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Do Self-Efficacy and the Types of Social Support Attenuate the Relationship Between Disease Impact and Depression Among People with Fibromyalgia? A Multilevel Moderated Mediation Model.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Do Self-Efficacy and the Types of Social Support Attenuate the Relationship Between Disease Impact and Depression Among People with Fibromyalgia? A Multilevel Moderated Mediation Model./
Author:	Wash, Kalila R.
Description:	1 online resource (52 pages)
Notes:	Source: Masters Abstracts International, Volume: 84-12.
Contained By:	Masters Abstracts International84-12.
Subject:	Psychology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30525521click for full text (PQDT)
ISBN:	9798379608361

Do Self-Efficacy and the Types of Social Support Attenuate the Relationship Between Disease Impact and Depression Among People with Fibromyalgia? A Multilevel Moderated Mediation Model.
Wash, Kalila R.

Do Self-Efficacy and the Types of Social Support Attenuate the Relationship Between Disease Impact and Depression Among People with Fibromyalgia? A Multilevel Moderated Mediation Model. - 1 online resource (52 pages)

Source: Masters Abstracts International, Volume: 84-12.

Thesis (M.A.)--San Diego State University, 2023.

Includes bibliographical references

Purpose: Fibromyalgia (FM) is a chronic musculoskeletal pain condition associated with several adverse outcomes, including an elevated risk of developing depression. However, self-efficacy in managing FM and social support may be protective factors that reduce psychological harm. The purpose of the present study was to determine whether self-efficacy to manage FM mediated the relationship between fibromyalgia impact scores and depression over time and whether three types of social support (emotional, tangible, and instrumental) moderated the pathways in the models.Participants/Subjects: The participants were a part of a large intervention study of 600 individuals (Mage = 53.92 years, SD = 11.45 years) with FM who completed a battery of self-report questionnaires at four measurement times (baseline, 6 months, 12 months, and 18 months). A trained research assistant confirmed the participants' FM diagnosis using the American College of Rheumatology diagnostic criteria.Methodology: Five 1-2-1-1 longitudinal multilevel moderated mediation models were conducted using total scores on the Fibromyalgia Impact Questionnaire (FIQ), the Norbeck Social Support Questionnaire (NSSQ), the Arthritis Self-Efficacy Scale (ASES), and the Center for Epidemiological Studies-Depression Scale (CES-D). The direction and magnitude of the pathways in the models were estimated at the within- and between-individual levels.Results: Contrary to the hypotheses, the results indicated that the negative influence that FM impact scores had on depression through self-efficacy was partially mediated at both levels of analysis over time. Additionally, when levels of perceived tangible support increased, the relationship between FM impact scores and self-efficacy was significantly reduced, weakening the indirect effect at the between-individual level over time. Perceived emotional and instrumental support did not significantly influence the pathways in the models.Conclusion: The results of the present study suggested that the type of perceived support that most effectively reduced the relationship between FM impact scores and self-efficacy between individuals was perceived tangible social support, which reduced the indirect effect on participants' depression. Few researchers have investigated the unique impact each type of support had on the health outcomes of people with FM over time. Thus, the results might inform researchers developing interventions for chronic pain patients.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379608361Subjects--Topical Terms:

519075
Psychology.
Subjects--Index Terms:

FibromyalgiaIndex Terms--Genre/Form:

542853
Electronic books.

Do Self-Efficacy and the Types of Social Support Attenuate the Relationship Between Disease Impact and Depression Among People with Fibromyalgia? A Multilevel Moderated Mediation Model.
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520 $a Purpose: Fibromyalgia (FM) is a chronic musculoskeletal pain condition associated with several adverse outcomes, including an elevated risk of developing depression. However, self-efficacy in managing FM and social support may be protective factors that reduce psychological harm. The purpose of the present study was to determine whether self-efficacy to manage FM mediated the relationship between fibromyalgia impact scores and depression over time and whether three types of social support (emotional, tangible, and instrumental) moderated the pathways in the models.Participants/Subjects: The participants were a part of a large intervention study of 600 individuals (Mage = 53.92 years, SD = 11.45 years) with FM who completed a battery of self-report questionnaires at four measurement times (baseline, 6 months, 12 months, and 18 months). A trained research assistant confirmed the participants' FM diagnosis using the American College of Rheumatology diagnostic criteria.Methodology: Five 1-2-1-1 longitudinal multilevel moderated mediation models were conducted using total scores on the Fibromyalgia Impact Questionnaire (FIQ), the Norbeck Social Support Questionnaire (NSSQ), the Arthritis Self-Efficacy Scale (ASES), and the Center for Epidemiological Studies-Depression Scale (CES-D). The direction and magnitude of the pathways in the models were estimated at the within- and between-individual levels.Results: Contrary to the hypotheses, the results indicated that the negative influence that FM impact scores had on depression through self-efficacy was partially mediated at both levels of analysis over time. Additionally, when levels of perceived tangible support increased, the relationship between FM impact scores and self-efficacy was significantly reduced, weakening the indirect effect at the between-individual level over time. Perceived emotional and instrumental support did not significantly influence the pathways in the models.Conclusion: The results of the present study suggested that the type of perceived support that most effectively reduced the relationship between FM impact scores and self-efficacy between individuals was perceived tangible social support, which reduced the indirect effect on participants' depression. Few researchers have investigated the unique impact each type of support had on the health outcomes of people with FM over time. Thus, the results might inform researchers developing interventions for chronic pain patients.
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