Patient Responses to the Term Pain Catastrophizing: Thematic Analysis of Cross-sectional International Data

Webster, Fiona; Connoy, Laura; Longo, Riana; Ahuja, Devdeep; Amtmann, Dagmar; Anderson, Andrea; Ashton‐James, Claire E.; Boyd, Hannah; Chambers, Christine T.; Cook, Karon F.; Cowan, Penney; Crombez, Geert; Feinstein, Amanda B.; Fuqua, Anne; Gilam, Gadi; Jordán, Isabel; Mackey, Sean; Martins, Eduarda Lopes; Martire, Lynn M.; O’Sullivan, Peter; Richards, Dawn P.; Turner, Judith A.; Veasley, Christin; Würtzen, Hanne; Yang, Su-Yin; You, Dokyoung S.; Ziadni, Maisa S.; Darnall, Beth D.

doi:10.1016/j.jpain.2022.10.001

Cited by 14 publications

(4 citation statements)

References 39 publications

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“…The multidisciplinary team should be keenly aware of the role of parents as they can catastrophize the patient's pain condition. Pain catastrophizing can be understood as a set of anxiety-driven, heightened emotional responses to, and predictions about, pain that led to difficulty coping with a painful experience [18]. This represents a set of negative emotional processes about pain sensations and feelings of helplessness, which is associated with greater pain in children.…”

Section: Key Pointsmentioning

confidence: 99%

Chronic pain in pediatric patients: epidemiology, pathophysiology, and mitigation strategies

Rodriguez-Restrepo,

AuBuchon

2024

Current Opinion in Anaesthesiology

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Purpose of review To provide an updated summary on the epidemiology, pathophysiology, and treatment strategies of chronic pain in pediatric patients and its differences with chronic pain in adults. Recent findings Chronic pain in children is common, can be debilitating and can progress into adulthood, thus it requires an interdisciplinary evaluation and management. Targeting interdisciplinary care, including psychology, physical, and/or occupational therapy, has been shown to improve pain and function. Recent decline in mental health post pandemic has correlated with increase in pediatric chronic pain thus the need to identify patients at risk and offer early interdisciplinary treatment. Summary Chronic pediatric pain should be addressed under the biopsychosocial model, where the biological, psychological, and social factors are evaluated on how they influence the pain perception, pain experience, functional ability, and treatment focus. Pain education to patients and their families is the crucial initial step towards a functional rehabilitation of pain.

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Section: Key Pointsmentioning

confidence: 99%

Chronic pain in pediatric patients: epidemiology, pathophysiology, and mitigation strategies

Rodriguez-Restrepo,

AuBuchon

2024

Current Opinion in Anaesthesiology

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“…In the field of chronic pain, we could improve our awareness of how common concepts are socially constructed. 41 For example, responding to concerns at the lack of contextual awareness of the individual with pain, limited conceptualisation and associated poor terminology, Webster et al 42 recently deconstructed 'catastrophising' and its common application to pain. Analysis of patient survey responses provided evidence of poor patient care, lack of validation, and a gendered aspect of women feeling dismissed by healthcare staff.…”

Section: Challenging Our 'Ways Of Knowing'mentioning

confidence: 99%

Intersectionality as a theoretical framework for researching health inequities in chronic pain

Macgregor

Walumbe

Tulle

et al. 2023

British Journal of Pain

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Chronic pain is experienced unequally by different population groups; we outline examples from the pain literature of inequities related to gender, ethnicity, socioeconomic and migration status. Health inequities are systematic, avoidable and unfair differences in health outcomes between groups of people, with the fundamental ‘causes of causes’ recognised as unequal distribution of income, power and wealth. Intersectionality can add further theory to health inequities literature; collective social identities including class/socioeconomic status, race/ethnicity, gender, migration status, age, sexuality and disabled status intersect in multiple interconnected systems of power leading to differing experiences of privilege and oppression which can be understood as axes of health inequities. The process of knowledge creation in pain research is shaped by these interconnected systems of power, and may perpetuate inequities in pain care as it is largely based on majority white, middle class, Eurocentric populations. Intersectionality can inform research epistemology (ways of knowing), priorities, methodology and methods. We give examples from the literature where intersectionality has informed a justice oriented approach across different research methods and we offer suggestions for further development. The use of a reductionist frame can force unachievable objectivity on to complex health concepts, and we note increasing realisation in the field of the need to understand the individuals within their social world, and recognise the fluid and contextual nature of this.

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“…21 Although there are concerns the term "pain catastrophizing" can be stigmatizing or delegitimize a patient's pain experience, as a construct it acknowledges psychosocial factors play a role in how a person experiences pain. 22 Thus, it is recommended that nurses more readily recognize and attend to pain catastrophizing. 23 Multisite pain, or pain in more than one anatomical location, can be a downstream effect of pain catastrophizing and low pain self-efficacy.…”

Section: Introductionmentioning

confidence: 99%

“…In clinical practice, pain catastrophizing is sometimes referred to as pain-related worry or pain distress 21 . Although there are concerns the term “pain catastrophizing” can be stigmatizing or delegitimize a patient's pain experience, as a construct it acknowledges psychosocial factors play a role in how a person experiences pain 22 . Thus, it is recommended that nurses more readily recognize and attend to pain catastrophizing 23 .…”

mentioning

confidence: 99%

The Contribution of Cancer-Specific Psychosocial Factors to the Pain Experience in Cancer Survivors

Jones

Magee

et al. 2023

J Hosp Palliat Nurs

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Palliative care teams are increasingly called up to manage chronic pain in cancer survivors. Chronic pain is common in cancer survivors and is heavily influenced by biopsychosocial factors. This study aimed to determine the relative contribution of unique cancer-specific psychosocial factors, pain catastrophizing, and multisite pain to the pain experience in 41 cancer survivors who completed curative cancer treatment. To test the research hypotheses, a series of nested linear regression models were used with likelihood ratio testing to test the individual and collective contribution of cancer-specific psychosocial factors (fear of cancer recurrence, cancer distress, cancer-related trauma), pain catastrophizing, and the number of pain sites on the pain experience. The results indicate pain catastrophizing and multisite pain explained a significant degree of variance in pain interference scores (P < .001) and pain severity (P = .005). Cancer-specific psychosocial factors did not significantly predict variability in pain interference (P = .313) or pain severity (P = .668) over and above pain catastrophizing and the number of sites of pain. In summary, pain catastrophizing and multisite pain contribute to the chronic cancer-related pain experienced by cancer survivors. Palliative care nurses are well positioned to improve chronic pain among cancer survivors by assessing and treating pain catastrophizing and multisite pain.

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Patient Responses to the Term Pain Catastrophizing: Thematic Analysis of Cross-sectional International Data

Cited by 14 publications

References 39 publications

Chronic pain in pediatric patients: epidemiology, pathophysiology, and mitigation strategies

Chronic pain in pediatric patients: epidemiology, pathophysiology, and mitigation strategies

Intersectionality as a theoretical framework for researching health inequities in chronic pain

The Contribution of Cancer-Specific Psychosocial Factors to the Pain Experience in Cancer Survivors

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