Abstract
The purpose of the present study was to determine whether self-efficacy mediated the relationship between perceived disease-specific impact and symptoms of depression in a sample of 600 individuals (Mage = 53.92 years, SD = 11.45 years) with fibromyalgia over 18 months. A 1-1-1 longitudinal multilevel mediation analysis was conducted using participants’ total scores on the Fibromyalgia Impact Questionnaire (FIQ), the Arthritis Self-Efficacy Scale (ASES), and the Center for Epidemiological Studies Depression Scale (CES-D) at four measurement times (baseline, six months, one year, and 18 months later). The results indicated that self-efficacy was a significant partial mediator of the direct negative influence fibromyalgia impact had on depression symptoms at both the within- and between-individual levels over the course of the study. The findings provide further evidence that enhancing self-efficacy beliefs may help buffer the negative psychological consequences of fibromyalgia and suggest that other mechanisms may affect the relationships in the model.
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Wash, K., Sadler, M., Skow, T.L. et al. Does self-efficacy mediate the relationship between disease impact and depression symptoms among people with fibromyalgia? A longitudinal multilevel mediation model. Curr Psychol 43, 9054–9063 (2024). https://doi.org/10.1007/s12144-023-05047-5
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DOI: https://doi.org/10.1007/s12144-023-05047-5