Marianne Uggen Rasmussen

Title
Nurse, PhD
Position
PhD
Phone
+45 3816 4197
Fax
+45 3816 4159

Marianne Uggen Rasmussen graduated as a registered nurse from Stavanger Nursing College in Norway in 1986, and was subsequently employed at Stavanger University Hospital in a gastroenterological ward. After moving to Denmark, Marianne completed her Master’s degree in Public Health, at the University of Copenhagen in 2007, and she was employed by Frederiksberg Hospital afterwards to coordinate and teach in a multi-disciplinary rehabilitation program for patients with Chronic Widespread Pain (CWP) and Fibromyalgia (FM), in the outpatient clinic of chronic pain.

Marianne was employed as a research assistant at the Parker Institute in June 2011, while she worked on her Ph.D.-protocol. She was enrolled as a Ph.D.-student in January 2013 at University of Southern Denmark, and she has been lecturing in disease prevention and health promotion at the bachelor of Medicine since then. Marianne defended her Ph.D-thesis: Self-efficacy and rehabilitation af patients with fibromyalgia, on July 1st. 2016.

The focus of Marianne's PhD was to investigate how perceived pain self-efficacy, (the patients confidence in own ability to perform activities in spite of pain), is affected as a result of multi-disciplinary rehabilitation for patients with CWP and FM. The aims of the project was to develop and validate a Danish version of the Pain Self Efficacy Questionnaire (PSEQ), and to use the Danish version (PSEQ-DK), to evaluate effect on pain self-efficacy after multi -disciplinary rehabilitation in a randomized controlled study. A final aim of the PhD was to conduct a qualitative study to investigate how the rehabilitation can influence the patients’ self-efficacy.

Danish version of the pain self-efficacy questionnaire (PSEQ)

 

 

 

 

Publications

OBJECTIVE: To examine the hypothesis that change in pain self-efficacy is associated with observed and self-reported activity, pain intensity, catastrophizing, and quality of life after multi-disciplinary rehabilitation of fibromyalgia patients.

DESIGN: In-depth analyses of secondary outcomes of a randomized-controlled trial.

SUBJECTS: Women (N = 187) with fibromyalgia.

METHODS: Outcomes were Pain Self-Efficacy, Assessment of Motor and Process Skills (AMPS), SF-36 Physical Function (SF-36-PF), pain intensity, and SF-36 Mental Composite Score (SF-36-MCS) to assess quality of life and pain catastrophizing. Individual and group associations between outcomes were examined.

RESULTS: Individual changes in pain self-efficacy were not associated with changes in observed activity: AMPS motor (rs = 0.08, p = 0.27) and process (rs = 0.12, p = 0.11), not even in those patients with a clinically relevant improvement in observed functioning (38.5%), and only weakly or moderatly with changes in SF-36-PF; (rs = 0.31, p < 0.0001), SF-36-MSC; (rs = 0.41, p < 0.0001), and pain catastrophizing (rs = -0.31, p < 0.0001). No differences in pain self-efficacy were observed between the rehabilitated group and controls (difference: 1.61; 95% CI: -0.84 to 4.06; p = 0.24). However, a subgroup (34%) had a clinically relevant improvement in pain self-efficacy. This group was younger (mean age 41.4 vs. 45.8, p = 0.01), more recently diagnosed (1.8 vs. 2.8 years, p = 0.003), but had an unresolved welfare situation (59% vs. 40%, p = 0.02).

CONCLUSION: The main hypothesis was falsified, as there was no association between pain self-efficacy and actual performance of activity. The relation to functioning may be limited to perceived, cognitive-emotional aspects, as indicated by the weak to moderate correlations to the self-reported measures. Implications for Rehabilitation Improvement in observed activity post multi-disciplinary rehabilitation was not associated with change in pain self-efficacy. Patients performed better after rehabilitation, but did not perceive to have improved their capacity. The relationship between pain self-efficacy and functioning may be limited to cognitive-emotional aspects rather than actual activity. Both observational and self-reported measures should be included in evaluating outcomes of rehabilitation for patients with fibromyalgia.

OriginalsprogEngelsk
TidsskriftDisability and rehabilitation
Vol/bind39
Tidsskriftsnummer17
Sider (fra-til)1744-1752
Antal sider9
ISSN1464-5165
DOI
StatusUdgivet - aug. 2017

”Self‐efficacy and Rehabilitation of Patients with Fibromyalgia”

Rasmussen, M. U., Sjölund, B. H., Rydahl-Hansen, S., Amris, K., Mortensen, E. L. & Danneskiold-Samsøe, B. 2016

Publikation: ForskningPh.d.-afhandling

OriginalsprogEngelsk
StatusUdgivet - 2016
The aim of this study was to translate, culturally adapt and evaluate the psychometric properties of the Pain Self-Efficacy Questionnaire (PSEQ) in a population of patients with fibromyalgia in Denmark. The study sample included 102 patients diagnosed with fibromyalgia referred to a specialist clinic. The PSEQ was translated and adapted to a Danish setting using a standard stepw-ise forward-backward translation procedure, followed by initial testing and focus group interview. Reliability was examined by analysing internal consistency and test-retest agreement. Construct validity was exami-ned by investigating dimensionality, targeting, local independence, category functioning and differential item functioning (DIF). Reliability was high: Cronbach's alpha 0.88, test-retest correlation 0.93, intraclass correlation coefficient (ICC) 0.89 and item-total correlations 0.44-0.70. Factor analyses and item response (IRT) models indicated unidimensionality, and the PSEQ-DK was well targeted to the sample. High interitem correlation was observed between two items, indicating local dependence, and item misfit and DIF were observed for a few items. However, the overall fit of the scale to a single-factor model and IRT models supported acceptable construct validity. The PSEQ-DK showed acceptable psychometric properties and can therefore represent a reliable and valid measure for evaluating self-efficacy in patients with fibromyalgia in Denmark.
OriginalsprogEngelsk
TidsskriftScandinavian Journal of Caring Sciences
Vol/bind30
Tidsskriftsnummer1
Sider (fra-til)202-10
ISSN0283-9318
DOI
StatusUdgivet - apr. 2016