Perceived Injustice and Adverse Recovery Outcomes

Sullivan, Michael J.; Yakobov, Esther; Scott, Whitney; Tait, Raymond C.

doi:10.1007/s12207-014-9209-8

Cited by 72 publications

(63 citation statements)

References 91 publications

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“…Increased focus on treatment is supported by observations that, relative to other physical and psychosocial variables, perceived injustice is less responsive to typical multidisciplinary intervention [57]. To our knowledge, this is the first study to suggest that perceived injustice is a risk factor for worse pain and function in children/adolescents with chronic pain.…”

Section: Discussionmentioning

confidence: 71%

“…Mechanisms underlying the relationship between injustice and pain intensity remain unclear [57]. Attentional processes may play a role, as suggested by evidence that adults with chronic pain who endorse higher injustice perceptions demonstrate an excessive focus on pain stimuli (Trost, Ryckegem, Scott, Guck, & Vervoot, 2013, unpublished results).…”

Section: Discussionmentioning

confidence: 99%

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Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Miller

Scott

Trost

et al. 2016

The Journal of Pain

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Chronic pain is prevalent in children/adolescents and contributes to high healthcare utilization. Research suggests injustice perceptions about pain are important in adult patients and a possible treatment focus. We conducted a preliminary evaluation of the psychometric properties of the Injustice Experiences Questionnaire (IEQ) and the relationship between injustice perceptions, pain, and functioning in chronic pain patients (N=139, mean age=15 years, 72% female) presenting to a pediatric pain clinic. Patients completed measures assessing pain intensity, injustice perceptions about pain, catastrophizing, overall functional disability, emotional functioning, social functioning, and school functioning. The IEQ demonstrated good reliability and validity. Higher levels of perceived injustice were associated with higher levels of pain intensity, catastrophizing, and functional disability, and with poorer emotional, social, and school functioning. Additionally, perceived injustice remained significantly associated with pain intensity, functional disability, emotional functioning, social functioning, and school functioning after accounting for relevant demographic and clinical factors. This is the first study to suggest that injustice perceptions are important in the experience of pediatric chronic pain patients.Future studies should more thoroughly examine the psychometric properties of the IEQ in children/adolescents and elucidate the causal nature of these relationships, which will inform treatment efforts to improve pediatric pain care.Perspective: This initial investigation suggests that injustice perceptions about pain can be reliably and validly measured and are tied to important clinical outcomes in children/adolescents. Future studies that replicate and extend these preliminary results are necessary to determine the extent to which injustice perceptions are an important target for intervention.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Miller

Scott

Trost

et al. 2016

The Journal of Pain

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“…Men and women also did not differ according to opioid prescription (c2 = 0.096, p = 0.792). Analyses revealed that individuals with active opioid prescriptions differed significantly on all study variables (Table 2).…”

Section: Resultsmentioning

confidence: 92%

Pain behavior mediates the relationship between perceived injustice and opioid prescription for chronic pain: a Collaborative Health Outcomes Information Registry study

Carriere¹,

Martel

Kao

et al. 2017

JPR

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Background and purposePerceived injustice has been defined as an appraisal regarding the severity and irreparability of loss associated with pain, blame and a sense of unfairness. Recent findings have identified perceived injustice as an important risk factor for pain-related outcomes. Studies suggest that perceived injustice is associated with opioid prescription in patients with pain conditions. However, the mechanisms by which perceived injustice is linked to opioid prescription are not well understood. The primary objective of this study was to examine the potential mediating roles of pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription among patients with chronic pain.MethodsThis cross-sectional study used a sample of 344 patients with chronic pain being treated at a tertiary pain treatment center. Participants completed measures of perceived injustice, pain intensity, depressive symptoms, pain behavior and opioid prescription. Bootstrapped multiple mediation analyses were used to examine the mediating role of patients’ pain intensity, depressive symptoms and pain behavior in the association between perceived injustice and opioid prescription.ResultsConsistent with previous research, we found a significant association between perceived injustice and opioid prescription. Interestingly, results revealed that pain behavior was the only variable that mediated the association between perceived injustice and opioid prescription.ConclusionThis study was the first to examine the mechanisms by which perceived injustice is associated with opioid prescription in patients with chronic pain. We found that pain behavior, rather than pain intensity and depressive symptoms, mediated the association between perceived injustice and opioid prescription. Future research in this area should employ a longitudinal research design in order to arrive at clearer causal conclusions about the relationships between pain behavior, perceived injustice and opioid prescription.

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“…Variability in appraisal processes has been shown to be related to adjustment and recovery outcomes (22); however, the degree of overlap between these processes, as well as the mechanisms of effect, remain unclear. Of interest are mechanisms related to emotional distress and perceptions of daily life function, as they can facilitate targeted interventions and influence broader life outcomes.…”

Section: Introductionmentioning

confidence: 99%

Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction through differential patterns of physical and psychological disruption

Sturgeon

Ziadni

Trost

et al. 2017

Scandinavian Journal of Pain

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AbstractBackground and purposePrevious research has highlighted the importance of cognitive appraisal processes in determining the nature and effectiveness of coping with chronic pain. Two of the key variables implicated in appraisal of pain are catastrophizing and perceived injustice, which exacerbate the severity of pain-related distress and increase the risk of long-term disability through maladaptive behavioural responses. However, to date, the influences of these phenomena have not been examined concurrently, nor have they been related specifically to quality of life measures, such as life satisfaction.MethodsUsing data froman online survey of330 individuals with chronic pain, structural path modelling techniques were used to examine the independent effects of pain catastrophizing, perceived injustice, and average pain intensity on life satisfaction. Two potential mediators of these relationships were examined: depressive symptoms and pain-related interference.ResultsResults indicated that depressive symptoms fully mediated the relationship between pain catastrophizing and life satisfaction, and pain interference fully mediated the relationship between pain intensity and life satisfaction. Both depressive symptoms and pain interference were found to significantly mediate the relationship between perceived injustice and life satisfaction, but perceived injustice continued to demonstrate a significant and negative relationship with life satisfaction, above and beyond the other study variables.ConclusionsThe current findings highlight the distinct affective and behavioural mediators of pain and maladaptive cognitive appraisal processes in chronic pain, and highlight their importance in both perceptions of pain-related interference and longer-term quality of life.

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Perceived Injustice and Adverse Recovery Outcomes

Cited by 72 publications

References 91 publications

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Pain behavior mediates the relationship between perceived injustice and opioid prescription for chronic pain: a Collaborative Health Outcomes Information Registry study

Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction through differential patterns of physical and psychological disruption

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