Preliminary findings of a cognitive-behavioral pain trial among rural minorities and non-minorities

Day, Melissa A.; Thorn, Beverly E.; Ward, L. Charles; Kuhajda, Melissa C.; Sweeney, Kelly; Gaskins, Susan

doi:10.1016/j.jpain.2010.01.234

Cited by 2 publications

(2 citation statements)

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“…Twelve studies used CBT interventions. 8,25,35,36,51,[56][57][58][59]63,65,67 They included patients presenting with operative spine disease, chronic lowback pain, chronic pain and orthope dic trauma, and those undergoing knee replacement and spine surgery. The mean change in catastrophizing score as assessed with the CSQ ranged from -5 to -8.…”

Section: Psychologist-directed Interventions and Cognitive Behavioural Therapymentioning

confidence: 99%

Can pain catastrophizing be changed in surgical patients? A scoping review

Gibson

Sabo

2018

cjs

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Background: Catastrophizing, a coping style characterized by an exaggerated negative affect when experiencing or anticipating pain, is an important factor that adversely affects surgical outcomes. Various interventions have been attempted with the goal of reducing catastrophizing and, by extension, improving treatment outcomes. We performed a systematic review to determine whether catastrophizing can be altered in surgical patients and to present evidence for interventions aimed at reducing catastrophizing in this population. Methods: Using a scoping design, we performed a systematic search of MEDLINE and Embase. Studies reporting original research measuring catastrophizing, before and after an intervention, on the Pain Catastrophizing Scale (PCS) or Coping Strategies Questionnaire (CSQ) were selected. Studies were assessed for quality, the nature of the intervention and the magnitude of the effect observed. Results: We identified 47 studies that measured the change in catastrophizing score following a broad range of interventions in surgical patients, including surgery, patient education, physiotherapy, cognitive behavioural therapy, psychologist-directed therapy, nursing-directed therapy and pharmacological treatments. The mean change in catastrophizing score as assessed with the PCS ranged from 0 to –19, and that with the CSQ, from +0.07 to –13. Clinically important changes in catastrophizing were observed in 7 studies (15%). Conclusion: Catastrophizing was observed to be modifiable with an intervention in a variety of surgical patient populations. Some interventions produced greater reductions than others, which will help direct future research in the improvement of surgical outcomes.

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Section: Psychologist-directed Interventions and Cognitive Behavioural Therapymentioning

confidence: 99%

Can pain catastrophizing be changed in surgical patients? A scoping review

Gibson

Sabo

2018

cjs

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“…Catastrophizing is also a risk factor for drug and alcohol dependence, predicting prolonged opioid use and misuse in postsurgical patients [ 11 – 14 ]. Various interventions, including patient education, physiotherapy, and cognitive behavioral therapy (CBT), have been used to reduce pain catastrophizing in patient populations, but only with limited effects [ 3 , 15 – 19 ]. Thus, better understanding the neurobiological mechanisms of pain catastrophizing is crucial for developing effective therapeutic approaches to pain management.…”

Section: Introductionmentioning

confidence: 99%

Anterior cingulate cortex regulates pain catastrophizing-like behaviors in rats

Jee,

Zhu,

Sun

et al. 2023

Mol Brain

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Negative pain expectation including pain catastrophizing is a well-known clinical phenomenon whereby patients amplify the aversive value of a painful or oftentimes even a similar, non-painful stimulus. Mechanisms of pain catastrophizing, however, remain elusive. Here, we modeled pain catastrophizing behavior in rats, and found that rats subjected to repeated noxious pin pricks on one paw demonstrated an aversive response to similar but non-noxious mechanical stimuli delivered to the contralateral paw. Optogenetic inhibition of pyramidal neuron activity in the anterior cingulate cortex (ACC) during the application of repetitive noxious pin pricks eliminated this catastrophizing behavior. Time-lapse calcium (Ca2+) imaging in the ACC further revealed an increase in spontaneous neural activity after the delivery of noxious stimuli. Together these results suggest that the experience of repeated noxious stimuli may drive hyperactivity in the ACC, causing increased avoidance of subthreshold stimuli, and that reducing this hyperactivity may play a role in treating pain catastrophizing.

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Preliminary findings of a cognitive-behavioral pain trial among rural minorities and non-minorities

Cited by 2 publications

References 0 publications

Can pain catastrophizing be changed in surgical patients? A scoping review

Can pain catastrophizing be changed in surgical patients? A scoping review

Anterior cingulate cortex regulates pain catastrophizing-like behaviors in rats

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