Personality and pain intensity in rheumatoid arthritis patients: The mediating role of pain catastrophizing and cognitive emotion regulation strategies

Roudsari, Ehda Gharavi; Nasab, S. M. Hossein Mousavi; Ghavidel‐Parsa, Banafsheh; Yazdi, Farzaneh; Moghadam, Noshiravan Khezri

doi:10.1016/j.paid.2021.111390

Cited by 4 publications

(4 citation statements)

References 43 publications

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“… Evidence What is the level of evidence provided to support this model? Grade D Some cross-sectional studies have found an association between neuroticism and chronic pain 18 , 19 and pain intensity 95 There is evidence supporting the relationship between higher rates of certain personality traits and other variables that have been associated to chronic pain vulnerability such as attentional bias in chronic pain patients or fear avoidance. 91 , 96 In another cross-sectional study, neuroticism has been shown to act as a mediating variable between pain catastrophizing and pain vigilance and severity.…”

Section: Resultsmentioning

confidence: 99%

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Are We Any Closer to Understanding How Chronic Pain Develops? A Systematic Search and Critical Narrative Review of Existing Chronic Pain Vulnerability Models

Delgado-Sanchez,

Brown,

Sivan

et al. 2023

JPR

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Identifying biopsychosocial factors underlying chronic pain vulnerability is essential for the design of preventative efforts. Multiple chronic pain vulnerability models exist, however, there is a lack of comprehensive evaluation of these models in the literature, potentially due to the lack of guidelines that specify the criteria by which these types of work should be assessed. In this work, we created evaluation criteria (based on the general goals of conceptual models), and we then used them to critically review the chronic pain vulnerability models available in the current peer-reviewed literature (identified through a systematic search). Particularly, we evaluated the models on the basis of conceptual clarity/specificity of measures, depth of description of aetiological and mechanistic factors, use of a whole system approach, and quality of the evidence associated with the models. We found nine conceptual models that have been explored in detail (eg, fear avoidance model, diathesis-stress model). These models excel at clarity and are supported mostly by self-report evidence of a psychological nature (anxiety sensitivity, pain catastrophizing, etc.), but provide little explanation of mechanistic and aetiological factors. In the future, models could be improved by complementing them with proposals from other models and exploring potential causal factors and mechanisms maintaining the condition. This task could be carried out through prospective cohort studies, and computational approaches, amongst others.

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Section: Resultsmentioning

confidence: 99%

“…Some cross-sectional studies have found an association between neuroticism and chronic pain 18 , 19 and pain intensity 95 …”

Section: Resultsmentioning

confidence: 99%

Are We Any Closer to Understanding How Chronic Pain Develops? A Systematic Search and Critical Narrative Review of Existing Chronic Pain Vulnerability Models

Delgado-Sanchez,

Brown,

Sivan

et al. 2023

JPR

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“…Moreover, personality traits demonstrated an indirect effect on depression through PF. This indicates that the combination of personal tendencies linked to an increased frequency of negative effects and increased rigidity related to an inadequate way of managing these emotions represents a precursor for depressive symptoms in chronic pain [ 78 , 79 ]. In line with the psychological flexibility model, this accentuates the role of avoidance in the maintenance of depression in comorbidity with chronic pain by preventing the pursuit of meaningful life goals [ 80 , 81 ].…”

Section: Discussionmentioning

confidence: 99%

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Cojocaru,

Popa,

Schenk

et al. 2024

Healthcare

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Background: Chronic pain is associated with increased disability and vulnerability to emotional disorders. Personality and psychological flexibility (PF) describe interindividual differences that shape the adjustment to chronic pain. Specifically, PF was found to be associated with pain, fatigue, anxiety, and depression intensity. Although previous studies established strong correlations between personality and pain outcomes, evidence on the nature of this relationship is scarce. Therefore, the objective of this study is to explore the mediating effect of PF on the relationship between personality and distress. Methods: This transversal study included 108 participants (age M = 56.7, SD = 11.3) diagnosed with musculoskeletal chronic pain. Self-reported measures were administered by the medical care team. Multiple mediation models were performed for estimating the indirect effects on each outcome variable. Results: After controlling for age and gender covariates, we found that PF completely mediated the relationship between personality traits and all pain outcomes and partially mediated the impact of extraversion on anxiety. In addition, emotional stability also had an indirect effect on anxiety through PF. Conclusions: Personality traits and PF are significant predictors of pain outcomes. PF represents a core process mediating the impact of personality traits on the perceived intensity of pain, fatigue, anxiety, and depression in patients with rheumatic disease. These results could facilitate the application of individualized psychological interventions in clinical contexts targeting the reduction of emotional avoidance and in chronic pain patients.

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“…Trait neuroticism was also recognised as a factor responsible for engaging in catastrophizing behaviours in response to pain [ 36 ]. Moreover, pain catastrophizing was hypothesised to be a possible link between neuroticism and pain [ 37 ]. This influence of psychological traits on pain catastrophizing is possibly reciprocal, as some results suggest that patients engaging in catastrophizing are susceptible to psychiatric comorbidities [ 38 ].…”

Section: Search Methodologymentioning

confidence: 99%

Pain catastrophizing in rheumatic diseases: prevalence, origin, and implications

Wilk,

Zimba,

Haugeberg

et al. 2024

Rheumatol Int

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Pain is a crucial factor in rheumatic disorders, and reducing it is a primary goal of successful treatment. Adaptive pain-coping strategies can enhance this improvement, but maladaptive approaches such as pain catastrophizing may worsen overall patient well-being. This narrative review aims to provide a concise overview of the existing knowledge on pain catastrophizing in the most prevalent specific rheumatic disorders. The objective of this study was to improve understanding of this phenomenon and its implications, as well as to pinpoint potential directions for future research. We conducted searches in the MEDLINE/PubMed, SCOPUS, and DOAJ bibliography databases to identify articles related to pain catastrophizing in rheumatoid arthritis, psoriatic arthritis, axial spondylarthritis, systemic sclerosis, systemic lupus erythematosus, Sjögren’s syndrome, juvenile idiopathic arthritis, and osteoarthritis (non-surgical treatment). Data extraction was performed on November 1, 2023. The investigators screened the identified articles to determine their relevance and whether they met the inclusion criteria. Following a bibliography search, which was further expanded by screening of citations and references, we included 156 records in the current review. The full-text analysis centred on pain catastrophizing, encompassing its prevalence, pathogenesis, and impact. The review established the role of catastrophizing in amplifying pain and diminishing various aspects of general well-being. Also, potential treatment approaches were discussed and summarised across the examined disorders. Pain catastrophizing is as a significant factor in rheumatic disorders. Its impact warrants further exploration through prospective controlled trials to enhance global patient outcomes.

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Personality and pain intensity in rheumatoid arthritis patients: The mediating role of pain catastrophizing and cognitive emotion regulation strategies

Cited by 4 publications

References 43 publications

Are We Any Closer to Understanding How Chronic Pain Develops? A Systematic Search and Critical Narrative Review of Existing Chronic Pain Vulnerability Models

Are We Any Closer to Understanding How Chronic Pain Develops? A Systematic Search and Critical Narrative Review of Existing Chronic Pain Vulnerability Models

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Pain catastrophizing in rheumatic diseases: prevalence, origin, and implications

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