Article

OBJECTIVE: To study whether personal factors (self-efficacy and pain acceptance)
mediate the relationship between pain and performance of valued life activities
in persons with rheumatoid arthritis. METHODS:
Persons with rheumatoid arthritis
for at least four years ( n = 737; 73% women) answered a questionnaire measuring
self-efficacy, pain acceptance, performance of valued life activities, and
self-rated pain. Relationships among these constructs were explored using
univariate and multivariate analyses. Structural equation modelling was then used
to examine the mediational role of personal factors on the relationship between
pain and performance of valued life activities. RESULTS: A direct negative
association between pain and performance of valued life activities was identified
( Beta = .34, P < .001). This suggests that people with rheumatoid arthritis who
had higher levels of pain has increased difficulties in performing valued life
activities. Self-efficacy and activity engagement component of pain acceptance
mediated the relationship between pain and performance of valued life activities,
however the pain willingness component of pain acceptance did not influence
participation in valued life activities. CONCLUSION:
These findings highlight the
importance of considering personal factors, such as pain acceptance and
self-efficacy, in facilitating participation in valued life activities.

Langue : ANGLAIS