(942): Chronic illness and pain problems related to self efficacy in pain management and rehabilitation

Abstract

A recent study performed at the University of Utah Medical School compared a measure of self-efficacy being developed and provisionally described as the “Automatic Thoughts Inventory” (ATI) with a well validated instrument describing the range and impact of problems related to the course of chronic illness and pain, the Chronic Illness Problem Inventory (CIPI) in a sample of 70 patients. Discrete CIPI problem areas of: sleeping, eating, finances/employment, medication use, interaction with medical staff, focus on personal illness, cognitive functioning, physical appearance, bodily deterioration, inactivity, social activity, family/friends and assertion were associated with summary items from the ATI of: affirmation of life/coping, finality/coming to terms, life satisfaction, sense of well-being and belief in/access to meaning using Structural Equation Modeling analysis and the program Analysis of Moment Structures (AMOS 4). The model converged successfully (CFI= .98, RMSEA= .06), describing dynamic relationships between CIPI problem areas and self-efficacy factors from the ATI. This pilot study revealed important impacts of self-efficacy on patient ADLs and social functioning, and indicated the important relationships between factors comprising the two instruments. Clinical implications and the relationships of factors with demographic variables and pain and symptom measures are discussed.