Coping and catastrophizing in chronic pain: A psychometric analysis and comparison of two measures

Stewart, Malcolm W.; Harvey, Shane T.; Evans, Ian M.

doi:10.1002/1097-4679(200101)57:1<131::aid-jclp13>3.0.co;2-l

Cited by 45 publications

(18 citation statements)

References 22 publications

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“…The pain catastrophizing subscale (CSQ-CAT) of this instrument was used to measure participants' tendency to exaggerate the threat value of pain. This subscale consists of 6 items on a 7 point scale; it has adequate testretest reliability and internal consistency (Cronbach's α = .84) [49,50].…”

Section: Methodsmentioning

confidence: 99%

Sleep Problems are Associated With Chronic Pain Over and Above Mutual Associations With Depression and Catastrophizing

Roberts

Drummond

2016

The Clinical Journal of Pain

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Pain, mood problems and sleeping difficulties are often comorbid and contribute to reduced physical function and quality of life for those suffering from chronic pain. However, the way in which these factors interact is unclear. Until recently it was thought that the effect of sleep on pain and physical function was simply a result of its common association with mood problems. However, a growing body of research suggests that sleep may have a unique contribution.Objectives: The aim of this study was to determine whether sleep disturbances were associated with pain and poor physical function independent of psychological distress in patients attending a tertiary pain medicine unit.Method: 101 patients with chronic pain completed a set of questionnaires measuring pain, sleep and mood, and also completed a selection of physical assessments conducted by a physiotherapist.Results: 75.2% of participants had insomnia and 84.3% reported the presence of at least one sleep problem. Significant positive correlations with pain were detected for depression, catastrophizing, insomnia, short sleep duration and poor sleep quality. Sleep duration had a significant independent association with pain after accounting for depression and catastrophizing. Sleep duration also had an independent association with physical function after accounting for pain and catastrophizing.Conclusions: Given that sleep has an important and unique contribution to pain and physical function, it is important that sleep disturbances are addressed both in the assessment and treatment of chronic pain.

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Section: Methodsmentioning

confidence: 99%

Sleep Problems are Associated With Chronic Pain Over and Above Mutual Associations With Depression and Catastrophizing

Roberts

Drummond

2016

The Clinical Journal of Pain

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“…This scale has demonstrated validity (Boothby et al, 1999;Sullivan et al, 2001) and good to excellent internal consistency (Rosenstiel and Keefe, 1983;Robinson et al, 1997;Keefe et al, 1999) and testretest stability (Keefe et al, 1999;Stewart et al, 2001). …”

Section: Catastrophizingmentioning

confidence: 99%

Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning

Jensen

Turner

Romano

2007

Pain

164

118

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Little is known about how patient functioning changes after completion of multidisciplinary pain programs, and what factors are associated with such changes when they occur; for example, whether improvement or deterioration in functioning corresponds to changes in patient beliefs and coping during this period. The objective of this study was to examine the extent to which changes in patient pain and functioning were associated with changes in beliefs and coping after multidisciplinary pain treatment. Patients with chronic pain (N = 141) completed outcome (pain, functioning) and process (beliefs, catastrophizing, coping) measures at the end of multidisciplinary pain treatment and 12 months posttreatment. On average, patients reported similar levels of pain at both times, but showed a small worsening in disability and depression outcomes between posttreatment and follow-up, which were associated significantly with concurrent changes in the process measures. In particular, increased belief in oneself as disabled by pain, catastrophizing, and increased use of resting, guarding and asking for assistance in response to pain were linked with increased disability and depression. Decreased perceived control over pain was also consistently associated with worsening of these outcomes. The results highlight the potential importance of specific pain-related beliefs and coping responses in long-term patient pain and adjustment. Research is needed to determine whether booster interventions after the end of intensive multidisciplinary treatment that target these beliefs and coping responses improve long-term outcomes.

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“…Only the catastrophizing subscale was included in the current study, and its items measure the frequency of cognitions related to coping with pain on a 7-point scale (0, "never" to 6, "always"). This subscale is a commonly used and well-validated instrument, 16,30,32,39 and we used a revised scoring system. 30 The pain catastrophizing subscale of the CSQ-R has a potential range of 0 to 36.…”

Section: Pain Catastrophizingmentioning

confidence: 99%

Sex and Pain-Related Psychological Variables Are Associated With Thermal Pain Sensitivity for Patients With Chronic Low Back Pain

George

Wittmer

Fillingim

et al. 2007

The Journal of Pain

123

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Coping and catastrophizing in chronic pain: A psychometric analysis and comparison of two measures

Cited by 45 publications

References 22 publications

Sleep Problems are Associated With Chronic Pain Over and Above Mutual Associations With Depression and Catastrophizing

Sleep Problems are Associated With Chronic Pain Over and Above Mutual Associations With Depression and Catastrophizing

Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning

Sex and Pain-Related Psychological Variables Are Associated With Thermal Pain Sensitivity for Patients With Chronic Low Back Pain

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