Pain-related Catastrophizing in Healthy Women Is Associated With Greater Temporal Summation of and Reduced Habituation to Thermal Pain

Edwards, Robert R.; Smith, Michael T.; Stonerock, Gregory L.; Haythornthwaite, Jennifer A.

doi:10.1097/01.ajp.0000210914.72794.bc

Cited by 201 publications

(188 citation statements)

References 72 publications

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“…Catastrophizing has also been associated with indices of central sensitization, and dysfunction of descending noxious inhibitory control, both of which have also been discussed as processes underlying the pathogenesis of multisite pain 19,29,37 .…”

Section: Psychology Of Multisite Pain 16mentioning

confidence: 99%

An Experimental Approach to Examining Psychological Contributions to Multisite Musculoskeletal Pain

Niederstrasser

Slepian²,

Mankovsky-Arnold

et al. 2014

The Journal of Pain

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The present study examined the prospective value of pain catastrophizing, fear of pain, and depression in the prediction of multisite musculoskeletal pain following experimentally induced delayed onset muscle soreness (DOMS). The study sample consisted of 119 (63 females, 56 males) healthy university students. Measures of pain catastrophizing, fear of pain and depression were completed prior to the DOMS induction procedure. Analyses revealed that pain catastrophizing, and fear of pain prospectively predicted the experience of multisite pain following DOMSinduction. Analyses also revealed that women were more likely to experience multisite pain than men. There was no significant relation between depressive symptoms and the experience of multisite pain. The discussion addresses the mechanisms by which pain catastrophizing and fear of pain might contribute to the spreading of pain. Clinical implications of the findings are also addressed.Key words: multisite pain, fibromyalgia, catastrophizing, fear of pain, depression, sex differences.Highlight points: Pain catastrophizing, and fear of pain prospectively predict the experience of multisite pain following DOMS-induction.Women are more likely to experience multisite pain than men.Depressive symptoms have no influence on the experience of multisite pain.Fear of pain may underlie the experience of multisite pain through generalization. Psychology of multisite pain 3Recent research indicates that musculoskeletal pain frequently occurs at more than one anatomical site 6, 9, 47 . A survey of patients attending general practice clinics revealed that three quarters of chronic pain patients reported pain in more than one site 6 . Multisite pain has been associated with poorer prognosis as indicated by heightened susceptibility to chronicity, increased health and mental health problems and greater disability 11, 32, 33, 38 . In light of the high prevalence and increased costs associated with multisite pain, clinical researchers have called for more research on risk factors and determinants of multisite pain 33, 38 .Psychological factors such as pain catastrophizing, fear of pain and depression have been discussed as possible risk factors the development of multisite pain 4, 9 .Although it has been suggested that psychological variables might play a role in the onset or maintenance of multisite pain, the correlational nature of clinical studies precludes strong statements about causality. On the basis of research conducted to date, it cannot be ruled out that psychological variables such as pain catastrophizing, fear of pain and depression might be consequences rather than antecedents of multisite pain.The present study used an experimental approach to address the possible antecedent status of psychological variables in the experience of multisite pain. One advantage of using an experimental approach is that putative psychosocial risk factors can be assessed prior to pain induction, thereby permitting examination of the antecedent status of the variables. In addi...

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Section: Psychology Of Multisite Pain 16mentioning

confidence: 99%

An Experimental Approach to Examining Psychological Contributions to Multisite Musculoskeletal Pain

Niederstrasser

Slepian²,

Mankovsky-Arnold

et al. 2014

The Journal of Pain

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“…This was done because laboratory-based studies have highlighted the importance of specifying the context in which catastrophizing is assessed. [15][16][17] Results in our sample showed that the internal consistency was high for the in vivo PCS total score (a = 0.90).…”

Section: Methodsmentioning

confidence: 71%

Differential Effects of Two Virtual Reality Interventions: Distraction Versus Pain Control

Loreto-Quijada

Gutiérrez-Maldonado²,

Nieto³

et al. 2014

Cyberpsychology, Behavior, and Social Networking

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There is evidence that virtual reality (VR) pain distraction is effective at improving pain-related outcomes. However, more research is needed to investigate VR environments with other pain-related goals. The main aim of this study was to compare the differential effects of two VR environments on a set of pain-related and cognitive variables during a cold pressor experiment. One of these environments aimed to distract attention away from pain (VRD), whereas the other was designed to enhance pain control (VRC). Participants were 77 psychology students, who were randomly assigned to one of the following three conditions during the cold pressor experiment: (a) VRD, (b) VRC, or (c) Non-VR (control condition). Data were collected regarding both pain-related variables (intensity, tolerance, threshold, time perception, and pain sensitivity range) and cognitive variables (self-efficacy and catastrophizing). Results showed that in comparison with the control condition, the VRC intervention significantly increased pain tolerance, the pain sensitivity range, and the degree of time underestimation. It also increased self-efficacy in tolerating pain and led to a reduction in reported helplessness. The VRD intervention significantly increased the pain threshold and pain tolerance in comparison with the control condition, but it did not affect any of the cognitive variables. Overall, the intervention designed to enhance control seems to have a greater effect on the cognitive variables assessed. Although these results need to be replicated in further studies, the findings suggest that the VRC intervention has considerable potential in terms of increasing self-efficacy and modifying the negative thoughts that commonly accompany pain problems.

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“…11,100,101,118 Follow-up studies have also shown that the initial catastrophization ideas are related to the level of pain that a patient will point out after a surgical procedure 41,88 or after other painful conditions. 23,24,111,126 Although the exact mechanisms by which catastrophization affects the experience of pain and disability are not well known, it has been suggested that it influences the focusing of one's attention to the painful or potentially painful process. People, who catastrophize, have difficulties in not focusing on the painful or threatening stimulus.…”

Section: Catastrophizationmentioning

confidence: 99%

“…This suggests that catastrophization plays a facilitator role in the pain perception process. 23 Catastrophization can be clinically measured by the catastrophization subscale of the Coping Strategies Questionnaire (CSQ). 99 There is another specific tool to measure it as well, the Pain Catastrophizing Scale (PCS).…”

Section: Catastrophizationmentioning

confidence: 99%

Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients

Doménech

Sanchis-Alfonso²,

Espejo³

2011

Anterior Knee Pain and Patellar Instability

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Pain-related Catastrophizing in Healthy Women Is Associated With Greater Temporal Summation of and Reduced Habituation to Thermal Pain

Abstract: These preliminary findings highlight the importance of coping in shaping individuals' responses to noxious stimuli, and suggest that interventions that decrease pain catastrophizing may reduce the burden of acute and chronic pain.

Cited by 201 publications

References 72 publications

An Experimental Approach to Examining Psychological Contributions to Multisite Musculoskeletal Pain

An Experimental Approach to Examining Psychological Contributions to Multisite Musculoskeletal Pain

Differential Effects of Two Virtual Reality Interventions: Distraction Versus Pain Control

Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients

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