ArticleRheumatology international2018
The potential buffering role of self-efficacy and pain acceptance against invalidation in rheumatic diseases.
Article in Rheumatology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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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
13 citing papers in PubMed, 19 citations in OpenAlex.
- No effect of approved fibromyalgia drugs on the social pain (invalidation) contrary to physical pain: an open-label short-term randomized clinical trial.Clinical rheumatology · 2022Trial
- What do we know about medical invalidation and related concepts? - A scoping review and thematic analysis about the definitions, measurements, causes, consequences and potential solutions for medical invalidation.BMC health services research · 2026Article
- The Role of Subjective Well-Being in the Relationship Between Illness Invalidation, Acceptance, and Functioning in Fibromyalgia.Behavioral sciences (Basel, Switzerland) · 2026Article
- Targeting chronic pain care to rural women veterans: A feasibility pilot.Psychological services · 2026Article
- Acceptance of disease as a mediator between social support and quality of life in women with Hashimoto's disease-a pilot study.Scientific reports · 2025Article
- Discounting seems the most toxic dimension of invalidation in fibromyalgia: a cross-sectional analysis.Rheumatology international · 2025Article
- Validation of the OPTIMAL-Confidence Questionnaire in Patients with Chronic Low Back Pain.Journal of clinical medicine · 2025Article
- Invisible, Uncontrollable, Unpredictable: Illness Experiences in Women with Sjögren Syndrome.Journal of clinical medicine · 2024Article
- Do FIQR Severity Categories and Symptoms, Differentiate Between Continuous, Intermittent and Non-Opioid Users in the Treatment of Fibromyalgia?Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024Observational
- Understanding the link between pain invalidation and depressive symptoms: The role of shame and social support in people with chronic pain.Journal of health psychology · 2024Article
- Dialectical Pain Management: Feasibility of a Hybrid Third-Wave Cognitive Behavioral Therapy Approach for Adults Receiving Opioids for Chronic Pain.Pain medicine (Malden, Mass.) · 2021Article
- Two sides on the fibromyalgia coin: physical pain and social pain (invalidation).Clinical rheumatology · 2021Review
- Correlation Between Chronic Pain Acceptance and Clinical Variables in Ankylosing Spondylitis and Its Prediction Role for Biologics Treatment.Frontiers in medicine · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
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 buffering role of self-efficacy and pain acceptance against invalidation, this cross-sectional 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-Efficacy Scale. Higher self-efficacy (t = - 4.80, p = < 0.001) and pain acceptance (t = - 7.99, p = < 0.001) were additively associated with discounting. Higher self-efficacy (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-efficacy and high acceptance was associated most clearly with lower lack of understanding (interaction: t = - 2.12, p = 0.034). The findings suggest the usefulness of examining whether interventions aimed at increasing self-efficacy and pain acceptance can help people with rheumatic diseases for whom invalidation is a considerable burden.
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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.