highly significantp < 0.001
30 Similarly, a meta-analysis of 83 studies on self-efficacy and chronic pain outcomes by Jackson et al found that the overall associations between self-efficacy impairment and chronic pain severity were highly significant and remarkably consistent across studies (r = -0.39, 95% CI, -0.47 to -0.39, p < 0.001). 15 Cross-Lagged Associations Prior research has been inconsistent with respect to the temporal associations between pain intensity and sleep disturbance, with some studies identifying significant associations (