in terms of implications for practice and directions for future research.
authors.affiliation: School of Nursing, Taipei Medical College, Taiwan.
authors.forename: C C
authors.initials: CC
authors.lastname: Lin
authors.forename: S E
authors.initials: SE
authors.lastname: Ward
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007389:Internal-External Control; D017116:Low Back Pain / Q000517:prevention & control* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D015404:Nursing Methodology Research; D012648:Self Care / Q000379:methods* / Q000523:psychology; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome