Pain Catastrophizing: An Updated Review

Leung, Lawrence C.

doi:10.4103/0253-7176.106012

Cited by 246 publications

(218 citation statements)

References 137 publications

(182 reference statements)

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“…Pain catastrophizing, depression, sleep disturbances, and physical health-related QOL Pain catastrophizing has been associated with both experimental and clinical pain experiences, 57 and it has been shown that reduction in levels of pain catastrophizing is associated with better treatment outcomes. 58 Similarly, a negative relation has been found between the presence of depression and decreased pain treatment responses, 59 whereas sleep disturbances are associated with hyperalgesia through descending modulatory systems.…”

Section: Worst Pain Intensitymentioning

confidence: 99%

Predicting treatment outcomes of pain patients attending tertiary multidisciplinary pain treatment centers: A pain trajectory approach

Pagé

Escobar

Ware

et al. 2017

Canadian Journal of Pain

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Background : Though multidisciplinary pain treatment (MPT) is considered the gold standard for managing chronic pain, it is unclear which patients benefit most from this high-cost treatment approach. Aims : The goals were to identify subgroups of patients sharing similar pain severity trajectories over time and predictors of MPT responsiveness. Methods : Participants were 1894 patients (mean age = 53.18 years [SD = 14.0]; female = 60.3%) enrolled in the Quebec Pain Registry with moderate to severe baseline pain severity. Patients completed validated questionnaires on pain and related constructs before initiating treatment and 6, 12, and 24 months later. Results : Trajectory analyses of pain severity (intensity and interference) showed that a three-class model best fit the data. Two of the trajectories, which included 24.5% of patients, showed significant improvement in pain severity levels over time (improvers). Compared to patients in the nonimproving trajectory (non-improvers), improvers were younger and more likely to suffer from neuropathic pain and had pain of shorter duration, lower worst pain intensity, lower sleep disturbances and depression scores at baseline, a lower tendency to catastrophize, and better physical health–related quality of life (QOL). This predictive model had a specificity of 96.2% and a sensitivity of 23.6%. Conclusions : Only a minority of patients exhibited an improvement in their pain severity with MPT. Several patients’ characteristics were significantly associated with pain trajectory membership. Early identification of nonimprovers, through examination of baseline characteristics and rates of change in pain scores, can provide valuable information about prognosis and open the doors for evaluation of different cost-effective treatment approaches. Abbreviations : CP = chronic pain; MPT = multidisciplinary pain treatment; QPR = Quebec Pain Registry; QOL = quality of life.

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Section: Worst Pain Intensitymentioning

confidence: 99%

Predicting treatment outcomes of pain patients attending tertiary multidisciplinary pain treatment centers: A pain trajectory approach

Pagé

Escobar

Ware

et al. 2017

Canadian Journal of Pain

View full text Add to dashboard Cite

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“…Eccleston and Crombez (1999) stated that pain could emerge over other demands for attention; however, the interruptive function of pain depends on pain related characteristics (e.g., threat level of pain). Therefore, it may be that a catastrophizer has his or her attention disturbed to a state of cognitive and behavioral disruption whenever a painful stimulus occurs (Leung, 2012). Consequently, there is the possibility that mindfulness corresponds with pain catastrophizing because higher mindfulness prevents or diminishes this disruption.…”

Section: Theoretical Implicationsmentioning

confidence: 99%

A conditional process model of the effect of mindfulness on 800-m personal best times through pain catastrophising

Jones

Parker

2015

Journal of Sports Sciences

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“…The overall mean Catastrophizing score was low. This result is inconsistent with the literature on coping behaviors [33,34]. However, some authors have remarked on the concept of catastrophizing in children and adolescents [35,36,37,38].…”

Section: Psychological Factors In Pain Persistencementioning

confidence: 82%

Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

Wildemeersch¹,

Bernaerts²,

D'Hondt³

et al. 2018

Preprint

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Background: Preoperative anxiety and depression are predominant risk factors for increased postoperative pain. Thoracic wall deformities in adolescents often cause low self-esteem, which contributes to psychological concerns. Several studies have suggested a relationship between preoperative mental health treatment and enhanced recovery after surgery. Objective: This study investigated the validity of screening questionnaires concerning psychological trait and state characteristics via a patient-specific online platform. Methods: Patients scheduled for elective pectus surgery between June 2017 and August 2017 were invited to participate in clinical interviews and online self-report questionnaires. All patients were recruited in the Anesthesiology Department, Antwerp University Hospital, Belgium. This single-center observational cohort study was performed in accordance with the ethical standards of Good Clinical Practice guidelines (ICH-GCP) and the Declaration of Helsinki after obtaining study approval by the Institutional Review Board and Ethics Committee of the Antwerp University Hospital, Belgium (study identifier: 17/08/082). Patients with a history of a psychiatric disease, chronic opioid use (more than three months) or revision surgery were excluded. A preoperative psychological inventory was performed using the Rosenberg self-esteem scale (RSES), Hospital Anxiety and Depression Scale (HADs) and State-Trait Anxiety Inventory (STAI). The results were postoperatively compared with pain intensity and interference using the Multidisciplinary Pain Inventory (MPI), Coping Pain Questionnaire (CPQ) and numeric pain rating scale assessment (NRS). Results: Of the 22 patients, 21 used our web-based psychological perioperative screening platform. A "success" was reported by 85% of the patients for the smartphone application, 89% for individual online platform usability and 95% for accessibility. A total of 89% of the patients rated the effort of generating answers to the online questionnaire as low. The results from the completed questionnaires indicated a strong negative correlation between self-esteem and the anxiety trait (R = -0.72, p < 0.01) and overall anxiety characteristics (R = -0.49, p = 0.04). There was a positive correlation between depressive and anxiety characteristics and the anxiety trait (R = 0.52, p = 0.03; R = 0.6, p = 0.02, respectively). Moreover, preoperative anxiety was positively correlated with postoperative pain interference (R = 0.58, p = 0.02). Finally, there was a negative correlation between self-esteem and pain interference (R = -0.62, p = 0.01). Conclusions: Perioperative screening of psychological symptoms and trait characteristics with specific treatment, if necessary, could further improve postoperative pain and overall health status. Research on E-health technology, even for psychological patient care, is rapidly increasing. Trial Registration: ClinicalTrials.gov NCT03100669

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Pain Catastrophizing: An Updated Review

Cited by 246 publications

References 137 publications

Predicting treatment outcomes of pain patients attending tertiary multidisciplinary pain treatment centers: A pain trajectory approach

Predicting treatment outcomes of pain patients attending tertiary multidisciplinary pain treatment centers: A pain trajectory approach

A conditional process model of the effect of mindfulness on 800-m personal best times through pain catastrophising

Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

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