concept

perceived injustice

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Associations between pain intensity, psychosocial factors ... - Nature nature.com Nature Jun 12, 2024 15 facts

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.

referenceThe article 'Perceived injustice in patients with chronic pain' was published in BioPsychoSocial Medicine in 2025.

referenceSilje E. Reme et al. published a study in The Journal of Pain in 2022 regarding perceived injustice in patients with chronic pain, including its prevalence, relevance, and associations with long-term recovery and deterioration.

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.

claimPerceived injustice is significantly correlated with pain-related disability at a level similar to the correlation between pain intensity and pain-related disability.

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

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.

referenceSullivan et al. developed and validated the Injustice Experience Questionnaire to measure the role of perceived injustice in the experience of chronic pain and disability in a 2008 study published in the Journal of Occupational Rehabilitation.

claimThe study found that the relationship between catastrophizing, psychological distress, perceived injustice, sleep problems, and pain-related disability was stronger than the relationship between fatigue and pain-related disability.

claimPerceived injustice is defined as a factor encompassing worry or concern, feelings of helplessness, and negative outlooks for the future, and it is known to correlate with catastrophic thinking about pain.

referenceCarriere et al. conducted a systematic review of the association between perceived injustice and pain-related outcomes in individuals with musculoskeletal pain in a 2020 study published in Pain Medicine.

claimPerceived injustice is significantly associated with pain intensity and disability, as reported in a recent systematic review.