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The influence of self-efficacy, fear-avoidance belief, and coping styles on quality of life for Chinese patients with chronic non-specific low back pain: A multi-site cross-sectional study.

The influence of self-efficacy, fear-avoidance belief, and coping styles on quality of life for Chinese patients with chronic non-specific low back pain: A multi-site cross-sectional study.
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Du S, Hu L, Bai Y, Dong J, Jin S, Zhang H, Zhu Y,


Du S, Hu L, Bai Y, Dong J, Jin S, Zhang H, Zhu Y, (click to view)

Du S, Hu L, Bai Y, Dong J, Jin S, Zhang H, Zhu Y,

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Pain practice : the official journal of World Institute of Pain 2017 11 23() doi 10.1111/papr.12660
Abstract
BACKGROUND
As a bio-psycho-social issue, chronic low back pain (CLBP) has been a significant topic in health management, and patients’ quality of life (QOL) is gaining extensive attention. Self-efficacy, pain fear-avoidance belief (FAB), and coping styles play important roles in QOL of CLBP patients. However, it remains unclear how self-efficacy and FAB influence QOL through specific coping styles. This study aimed to explore the influencing paths of self-efficacy, FAB and coping styles on QOL of patients with CLBP.

METHODS
This study relies on a multi-site, cross-sectional design involving 221 CLBP patients. Stepwise multiple regression and structural equation modeling were employed.

RESULTS
CLBP patients lived with a poor global QOL. Self-efficacy played a direct, positive role in predicting QOL for patients CLBP (β=0.35), and it also played an indirect, positive role in predicting QOL (β=0.19) through active coping styles (β=0.31). FAB played a direct, negative role in predicting QOL (β=-0.33), and it also played an indirect, negative role in predicting QOL (β=-0.32) through passive coping styles (β=0.32).

CONCLUSIONS
Self-efficacy and FAB are both directly and indirectly related to the global QOL, and coping styles are important mediating variables. Self-efficacy and active coping are protective factors for QOL of CLBP patients, while FAB and passive coping are risk factors. Health education strategies are recommended by medical personnel to enhance CLBP patients’ pain self-efficacy, decrease pain FAB, and modify pain coping styles, so that their global QOL can be improved. This article is protected by copyright. All rights reserved.

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