concept

pain catastrophizing

Facts (33)

Sources

Associations between pain intensity, psychosocial factors ... - Nature nature.com Nature Jun 12, 2024 20 facts

referenceJ. Martinez-Calderon et al. conducted a systematic review and meta-analysis published in The Clinical Journal of Pain in 2019 regarding the impact of pain catastrophizing on function in individuals with chronic musculoskeletal pain.

referenceMartinez-Calderon, J., Jensen, M. P., Morales-Asencio, J. M., and Luque-Suarez, A. published 'Pain catastrophizing and function in individuals with chronic musculoskeletal pain' in the Clinical Journal of Pain in 2019.

referenceA. B. Feinstein et al. published a study in The Journal of Pain in 2017 examining the effect of pain catastrophizing on outcomes across children, adolescents, and young adults with chronic pain.

claimThe researchers suggest that interventions targeting psychosocial factors like pain catastrophizing, perceived injustice, and self-efficacy may be more effective in improving the lives of individuals with chronic pain than focusing solely on pain management.

claimThe study conducted at Norway’s largest multidisciplinary pain clinic found significant associations between pain-related disability and pain intensity, pain catastrophizing, psychological distress, perceived injustice, sleep, fatigue, and self-efficacy.

referencePaul J. Quartana, Claudia M. Campbell, and Robert R. Edwards published a critical review of pain catastrophizing in 2009 in Expert Review of Neurotherapeutics.

measurementStudy participants reported levels of pain catastrophizing (M 23.86, SD 12.68, n = 3,733), psychological distress (M 2.15, SD 0.59, n = 3,879), and perceived injustice (M 23.68, SD 11.36, n = 3,742) that indicated a need for treatment.

referenceW., van den Hout, M. A., and Weber, W. E. published 'Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment' in the Clinical Journal of Pain in 2001.

claimPsychosocial variables investigated in the study included pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy.

referenceA systematic review by Lee et al. revealed that pain catastrophizing did not mediate the link between pain intensity and disability, which contradicts its mediating role in experimental treatment studies.

claimIndividuals who engage in extensive pain catastrophizing tend to experience higher levels of pain intensity in the short term and are at a greater risk of developing chronic pain and pain-related disability in the long term.

claimThe authors hypothesize that psychosocial factors, including pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy, are linked to pain-related disability in patients with chronic pain.

measurementIn the combined regression model used by the study, the contributions of pain catastrophizing, perceived injustice, and self-efficacy were non-significant regarding pain-related disability.

claimIn the study published in Nature, pain catastrophizing, perceived injustice, and self-efficacy did not show significant contributions in the combined regression model, which contrasts with most previous findings.

claimAlamam et al. demonstrated that across cultures and regions, beliefs about pain—specifically self-efficacy, pain catastrophizing, and pain-related fear—were associated with disability due to low back pain.

claimPain duration moderated the relationship between pain bothersomeness and pain-related disability (p < 0.001) and between pain catastrophizing and pain-related disability (p = 0.013), with slightly stronger associations among individuals who had experienced pain for less than one year compared to those who had experienced pain for a year or more.

claimThe Pain Catastrophizing Scale (PCS) is a 13-item scale measuring 'an exaggerated negative mental set brought to bear during actual or anticipated painful experience' with scores ranging from 0 to 52.

claimPain catastrophizing, characterized by negative rumination, plays a crucial role in predicting chronic pain by triggering unconscious fear and fostering pain-avoidant behaviors.

claimA meta-analysis of patients with chronic pain found that fear of pain, pain catastrophizing, and pain vigilance were strongly associated with negative affect, anxiety, pain intensity, and disability, supporting components of the fear-avoidance model.

referenceRodero et al. examined the psychometric characteristics of the Injustice Experience Questionnaire and its relationship with pain catastrophizing and pain acceptance in patients with fibromyalgia in a 2012 study published in the Journal of Psychosomatic Research.

A systematic review of cognitive behavioral therapy-based ... frontiersin.org Frontiers 13 facts

claimIncluding remote synchronous video group-based Acceptance and Commitment Therapy (ACT) or Behavioral Activation Treatment for Depression (BATD) as adjuncts to Treatment As Usual (TAU) provides clinical utility for improving pain interference and pain catastrophizing in patients with chronic low back pain (CLBP) and comorbid depressive symptoms.

claimA single study (Torrijos-Zarcero et al., 2021) indicated significant differences in anxiety, pain interference, pain acceptance, pain catastrophizing, and self-compassion at post-treatment in favor of Mindfulness-Based Interventions (MBI) compared to Cognitive Behavioral Therapy (CBT).

measurementPatients assigned to Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD) reported a significant reduction in pain catastrophizing compared to Treatment as Usual (TAU) at post-treatment (ACT effect size d = 0.45; BATD effect size d = 0.59) and at follow-up (both effect sizes d = 0.59).

measurementTwo studies (Buhrman et al., 2015; Gasslander et al., 2022) found no significant differences in pain catastrophizing between Cognitive Behavioral Therapy (CBT) and Treatment As Usual (TAU) at post-treatment, and one study (Buhrman et al., 2015) found no significant differences at follow-up.

claimTraditional cognitive behavioral therapy (CBT) improves depression, anxiety, and quality of life in patients with comorbid chronic pain and clinically relevant psychological distress, but does not improve pain intensity or pain catastrophizing.

measurementTorrijos-Zarcero et al. (2021) reported a significant difference in decreasing pain catastrophizing at post-treatment in favor of Mindfulness-Based Interventions (MBI) compared to Cognitive Behavioral Therapy (CBT), with a very small effect size (d = 0.12).

claimThe systematic review explored pain-related variables (pain interference, pain intensity, pain acceptance, pain catastrophizing, and pain self-efficacy), emotional functioning (depression, anxiety, and stress), health-related quality of life, behavioral activation, and psychological flexibility.

claimThe systematic review concludes that traditional Cognitive Behavioral Therapy may produce significant benefits for the improvement of depression, anxiety, and quality of life, but not for pain intensity and pain catastrophizing.

claimThe systematic review found no significant differences between traditional Cognitive Behavioral Therapy and treatment as usual at post-treatment and follow-up regarding pain intensity and pain catastrophizing.

measurementBoersma et al. (2019) reported significant differences in the decrease of pain catastrophizing at post-treatment with a small effect size (d = 0.26), but not at follow-up, in favor of hybrid therapy (exposure in vivo and dialectical behavior therapy) compared to Cognitive Behavioral Therapy (CBT).

claimStudies exploring pain intensity and pain catastrophizing found no significant differences between traditional Cognitive Behavioral Therapy (CBT) and Treatment As Usual (TAU) at post-treatment and follow-up.

measurementDe Jong et al. (2016, 2018) found no significant difference in the reduction of pain catastrophizing at post-treatment when comparing Mindfulness-Based Interventions (MBI) to Treatment As Usual (TAU).

claimThe systematic review measured outcomes including pain-related variables (pain interference, intensity, acceptance, catastrophizing, and self-efficacy), emotional functioning (depression, anxiety, and stress), health-related quality of life, behavioral activation, and psychological flexibility.