The potential bufering role of self‑efcacy and pain acceptance against invalidation in rheumatic diseases
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Author/sCameron, Nigel ; Kool, Marianne; Geenen, Rinie; Estévez López, Fernando; López Chicheri, Isabel
Acceptance and commitment therapy
A substantial amount of people with a rheumatic disease perceive invalidation consisting of lack of understanding and discounting (negative social responses). To get insight into the potential bufering role of self-efcacy and pain acceptance against invalidation, this crosssectional study examined associations between these variables. Spanish speaking people (N = 1153, 91% female, mean age 45 ± 11 years) with one or multiple rheumatic diseases completed online the Illness Invalidation Inventory, the Chronic Pain Acceptance Questionnaire, and the Chronic Disease Self-Efcacy Scale. Higher self-efcacy (t = − 4.80, p = < 0.001) and pain acceptance (t = − 7.99, p = < 0.001) were additively associated with discounting. Higher self-efcacy (t = − 5.41, p = < 0.001) and pain acceptance (t = − 5.71, p = < 0.001) were also additively associated with lack of understanding. The combined occurrence of high self-efcacy and high acceptance was associated most clearly with lower lack o...