تاثیر شدت درد و نوع درد مستمر و عود کننده بر خودمدیریتی درد مزمن ستون فقرات: نقش میانجی خودکارآمدی و افکار فاجعه آفرین درد

 Aim and Background: Chronic pain self-management is one of the improvement, rehabilitation and prevent worsening of the pain programs influenced by several factors such as severity of pain and type of recurrent and continuous chronic pain, that the present study examines these two factors through catastrophic thoughts and pain self-efficacy. Methods and Materials: This study was descriptive and correlational which using available sampling was done in 1394 on 301 patients with backbone chronic pain. In this study, descriptive and inferential statistical methods such as fitting parameters, path coefficients and its significance in path analysis were used. Findings: The results obtained from path coefficient test indicate direct effects of self-efficacy (positively) and catastrophic thoughts )negatively) on the self-management, also pain intensity indirectly affect pain self management, but this effect was not significant in recurrent and continuous chronic pain. Conclusions: In chronic backbone pain self-management, in addition to disease characteristics we must pay special attention to cognitive factors such as self-efficacy and catastrophic thoughts and through this increase the areas of pain management.