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Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance

Sahar, Karan; Thomas, Shirley A.; Clarke, Simon P.


Karan Sahar

Shirley A. Thomas

Simon P. Clarke


Fibromyalgia is a long‐term condition of unknown aetiology characterised by widespread pain, fatigue, joint stiffness, and tenderness. Research in long‐term conditions traditionally focuses on negative aspects of coping. The objective of this study therefore was to investigate the role of positive factors such as self‐efficacy and acceptance in the context of adjustment to fibromyalgia.

The study employed a cross‐sectional design using online questionnaires measuring self‐efficacy, acceptance, kinesiophobia, coping, catastrophising, pain intensity, and fibromyalgia impact. A total of 117 participants with fibromyalgia (99 female) were recruited from fibromyalgia support‐groups, organisations, and online forums.

Data were analysed using multiple regression analysis. After controlling for other cognitive and demographic variables, pain self‐efficacy remained a significant predictor of pain intensity (p = .003); symptom self-efficacy remained the best predictor of psychological fibromyalgia impact (p = .001); and function self‐efficacy remained the best predictor of functional (p 


Sahar, K., Thomas, S. A., & Clarke, S. P. (2015). Adjustment to fibromyalgia: the role of domain-specific self-efficacy and acceptance. Australian Journal of Psychology, 68(1), doi:10.1111/ajpy.12089

Journal Article Type Article
Acceptance Date Feb 12, 2015
Publication Date Mar 27, 2015
Deposit Date May 23, 2018
Journal Australian Journal of Psychology
Print ISSN 0004-9530
Electronic ISSN 1742-9536
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 68
Issue 1
Keywords Adjustment; Acceptance; Fibromyalgia; Pain and pain management; Positive psychology; Self‐efficacy
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