The relationship between self-efficacy and disability in chronic low back pain patients

  • Jennifer B. Levin
  • Kenneth R. Lofland
  • Jeffrey E. Cassisi
  • Amir M. Poreh
  • E. Richard Blonsky


This study examined the reliability of an adapted version of the Arthritis Self-Efficacy Scale in a sample of 59 chronic low back pain patients. The present study also investigated the relationship between self-efficacy and measures of disability. Regression analyses indicated a significant negative relationship between self-efficacy and low back pain disability. That is, patients who report higher levels of self-efficacy have higher activity levels (R2=0.34,P<0.01), work more hours (R2=0.25,P<0.01), and have lower levels of psychological distress (R2=0.29,P<0.01), pain severity (R2=0.46,P<0.01), and pain behavior (R2=0.27,P<0.01) after controlling for the demographic variables of gender, duration of back pain, and having a lawyer on retainer. The results support the use of the Back Pain Self-Efficacy Scale (BPSES) as a general measure of self-efficacy in the chronic low back pain population.

Key Words

low back pain self-efficacy chronic pain disability assessment 


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Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Jennifer B. Levin
    • 1
  • Kenneth R. Lofland
    • 1
    • 2
  • Jeffrey E. Cassisi
    • 4
  • Amir M. Poreh
    • 3
  • E. Richard Blonsky
    • 2
  1. 1.Department of PsychologyIllinois Institute of Technology, IIT CenterChicago
  2. 2.Rehabilitation Institute of ChicagoChicago
  3. 3.Department of PsychologyHebrew UniversityJerusalemIsrael
  4. 4.Department of PsychologyJackson State UniversityJackson

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