Catastrophizing and Pain-Coping in Young Adults: Associations With Depressive Symptoms and Headache Pain

Buenaver, Luis F.; Edwards, Robert R.; Smith, Michael T.; Gramling, Sandra E.; Haythornthwaite, Jennifer A.

doi:10.1016/j.jpain.2007.11.005

Cited by 65 publications

(56 citation statements)

References 50 publications

(39 reference statements)

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“…Consistent with prior research, both groups of patients with persistent pain had higher dispositional PCS scores than generally healthy adults free from chronic pain. This is a common finding4,26,54 in cross-sectional comparisons of patients and healthy participants, although it is unclear whether such differences are due to catastrophizing acting as a risk factor for the development of pain or whether catastrophizing generally increases after a pain condition develops. While situational catastrophizing scores were highest in the arthritis patients, associations between situational catastrophizing and dispositional PCS scores were most strongly related among TMD patients.…”

Section: Discussionmentioning

confidence: 95%

Situational Versus Dispositional Measurement of Catastrophizing: Associations With Pain Responses in Multiple Samples

Campbell

Kronfli

Buenaver

et al. 2010

The Journal of Pain

Self Cite

148

122

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Catastrophizing is widely recognized as an important risk factor for adverse pain-related outcomes. However, questions remain surrounding the details of its assessment. In particular, recent laboratory studies suggest that evaluation of "situational" catastrophizing (i.e., catastrophizing measured during or directly after the administration of noxious stimulation) may provide information distinct from that obtained by standard, or "dispositional" measures which assess individuals' recall of catastrophizing in daily life. However, comparatively little research has systematically investigated the inter-relationships and properties of these two different forms of pain-related catastrophizing. The current study evaluated both situational and dispositional catastrophizing measures within multiple samples: healthy individuals (N=84), patients with painful temporomandibular joint disorders (TMD; N=48), and patients with painful arthritis (N=43). All participants first completed the Pain Catastrophizing Scale (PCS) 49 , and then underwent psychophysical pain testing, which included heat, cold, and pressure pain. Participants then completed a situational catastrophizing measure with reference to the laboratory pain he/she had just undergone. Situational catastrophizing scores were not significantly correlated with dispositional PCS scores in the healthy participants and arthritis patients, though they were associated in TMD patients. Situational catastrophizing was more strongly associated with experimental pain responses than dispositional PCS scores for the healthy subjects and arthritis patients. In general, higher levels of situational catastrophizing were associated with lower pain thresholds and higher pain ratings across all 3 samples. The findings highlight the importance of multi-dimensional assessment of pain-related catastrophizing, and suggests a role for measuring catastrophizing related to specific, definable events. PerspectiveThis study adds to a growing literature examining catastrophizing. Our findings highlight the potential importance of the multidimensional assessment of pain-related catastrophizing, and suggest a role for measuring catastrophizing related to specific, definable events.

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Section: Discussionmentioning

confidence: 95%

Situational Versus Dispositional Measurement of Catastrophizing: Associations With Pain Responses in Multiple Samples

Campbell

Kronfli

Buenaver

et al. 2010

The Journal of Pain

Self Cite

148

122

View full text Add to dashboard Cite

show abstract

“…Though little is known about pain that is not chronic, it has been shown that depressive symptoms influence the intensity of pain 13 . Further, research suggests that pain catastrophizing may be an important link in the pathway from pain to depressive symptoms 40 . This is relevant to our results because the experience of pain may be different for men and women; women reportedly catastrophize more than men in response to pain 16 .…”

Section: Discussionmentioning

confidence: 99%

Associations between aspects of pain and cognitive performance and the contribution of depressive symptoms in mid-life women: A cross-sectional analysis

et al. 2015

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Objectives Pain has been associated with cognitive problems in pain patients. This study evaluated the extent to which experiences of pain are associated with cognitive performance in a community sample of mid-life women, and the contribution of depressive symptoms to this association. Study Design A cross-sectional analysis was used with data from the Study of Women’s Health Across the Nation (SWAN). Associations between aspects of pain and cognitive performance were evaluated using statistical models with and without depressive symptoms. Main Outcome Measures The cognitive performance score was a composite of three cognitive tests, the Digit Span Backward Test, the Symbol Digit Modalities Test and the East Boston Memory Test. Results Greater pain experiences that interfered with daily work were independently associated with poorer cognitive performance, [β (SE) −0.074 (0.021); p value <0.01] and this association was partially explained by depressive symptoms [β (SE) −0.061 (0.022); p value <0.01 after adjusting for depressive symptoms]. Additionally, an independent association between a greater composite pain score and poorer cognitive performance was identified without adjusting for depressive symptoms, [β (SE) −0.002 (0.0009); p value <0.05] but was no longer significant after adjusting for depressive symptoms. Conclusions Our results suggest that in mid-life women, greater pain is associated with poorer cognitive performance, and depressive symptoms play an important role in this association. Clinicians should be aware of these relationships when evaluating patients.

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“…Due to the high correlation between anxiety and depression in the current sample ( r = .78) and the known relation between these variables with pain catastrophizing [5,32,42], a composite “emotional distress” variable (i.e., mean score of anxiety and depression) was created and used as a covariate in order to determine the unique contribution of pain catastrophizing on outcomes, above and beyond symptoms of anxiety and depression.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Pain Catastrophizing on Outcomes: A Developmental Perspective Across Children, Adolescents, and Young Adults With Chronic Pain

Feinstein

Sturgeon

Darnall

et al. 2017

The Journal of Pain

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Pain catastrophizing is one of the most powerful predictors of poor outcomes in youth and adults with pain; however, little is known about differential impacts of pain catastrophizing on outcomes as a function of age. The current study examined the predictive value of pain catastrophizing on pain interference and pain intensity across children, adolescents, and two age groups of young adults with chronic pain. Cross-sectional data are presented from the adult and pediatric Collaborative Health Outcomes Information Registry (CHOIR), including measures of pain catastrophizing, pain intensity, pain interference and emotional distress from 1028 individuals with chronic pain. Results revealed that age moderated the relation between pain catastrophizing and pain interference, with the strength of these effects declining with age. The effect of pain catastrophizing on pain interference was strongest in adolescents and relatively weak in all three other groups. Emotional distress was the strongest predictor of pain interference for children, whereas pain intensity was the strongest predictor for both adult groups. Pain catastrophizing was found to predict pain intensity and, although age was a significant moderator, statistical findings were weak. Developmental considerations and clinical implications regarding the utility of the construct of pain catastrophizing across age groups are discussed.

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Catastrophizing and Pain-Coping in Young Adults: Associations With Depressive Symptoms and Headache Pain

Cited by 65 publications

References 50 publications

Situational Versus Dispositional Measurement of Catastrophizing: Associations With Pain Responses in Multiple Samples

Situational Versus Dispositional Measurement of Catastrophizing: Associations With Pain Responses in Multiple Samples

Associations between aspects of pain and cognitive performance and the contribution of depressive symptoms in mid-life women: A cross-sectional analysis

The Effect of Pain Catastrophizing on Outcomes: A Developmental Perspective Across Children, Adolescents, and Young Adults With Chronic Pain

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