Children’s catastrophic thinking about their pain predicts pain and disability 6 months later
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Catastrophic thinking about pain has been identified as an important determinant of adjustment to pain, in both adults and children. No study has investigated the prospective and unique role of catastrophizing in explaining later pain and disability in children. The aim of the present study was to investigate the prospective roles of catastrophic thinking about pain, pain intensity, and trait anxiety and their putative relationship with pain and disability tested 6 months later. Participants were 323 schoolchildren. Analyses revealed that the child's pain catastrophizing at baseline had a small but unique contribution to the prediction of pain and disability 6 months later, even when controlling for the initial pain and disability levels. In line with expectations, moderation analyses revealed that the effects of catastrophizing upon pain and disability at follow‐up were only true for those children reporting low levels intensity of pain at baseline. The variability in disability and pain complaint could not be explained by trait anxiety. Instead anxious disposition might be best conceived of as a precursor of catastrophizing in children; i.e. children with higher levels of trait anxiety at baseline were more inclined to report higher levels of catastrophizing at follow‐up. The findings are discussed in terms of potential mechanisms through which catastrophizing might exert its negative impact upon pain and disability outcomes in children.
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Pain catastrophizing was evident, as per previous research, though evoking these cognitions often required more in-depth exploration, suggesting that some pain fears may not be immediately accessible by clinical interview.
“Pain catastrophizing was evident, as per previous research [11,14], though evoking these cognitions often required more in-depth exploration, suggesting that some pain fears may not be immediately accessible by clinical interview.”
From "Why Isn't It Going Away?": A Qualitative Exploration of Worry and Pain Experiences in Adolescents with Chronic Pain. (2021) · cites this paper as [14]
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Managing childhood cancer pain into survivorship: recognition and emerging principles
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Effectiveness of Virtual Reality for Pediatric Pain and Anxiety Management during Skin Prick Testing
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Testing a Combined Cognitive Bias Hypothesis of Pain and Pain-related Worry in Young People
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Schmerzkatastrophisieren bei Kindern und Jugendlichen
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An Ecological and Life Span Approach of Social Influences on Childhood Pain Experiences
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Intake revalidatiearts en screening
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Adolescent Perceptions Of Living With Crohn's Disease
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Parental expectations and nocebo by proxy effects in adolescent orthodontic treatment outcomes
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Pain and Mind-Body Interactions
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The Application of A Risk-Resilience Model in Pediatric Chronic Pain
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- Authors
- Vervoort, T., Eccleston, C., Goubert, L., Buysse, A., & Crombez, G.
- Affiliations
- Fund for Scientific Research (BE)
- University of Bath (GB)
- Ghent University (BE)
- Corresponding author
- Vervoort, T.
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2010-01
- Volume
- 14
- Issue
- 1
- Pages
- 90-96
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W1992016536
- Semantic Scholar
- 69c39bc2cd56665e2debc5ecd79a6b77aacff982
- Cited by
- 95
- References
- 44
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 8 · 2018: 7 · 2017: 2 · 2016: 6 · 2015: 6 · 2014: 7 · 2013: 10 · 2012: 14
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Funders
- Vlaamse regering
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- pain catastrophizing, pediatric pain, pain intensity, trait anxiety, disability, elementary school students, prospective prediction, moderating effect
- MeSH terms
- Adolescent, Anxiety, Child, Disability Evaluation, Female, Persons with Disabilities, Disabled Persons, Humans, Male, Pain, Pain Measurement, Predictive Value of Tests, Surveys and Questionnaires, Risk Factors, Schools
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