Pain severity and pain catastrophizing predict functional disability in youth with inflammatory bowel disease

Wojtowicz, Andrea A.; Greenley, Rachel Neff; Gumidyala, Amitha Prasad; Rosen, Andrew; Williams, Sara E.

doi:10.1016/j.crohns.2014.02.011

Cited by 44 publications

(43 citation statements)

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“…In conformity with the results obtained by various research studies that have been conducted on pain catastrophizing and disability in different population groups of patients (Arnow et al, ; Doménech et al, ; Holroyd et al, ; Sullivan et al, ; Wojtowicz et al, ), the findings of the present study indicate that the total score of pain catastrophizing has a significant relationship, and a positive correlation, with pain‐related disability.…”

Section: Discussionsupporting

confidence: 92%

“…A recent study demonstrated that decreased catastrophizing reduces pain, and a simultaneous decrease in catastrophizing and depression reduces disability after treatment (Doménech, Sanchis‐Alfonso, & Espejo, ). Wojtowicz, Greenley, Gumidyala, Rosen, and Williams's () study findings showed that catastrophizing can predict the variance of performance disability significance. According to Arnow et al's () research, both catastrophic thinking and depression were statistically significant predictors of pain‐related disability, with larger effect sizes observed for catastrophic thinking.…”

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confidence: 95%

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The Relationship between Pain Catastrophizing and Headache‐Related Disability: The Mediating Role of Pain Intensity

et al. 2017

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Migraine is one of the most frequent types of headache that impacts patients' function significantly and might be disabling. The purpose of this research was to test the effects of pain catastrophizing along with the mediating role of pain intensity on headache-related disability in migraine patients. This study was descriptive-correlational research. To implement it, 178 patients with migraine selected through convenience sampling filled out three questionnaires: the Headache Disability Inventory (HDI), the Pain Catastrophizing Scale (PCS), and the Visual Analog Scale for Pain (VAS). To test the mediating role of pain intensity in the relationship between catastrophizing and headache-related disability, regression analysis was employed. Pain catastrophizing was positively correlated with headache-related disability and pain intensity. The proposed model showed that more frequent catastrophizing was associated with higher headache-related disability in patients with migraine, and pain intensity mediated this association. According to our results, there seems to be a high rate of pain intensity and catastrophizing as a maladaptive coping strategy among migraine patients with headache-related disability. Therefore, these variables should be considered in researches and specifically in treatment procedures.

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Section: Discussionsupporting

confidence: 92%

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confidence: 95%

The Relationship between Pain Catastrophizing and Headache‐Related Disability: The Mediating Role of Pain Intensity

et al. 2017

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“…14 Catastrophizing (the tendency to describe an experience or the likely outcome of the experience in exaggerated negative terms) in particular has been found to be associated with negative outcomes such as disability and depression in youth with IBD. 21,22 …”

Section: Introductionmentioning

confidence: 99%

Effects of a Cognitive Behavioral Therapy Intervention Trial to Improve Disease Outcomes in Children with Inflammatory Bowel Disease

Levy

Tilburg

Langer

et al. 2016

Inflammatory Bowel Diseases

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Background Studies testing the efficacy of behavioral interventions to modify psychosocial sequelae of IBD in children are limited. This report presents outcomes through a six month follow up from a large RCT testing the efficacy of a cognitive-behavioral intervention for children with IBD and their parents. Methods 185 children age 8-17 years with a diagnosis of Crohn's (CD) or Ulcerative Colitis (UC) and their parents were randomized to one of two 3-session conditions: 1.) a social learning and cognitive-behavioral therapy condition (SLCBT) or 2.) an education support condition designed to control for time and attention. Results There was a significant overall treatment effect for school absences due to CD or UC (p<.05) at 6 months post-treatment. There was also a significant overall effect post-treatment for child-reported quality of life (p<.05), parent- reported increases in adaptive child coping (p<.001) and reductions in parents’ maladaptive responses to children's symptoms (p<.05). Finally, exploratory analyses indicated that for children with a higher level of flares (2 or more) pre-baseline, those in SLCBT experienced a greater reduction in flares post-treatment. Conclusions This trial suggests that a brief cognitive-behavioral intervention for children with IBD and their parents can result in improved child functioning and quality of life, and for some children may decrease disease activity.

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“…(43) Finally, cognitive processes such as catastrophizing (negative prediction of the future) and rumination are common in depression and have also been implicated in worse pain perception thus also presenting an opportunity for intervention. (44, 45)…”

Section: Introductionmentioning

confidence: 99%

Pediatric inflammatory bowel disease and depression

Keethy

Mrakotsky

Szigethy

2014

Current Opinion in Pediatrics

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Purpose of review Depression in pediatric inflammatory bowel disease (IBD) is increasingly recognized to be a heterogeneous condition with diverse underlying predisposing and precipitating factors. Although there is a growing awareness regarding the benefits of integrating behavioral health into medical care, the way psychiatric treatments can best target different aspects of depression and related dysfunction has not been systematically explored. Recent findings This review discusses neurobiological risk factors for depression in IBD including inflammation, associated anti-inflammatory treatment with corticosteroids, pain, and sleep disturbance, as well as psychosocial factors including reactions to illness, illness perception, and disease and environmental stressors with emphasis of how these factors can influence treatment decisions. Empirically-supported psychosocial and psychopharmacological interventions are discussed within this context. Summary Understanding the diverse pathways that can lead to depression in youth with IBD can lead to the development of more targeted interventions and better integration of psychosocial care into the medical treatment of IBD.

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Pain severity and pain catastrophizing predict functional disability in youth with inflammatory bowel disease

Abstract: Greater attention to the role of pain catastrophizing in contributing to functional disability in youth with IBD may be important given that pain-related cognitions are modifiable via intervention.

Cited by 44 publications

References 29 publications

The Relationship between Pain Catastrophizing and Headache‐Related Disability: The Mediating Role of Pain Intensity

The Relationship between Pain Catastrophizing and Headache‐Related Disability: The Mediating Role of Pain Intensity

Effects of a Cognitive Behavioral Therapy Intervention Trial to Improve Disease Outcomes in Children with Inflammatory Bowel Disease

Pediatric inflammatory bowel disease and depression

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