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Self-efficacy as a mediator between physical and psychological factors in the disease management of patients with occupational respiratory diseases : a structural equation model

Self-efficacy as a mediator between physical and psychological factors in the disease management of patients with occupational respiratory diseases : a structural equation model

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MÜLLER, Katrin, Christina NIERMANN, Nicola KOTSCHY-LANG, Petra WAGNER, 2016. Self-efficacy as a mediator between physical and psychological factors in the disease management of patients with occupational respiratory diseases : a structural equation model. In: European Journal for Person Centered Healthcare. 4(3), pp. 497-508. ISSN 2052-5648. eISSN 2052-5656. Available under: doi: 10.5750/ejpch.v4i3.1134

@article{Muller2016-09-29Selfe-40321, title={Self-efficacy as a mediator between physical and psychological factors in the disease management of patients with occupational respiratory diseases : a structural equation model}, year={2016}, doi={10.5750/ejpch.v4i3.1134}, number={3}, volume={4}, issn={2052-5648}, journal={European Journal for Person Centered Healthcare}, pages={497--508}, author={Müller, Katrin and Niermann, Christina and Kotschy-Lang, Nicola and Wagner, Petra} }

Müller, Katrin Objectives: Sustaining physical capacity and reducing psychological symptoms are important, person-centered aims in the disease management of patients with occupational lung diseases. Self-efficacy is an individual resource that appears crucial in disease management. The objective of this study is to explore the association between the severity of disease, psychological risk, self-efficacy and physical capacity.<br /><br />Methods: In a cross-sectional study, 197 patients (age: M = 69.9 years) with occupational lung diseases were included at the beginning of inpatient rehabilitation. The parameters were objectively (FEV<sub>1%pred</sub>, FVC%pred) and subjectively measured severity of disease (mMRC), psychological risk (HADS-D, CRQ Emotion), self-efficacy (CSES-D) and physical capacity (6MWD).<br /><br />Results: Illness-specific self-efficacy is significantly correlated with FEV<sub>1%pred</sub>, FVC%pred, perceived dyspnoea, depression, anxiety and physical capacity. Structural equation models revealed a negative effect of psychological risk on physical capacity mediated by self-efficacy with a good model fit.<br /><br />Conclusions: The results emphasize the relevance of patients’ self-efficacy in the disease management of occupational lung diseases. Self-efficacy directly affects physical capacity and mediates the effect of psychological health on physical capacity. Psychological risk factors such as depressive symptoms are negatively related to self-efficacy in managing lung disease in difficult situations. However, self-efficacy is a psychological resource which is positively related to physical capacity. Therefore, our results suggest that promoting self-efficacy during rehabilitation could improve disease management in patients with occupational lung diseases. Niermann, Christina Niermann, Christina 2017-10-12T13:19:03Z Wagner, Petra Kotschy-Lang, Nicola 2016-09-29 eng 2017-10-12T13:19:03Z Kotschy-Lang, Nicola Wagner, Petra Self-efficacy as a mediator between physical and psychological factors in the disease management of patients with occupational respiratory diseases : a structural equation model Müller, Katrin

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