ArticleThe journal of pain2014
The interplay of pain-related self-efficacy and fear on functional outcomes among youth with headache.
Article in The journal of pain, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Fall Prevention Self-Management Among Older Adults: A Systematic Review.American journal of preventive medicine · 2019Pooled it
- Fall-Related Psychological Concerns and Anxiety among Community-Dwelling Older Adults: Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Feasibility of a Virtual Mindfulness-Based Stress Reduction Intervention for Individuals With Chronic Pain: Pilot Randomized Controlled Trial.JMIR formative research · 2026Trial
- A shared-management web-based intervention for sleep deficiency in school-age children with juvenile idiopathic arthritis and their parents: feasibility and acceptability study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Trial
- Self-Efficacy as a Central Mediator of Pain, Function, and Depression: Insights of a Cross-Sectional Analysis of Depersonalized Data from the German Pain e-Registry.Journal of clinical medicine · 2026Article
- Resilience factors for physical activity after completion of intensive interdisciplinary pain treatment: a qualitative analysis.Pain reports · 2026Article
- Kinesiophobia, Physical Activity, and Physical-Activity Self-Efficacy in Adolescents with Congenital Heart Disease.Pediatric cardiology · 2026Article
- Hallmarks of primary headache: part 1 - migraine.The journal of headache and pain · 2024Review
- Article
- Relationship between Self-Efficacy and Headache Impact, Anxiety, and Physical Activity Levels in Patients with Chronic Tension-Type Headache: An Observational Study.Behavioural neurology · 2022Observational
- Associations between pain, self-efficacy, sleep duration, and symptoms of depression in adolescents: a cross-sectional survey.BMC public health · 2021Article
- Risk and Resilience Factors Impacting Treatment Compliance and Functional Impairment among Adolescents Participating in an Outpatient Interdisciplinary Pediatric Chronic Pain Management Program.Children (Basel, Switzerland) · 2020Article
- Health-related quality of life in adolescents with persistent pain and the mediating role of self-efficacy: a cross-sectional study.Health and quality of life outcomes · 2020Article
- Mindfulness and self-efficacy in pain perception, stress and academic performance. The influence of mindfulness on cognitive processes.Psychology research and behavior management · 2019Article
- How Accurate Appraisal of Behavioral Costs and Benefits Guides Adaptive Pain Coping.Frontiers in psychiatry · 2017Review
- Goal Pursuit in Youth with Chronic Pain.Children (Basel, Switzerland) · 2016Review
- Supporting Teens with Chronic Pain to Obtain High School Credits: Chronic Pain 35 in Alberta.Children (Basel, Switzerland) · 2016Article
- Pediatric Pain Beliefs Questionnaire: Psychometric Properties of the Short Form.The journal of pain · 2016Article
- Fear of pain in children and adolescents with neuropathic pain and complex regional pain syndrome.Pain · 2016Article
- Understanding and Promoting Resiliency in Patients with Chronic Headache.Current neurology and neuroscience reports · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
unlabelledPain-related self-efficacy and pain-related fear have been proposed as opposing predictors of pain-related functional outcomes in youth with chronic pain. Self-efficacy is a potential resiliency factor that can mitigate the influence that pain-related fear has on outcomes in youth with chronic pain. Drawing from theoretical assertions tested among adults with chronic pain, this study aimed to determine whether pain-related self-efficacy mediates the adverse influence of pain-related fear on functional outcomes in a sample of youth with chronic headache. In a cross-sectional design of 199 youth with headache, self-efficacy was strongly associated with fear, disability, school impairment, and depressive symptoms. Pain intensity and self-efficacy were only modestly related, indicating that level of pain has less influence on one's confidence functioning with pain. Self-efficacy partially mediated relationships between pain-related fear and both functional disability and school functioning but did not mediate the relationship between pain-related fear and depressive symptoms. These results suggest that confidence in the ability to function despite pain and fear avoidance each uniquely contributes to pain-related outcomes in youth with chronic headache. These results further suggest that treatment for chronic headache in youth must focus not only on decreasing pain-related fear but also on enhancing a patient's pain-related self-efficacy. PERSPECTIVE: Pain-related self-efficacy is an important resiliency factor impacting the influence of pain-related fear on functional disability and school functioning in youth with headache. Enhancing self-efficacy may be a key mechanism for improving behavioral outcomes. Clinicians can reduce pain-related fear and enhance pain-related self-efficacy through interventions that encourage accomplishment and self-confidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.