Pain Catastrophizing and Function In Individuals With Chronic Musculoskeletal Pain

Martínez-Calderón, Javier; Jensen, Mark P.; Morales‐Asencio, José Miguel; Luque-Suárez, Alejandro

doi:10.1097/ajp.0000000000000676

Cited by 131 publications

(104 citation statements)

References 153 publications

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“…Furthermore, AEQ‐CTS was not uniquely associated with LBP intensity or disability. This is in contrast to considerable evidence for a link between catastrophizing and chronic pain in non‐athletes (Martinez‐Calderon, Jensen, Morales‐Asencio, & Luque‐Suarez, ) and athletes (Ghazaie et al, ). However, it is of note that catastrophizing is conventionally assessed using the Pain Catastrophizing Scale (Sullivan, Bishop, & Pivik, ) which summarizes the subscales magnification, helplessness and rumination (Adachi et al, ).…”

Section: Discussioncontrasting

confidence: 74%

Psychological pain responses in athletes and non‐athletes with low back pain: Avoidance and endurance matter

Gajsar

Titze

Levenig

et al. 2019

European Journal of Pain

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Background Dysfunctional psychological pain responses, namely fear‐avoidance (FAR), including catastrophizing and helplessness, as well as endurance‐related responses (ER), including thought suppression and overactivity, have been shown to be risk factors for persistent low back pain (LBP). Literature suggests that athletes may differ from non‐athletes regarding psychological responses to pain. Objectives This study set out to compare FAR and ER between athletes and non‐athletes with LBP. It was hypothesized that athletes would report less frequent FAR and more frequent ER, and that both FAR and ER are associated with LBP intensity and disability. Methods The 173 athletes and 93 non‐athletes cross‐sectionally reported how frequently they employ FAR and ER on the Avoidance‐Endurance Questionnaire (AEQ), as well as LBP intensity and disability on the Chronic Pain Grade Questionnaire (CPGS). MANOVA was applied to compare FAR and ER between athletes and non‐athletes. Hierarchical multiple linear regression models were used to determine the unique associations between FAR and ER with LBP intensity and disability. Results Athletes reported lower frequencies of behavioural avoidance than non‐athletes, but no other FAR variables differed between the groups. Frequencies of ER did not differ between athletes and non‐athletes. Regression analysis indicated substantial associations of FAR with LBP intensity, as well as of FAR and ER with disability in athletes and non‐athletes. Conclusions The results of the present study suggest that athletes and non‐athletes with LBP differ regarding behavioural avoidance, but overall, differences regarding pain responses are marginal. FAR and ER are both reported in athletes and non‐athletes and contribute to disability in both groups. Significance Athletes train to endure pain in the course of athletic socialization, at least in the context of exercise. However, there is sparsity of knowledge about psychological pain responses in athletes with low back pain and whether they differ from those in non‐athletes. The results of this comparative study suggest that endurance responses are more frequent than avoidance responses among athletes and non‐athletes alike. However, both types of responses seem relevant to clinical pain management in athletes as well as non‐athletes.

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Section: Discussioncontrasting

confidence: 74%

Psychological pain responses in athletes and non‐athletes with low back pain: Avoidance and endurance matter

Gajsar

Titze

Levenig

et al. 2019

European Journal of Pain

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“…Together, these results indicate complex interrelationships between pain and catastrophizing. A recent systematic review and meta-analysis concerning pain catastrophizing in chronic pain found weak associations with pain intensity and disability from both cross-sectional and longitudinal perspectives [23]. The meta-analyses indicated prominent heterogeneity.…”

Section: Introductionmentioning

confidence: 96%

Pain Catastrophizing in Older Adults with Chronic Pain: The Mediator Effect of Mood Using a Path Analysis Approach

Dong

Gerdle

Bernfort

et al. 2020

JCM

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Cognitive models of pain propose that catastrophic thinking is negatively associated with chronic pain. However, pain catastrophizing is a complex phenomenon requiring a multivariate examination. This study estimates the effects of mood variables (anxiety and depression) on pain catastrophizing in older adults with chronic pain. A postal survey addressing pain aspects was sent to 6611 people ≥ 65 years old living in south-eastern Sweden. Pain catastrophizing was measured using the pain catastrophizing scale. Anxiety and depression were assessed using two subscales of the general well-being schedule. Data were analysed using a path analysis approach. A total of 2790 respondents (76.2 ± 7.4 years old) reported chronic pain (≥three months). The mediation model accounted for 16.3% of anxiety, 17.1% of depression, and 30.9% of pain catastrophizing variances. Pain intensity, insomnia, number of comorbidities, and lifestyle factors (smoking, alcohol consumption, and weight) significantly affected both pain catastrophizing and mood. Anxiety (standardized path coefficient (bstd) = 0.324, p < 0.001) in comparison to depression (bstd = 0.125, p < 0.001) had a greater effect on pain catastrophizing. Mood mediated the relationship between pain catastrophizing and pain-related factors accounting for lifestyle and sociodemographic factors.

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“…These factors can be part of an individual’s day-to-day life (e.g., stress [ 12 ] or social support [ 13 ]) or emerge in response to pain (e.g., fear of pain [ 14 ] or pain acceptance [ 15 ]). Although much of the focus of research on psychological factors and chronic pain has focused on maladaptive responses—in particular catastrophizing [ 16 ]—positive psychological factors could also potentially play an important role in the adjustment to persistent pain [ 17 , 18 ]. Recently, some pain adaptation paradigms have emerged aiming to explain why some people respond better than others to the chronic pain experience [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Martínez-Calderón

Flores-Cortes

Clavero-Cano

et al. 2020

JCM

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This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.

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Pain Catastrophizing and Function In Individuals With Chronic Musculoskeletal Pain

Cited by 131 publications

References 153 publications

Psychological pain responses in athletes and non‐athletes with low back pain: Avoidance and endurance matter

Psychological pain responses in athletes and non‐athletes with low back pain: Avoidance and endurance matter

Pain Catastrophizing in Older Adults with Chronic Pain: The Mediator Effect of Mood Using a Path Analysis Approach

The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

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