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Development and Validation of a Daily Pain Catastrophizing Scale
Open accessAbstract
To date, there is no validated measure for pain catastrophizing at the daily level. The Pain Catastrophizing Scale (PCS) is widely used to measure trait pain catastrophizing. We sought to develop and validate a brief, daily version of the PCS for use in daily diary studies to facilitate research on mechanisms of catastrophizing treatment, individual differences in self-regulation, and to reveal the nuanced relationships between catastrophizing, correlates, and pain outcomes. After adapting the PCS for daily use, we evaluated the resulting 14 items using 3 rounds of cognitive interviews with 30 adults with chronic pain. We refined and tested the final daily PCS in 3 independent, prospective, cross-sectional, observational validation studies conducted in a combined total of 519 adults with chronic pain who completed online measures daily for 14 consecutive days. For study 1 (N = 131), exploratory factor analysis revealed adequate fit and-unexpectedly-unidimensionality for item responses to the daily PCS. Study 2 (N = 177) correlations indicated adequate association with related constructs (anger, anxiety, pain intensity, depression). Similarly, results for study 3 (N = 211) revealed expected correlations for daily PCS and measures of daily constructs including physical activity, sleep, energy level, and positive affect. Results from complex/multilevel confirmatory factor analysis confirmed good fit to a unidimensional model. Scores on the daily PCS were statistically comparable with and more parsimonious than the full 14-item version. Next steps include evaluation of score validity in populations with medical diagnoses, greater demographic diversity, and in patients with acute pain.Perspective This article describes the development and validation of a daily PCS. This daily measure may facilitate research that aims to characterize pain mechanisms, individual differences in self-regulation, adaptation, and nuanced relationships between catastrophizing, correlates, and pain outcomes.
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“pain catastrophising item are based on the Pain Catastrophising Scale,64”
From Development, evaluation and implementation of a digital behavioural health treatment for chronic pain: study protocol of the multiphase DAHLIA project (2022) · cites this paper as [64]
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Preoperative Assessment and Management of Patients with Pain and Anxiety Disorders
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Self-citationManning, K. F., Kauffman, B. Y., Rogers, A. H., Garey, L., & Zvolensky, M. J. (2020) · Behavioral Medicine · doi:10.1080/08964289.2020.1796572 · Cited by 51
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Less Pain Relief, More Depression, and Female Sex Correlate With Spinal Cord Stimulation Explants
Slyer, J., Scott, S., Sheldon, B. L., Hancu, M., Bridger, C., & Pilitsis, J. G. (2019) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.13036 · Cited by 46
Opioid Use Disorder and Racial/Ethnic Health Disparities: Prevention and Management
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Chronic pain, chronic stress and substance use: overlapping mechanisms and implications
Schaffer, J., Fogelman, N., Seo, D., & Sinha, R. (2023) · Frontiers in Pain Research · doi:10.3389/fpain.2023.1145934 · Cited by 43
“Patients with depression and anxiety show higher levels of catastrophizing in the face of distress (65), and catastrophizing has been shown to play a mediating role in the relationship between depression and pain (66).”
BackgroundCharacteristics and influence on quality of life of new‐onset pain in critical COVID‐19 survivors
Ojeda, A., Calvo, A., Cuñat, T., Mellado-Artigas, R., Comino‐Trinidad, O., Aliaga, J., Arias, M., Ferrando, C., Martínez‐Palli, G., & Dürsteler, C. (2021) · European Journal of Pain · doi:10.1002/ejp.1897 · Cited by 40
“…detected, neuropathic pain (NP) and pain catastrophizing were screened and assessed with the Douleur Neuropathique 4 interview questionnaire (DN4- interview) (see Appendix S2) and the Pain Catastrophizing Scale (PCS) (see Appendix S3), respectively (Bouhassira et al., 2005; Darnall et al., 2017).”
BackgroundMethodCreation and validation of the 4-item BriefPCS-chronic through methodological triangulation.
Walton, D. M., Mehta, S., Seo, W., & MacDermid, J. C. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01346-8 · Cited by 38
Kiani, P., Merlo, A., Saeed, H. M., Benson, S., Bruce, G., Hoorn, R., Kraneveld, A. D., van de Loo, A. J. A. E., Severeijns, N. R., Sips, A. S. M., et al. (2021) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe11010016 · Cited by 39
“The shortened Pain Catastrophizing Scale (PCQ) was used in the current study [62,63].”
MethodA quantitative analysis of sleep quality in women with endometriosis
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“35 Finally, lower scores on the PCS was associated with worse quality of sleep with borderline significance; this is counterintuitive and is likely an artifact of the more strongly associated variables in the regression model.”
InfluentialWilson, J. M., Schwartz, A., Grissom, H., Holmes, J. S., Farley, K. X., Bradbury, T. L., & Guild, G. N. (2020) · HSS Journal® The Musculoskeletal Journal of Hospital for Special Surgery · doi:10.1007/s11420-020-09799-9 · Cited by 35
Grazzi, L., Andrasik, F., Rizzoli, P., Bernstein, C., Sansone, E., & Raggi, A. (2021) · Headache The Journal of Head and Face Pain · doi:10.1111/head.14139 · Cited by 34
Engaging endogenous opioid circuits in pain affective processes
Kimmey, B. A., McCall, N. M., Wooldridge, L. M., Satterthwaite, T. D., & Corder, G. F. (2020) · Journal of Neuroscience Research · doi:10.1002/jnr.24762 · Cited by 31
“Such pain-induced cognitive impairments are likely worsened by pain catastrophizing, the vicious cycle of negative mental focus on actual or anticipated pain that dominates the attention of chronic pain patients (Darnall et al., 2017).”
BackgroundFear of Movement and Catastrophizing in Participants with Temporomandibular Disorders
Häggman‐Henrikson, B., Jawad, N., Acuña, X. M., Visscher, C. M., SCHIFFMAN, E. L., & List, T. (2022) · Journal of Oral & Facial Pain and Headache · doi:10.11607/ofph.3060 · Cited by 30
Interventional Modalities to Treat Complex Regional Pain Syndrome
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Davoudi, M., Rezaei, P., Rajaeiramsheh, F., Ahmadi, S. M., & Taheri, A. A. (2021) · Health and Quality of Life Outcomes · doi:10.1186/s12955-021-01697-w · Cited by 29
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Psychological factors and trajectories of post-surgical pain: a longitudinal prospective study
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“The pain diary included the pain severity subscale of the BPI and the 3- item daily PCS.(46) The latter scale is a validated instrument that can be used to assess state catastrophizing in diary studies.”
MethodBruneau, A., Frimerman, L., Verner, M., Sirois, A., Fournier, C., Scott, K., Pérez, J., Shir, Y., & Martel, M. O. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108787 · Cited by 29
Bartels, S. L., Johnsson, S. I., Boersma, K., Flink, I., McCracken, L. M., Petersson, S., Christie, H. L., Feldman, I., Simons, L. E., Onghena, P., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059152 · Cited by 23
“…Inventory, 62 the pain level item is based on a Pain Rating Scale, 63 pain catastrophising item are based on the Pain Catastrophising Scale, 64 the pain avoidance item is based on the Psychological Inflexibility in Pain Scale, 65 pain interference categories are based on the Brief Pain…”
Daily and bidirectional linkages between pain catastrophizing and spouse responses
Martire, L. M., Zhaoyang, R., Marini, C. M., Nah, S., & Darnall, B. D. (2019) · Pain · doi:10.1097/j.pain.0000000000001673 · Cited by 28
“Pain catastrophizing, a negative cognitive orientation to actual or anticipated pain, varies from day to day and predicts greater pain and less physical function in daily life for chronic pain sufferers.(5,10,15,16) Two studies have examined this phenomenon in couples,(5,15) but little is known regarding the effects o…”
BackgroundSelf-citationFrimerman, L., Verner, M., Sirois, A., Scott, K., Bruneau, A., Pérez, J., Shir, Y., & Martel, M. O. (2021) · Pain · doi:10.1097/j.pain.0000000000002220 · Cited by 26
Frumkin, M. R., Greenberg, J. K., Boyd, P., Javeed, S., Shayo, B., Shin, J., Wilson, E. A., Zhang, J. K., Sullivan, M. J. L., Haroutounian, S., et al. (2023) · Journal of Pain · doi:10.1016/j.jpain.2023.03.010 · Cited by 25
Self-citationStability of Measures of Pain Catastrophizing and Widespread Pain Following Total Knee Replacement
Lape, E. C., Selzer, F., Collins, J. E., Losina, E., & Katz, J. N. (2019) · Arthritis Care & Research · doi:10.1002/acr.24000 · Cited by 23
“being touted as a dispositional measure (47), the PCS may not be a satisfactory way to capture a traitlike propensity to catastrophize.”
BackgroundGarcia, L. M., Darnall, B. D., Krishnamurthy, P., Mackey, I. G., Sackman, J., Louis, R. G., Maddox, T., & Birckhead, B. J. (2020) · JMIR Research Protocols · doi:10.2196/25291 · Cited by 25
“Despite having discrete subscales for rumination, magnification, and feelings of helplessness related to pain, prior work has shown that the PCS operates unidimensionally [50] and Cook et al (unpublished).”
Self-citationOjeda, A., Calvo, A., Cuñat, T., Mellado-Artigas, R., Comino‐Trinidad, O., Aliaga, J., Arias, M., Ahuir, M., Ferrando, C., & Dürsteler, C. (2021) · Trials · doi:10.1186/s13063-021-05463-7 · Cited by 22
“If BPI is positive for pain, pain catastrophizing will be assessed by the Pain Catastrophizing Scale (PCS) (supplement, questionnaire Q4) [23] and patients will also complete the Douleur Neuropathique en 4 Questions (DN4) (supplement, questionnaire Q5) to screen for neuropathic pain [24].”
MethodValidation of pain catastrophizing scale on breast cancer survivor
Pérez‐Cruzado, D., Roldán‐Jiménez, C., Campos, M. I., Pajares, B., Alba, E., & Cuesta‐Vargas, A. (2022) · Pain Practice · doi:10.1111/papr.13163 · Cited by 20
“91.(38) The present scale has been validated in other Spanish population with similar values of internal F I G U R E 1 Scree plot of the rotated factors.”
BackgroundMethodPrediction of Patient Satisfaction after Treatment of Chronic Neck Pain with Mulligan’s Mobilization
Fernández‐Carnero, J., Beltrán-Alacreu, H., Arribas‐Romano, A., Cerezo-Téllez, E., Cuenca‐Zaldívar, J. N., Romero, E. A. S., Lara, S. L., & Villafañe, J. H. (2022) · Life · doi:10.3390/life13010048 · Cited by 23
“These questionnaires and scales have already been demonstrated to be reproducible and valid for measuring subjective pain [46], quality of life [47], disability [48], anxiety [49], depression [50], catastrophism [51], kinesiophobia [47], and active mobility [52].”
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Leonardi, A., Feuerman, O. M., Salami, E., Lazzarini, D., Cavarzeran, F., Freo, U., & Maggioni, F. (2023) · Eye · doi:10.1038/s41433-023-02710-w · Cited by 21
“Higher scores suggest higher catastrophizing [35, 36].”
Won, A. S., Barreau, A., Gaertner, M., Stone, T., Zhu, J., Wang, C. Y., & Mackey, S. (2021) · Journal of Medical Internet Research · doi:10.2196/16536 · Cited by 20
“Future studies may use other standardized pain indicators, for example, Pain Self-Efficacy Questionnaire (PSEQ) [20], EuroQol-5D (EQ-5D) [21], or Pain Catastrophizing Scale (PCS) [22], as well as analyzing improved function as an indicator of positive outcome.”
Self-citationPain Catastrophizing Predicts Opioid and Health-Care Utilization After Orthopaedic Surgery
Rhon, D. I., Greenlee, T. A., Carreño, P. K., Patzkowski, J. C., & Highland, K. B. (2022) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.22.00177 · Cited by 19
Clinical Outcomes of Shoulder Artery Embolization for Adhesive Capsulitis
Martínez, A. M. F., Carnicero, P. C., Álvarez, A., Marcos, M. T. C., Alonso, D. R., & Baldi, S. (2025) · CardioVascular and Interventional Radiology · doi:10.1007/s00270-025-04078-8 · Cited by 18
“While pain perception is multifactorial and subject to emotional modulation [41], TAE appears to contribute directly to functional recovery.”
Spinal Cord Stimulation to Treat Low Back Pain in Patients With and Without Previous Spine Surgery
Campwala, Z., Datta, P., DiMarzio, M. D., Sukul, V., Feustel, P. J., & Pilitsis, J. G. (2020) · Neuromodulation Technology at the Neural Interface · doi:10.1111/ner.13333 · Cited by 18
“The PCS quantifies an individual’s pain experience by factoring in total rumination, helplessness, and magnification (20).”
BackgroundZhang, R., Wang, J., Huang, L., Wang, T. J., Huang, Y., Li, Z., He, J., Sun, C., Wang, J., Chen, X., et al. (2021) · Neurological Research · doi:10.1080/01616412.2021.1956290 · Cited by 18
“Pain Catastrophizing scale [170] Hot pain test [171]”
BackgroundParolini, F. C. S., Goethel, M. F., Becker, K. M., Fernandes, C., Fernandes, R. J., Ervilha, U. F., Santos, R. S., & Vilas‐Boas, J. P. (2023) · Biomedicines · doi:10.3390/biomedicines11072042 · Cited by 19
“The input layer was composed of socioanthropometric dimension-related variables (age, sex, body mass, height, and body mass index) and data from the Oswestry disability index I [31]; depression, anxiety, and stress scale [32]; and pain catastrophizing daily [33] questionnaire scores.”
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Ziadni, M. S., Anderson, S. R., Gonzalez-Castro, L., & Darnall, B. D. (2021) · Trials · doi:10.1186/s13063-021-05303-8 · Cited by 18
Self-citationPotential Role of Pain Catastrophic Thinking in Comorbidity Patients of Depression and Chronic Pain
Chen, Y., Ju, P., Xia, Q., Cheng, P., Gao, J., Zhang, L., Gao, H., Cheng, X., Yu, T., Yan, J., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.839173 · Cited by 17
“0 to 52, and higher scores indicate more serious pain-related thoughts (15).”
BackgroundInfluentialPerioperative Sleep Disturbance Following Mastectomy
Azizoddin, D. R., Soens, M., Beck, M. R., Flowers, K. M., Edwards, R. R., & Schreiber, K. L. (2023) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001090 · Cited by 17
Liu, K., Liu, Y., Ma, X., Fu, D., & Fan, Z. (2024) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-024-07413-1 · Cited by 19
“Pain catastrophizing is a reliable psychological predictor of adverse outcomes after TKA surgery [34].”
BackgroundLedesma, S. N., Carroll, J. D., Burton, P., & González-Muñoz, A. (2022) · Pain and Therapy · doi:10.1007/s40122-022-00450-5 · Cited by 20
Anterior cingulate cortex regulates pain catastrophizing-like behaviors in rats
Jee, H. J., Zhu, E., Sun, M., Liu, W., Zhang, Q., & Wang, J. (2023) · Molecular Brain · doi:10.1186/s13041-023-01060-8 · Cited by 17
“Salient features of pain catastrophizing include prior pain experiences, expectation of future pain experience, and magnification of pain aversion [9].”
BackgroundInfluentialLedesma, S. N., Carroll, J. D., González-Muñoz, A., & Burton, P. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1264821 · Cited by 18
Zhou, D., Wang, L., Wu, H., Gao, L., & Yang, X. (2024) · BMC Anesthesiology · doi:10.1186/s12871-024-02726-z · Cited by 15
“An analysis of a large population from a national database that underwent major surgery showed that the incidence of new onset postoperative depression ranged from 6.8% to 18.8% and that the risk of postoperative depression differed by surgical type [16].”
BackgroundInfluentialBurns, J. W., Gerhart, J. I., Dyke, B. P. V., Moraís, C. A., Newman, A. K., & Thorn, B. E. (2021) · Pain · doi:10.1097/j.pain.0000000000002237 · Cited by 15
Self-citationThompson, O. J., Powell-Roach, K. L., Taylor, J. L., Terry, E. L., & Booker, S. Q. (2022) · Nursing · doi:10.1097/01.nurse.0000823252.50782.45 · Cited by 15
Psychological disorders in patients with chronic postoperative inguinal pain
Miller, B., Scheman, J., Petro, C., Beffa, L., Prabhu, A., Rosen, M., & Krpata, D. (2022) · Hernia · doi:10.1007/s10029-022-02662-2 · Cited by 13
Ledesma, S. N., González-Muñoz, A., Carroll, J. D., & Burton, P. (2022) · Therapeutic Advances in Chronic Disease · doi:10.1177/20406223221078095 · Cited by 15
Cannabidiol in low back pain: scientific rationale for clinical trials in low back pain
Xantus, G. Z., Závori, L., Matheson, C., Gyarmathy, V. A., Fazekas, L. M., & Kanizsai, P. (2021) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2021.1917379 · Cited by 14
“Numeric Rating Scale, the Pain Catastrophizing Scale (PCS) and Quebec Back Pain Disability Assessment Scale (QPDAS) [31,32]”
MethodThe Influence of Expectancies on Pain and Function Over Time After Total Knee Arthroplasty
Carrière, J. S., Martel, M. O., Loggia, M. L., Campbell, C. M., Smith, M. T., Haythornthwaite, J. A., & Edwards, R. R. (2022) · Pain Medicine · doi:10.1093/pm/pnac067 · Cited by 14
Kinesiotherapy in chronic back pain and combined tension type headache
Александровна, Г. А., & Golovacheva, V. A. (2023) · Russian neurological Journal · doi:10.30629/2658-7947-2023-28-3-61-68 · Cited by 14
Scholten, S., Schemer, L., Herzog, P., Haas, J. W., Heider, J., Winter, D., Reis, D., & Glombiewski, J. A. (2024) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-024-01363-5 · Cited by 19
“For example, patients will be involved via cognitive interviews to ensure the comprehensibility of the items (Darnall et al., 2017).”
Chronic Lumbar Pain and Insomnia in College-Aged Students
Hamaoka, K., Ashizawa, R., Hida, M., Suganuma, I., & Yoshimoto, Y. (2022) · Healthcare · doi:10.3390/healthcare10040701 · Cited by 14
“Scores range from 0 to 52 points, where ≥30 is judged to be catastrophic for pain [36].”
BackgroundFactors affecting the prevalence, severity, and characteristics of ocular surface pain
Sánchez, V., Cohen, N. K., Felix, E. R., & Galor, A. (2022) · Expert Review of Ophthalmology · doi:10.1080/17469899.2023.2157813 · Cited by 14
Hevonkorpi, T. P., Raittio, L., Vähä-Tuisku, S., Launonen, A. P., & Mattila, V. M. (2021) · Journal of International Medical Research · doi:10.1177/03000605211060985 · Cited by 13
Carré, J. L., Lüthi, F., Burrus, C., Konzelmann, M., Vuistiner, P., Léger, B., & Benaïm, C. (2023) · Journal of Pain Research · doi:10.2147/jpr.s379337 · Cited by 13
Pain Assessment in Oral Medicine through Its Different Dimensions: A Comprehensive Review
Scribante, A., Pellegrini, M., Pulicari, F., Ghizzoni, M., Modugno, F. P., & Spadari, F. (2023) · Dentistry Journal · doi:10.3390/dj11110246 · Cited by 15
Yamin, J. B., Meints, S. M., & Edwards, R. R. (2024) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2024.2311275 · Cited by 13
“Reduction in PC is a key mechanism through which gold standard, widely-adopted psychological treatments for chronic pain, such as Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), are purported to improve pain-related outcomes [4–7].”
BackgroundRichey, A. E., Khoury, M., Segovia, N. A., Hastings, K. G., Caruso, T. J., Frick, S. L., & Rodríguez, S. (2021) · Journal of Pediatric Orthopaedics · doi:10.1097/bpo.0000000000002005 · Cited by 13
Golden, E., Zhang, F., Selen, D. J., Ebb, D. H., Romo, L. V., Drubach, L. A., Shah, N. A., O’Donnell, L. J., Lemme, J. D., Myers, R., et al. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.855157 · Cited by 13
“In conjunction with experiencing severe pain, Patient B presented with a clinically relevant level of pain catastrophizing–a maladaptive cognitive and emotional response to pain (19, 20).”
BackgroundGrazzi, L., Montisano, D. A., Rizzoli, P. B., Guastafierro, E., Marcassoli, A., Fornari, A., & Raggi, A. (2023) · Toxins · doi:10.3390/toxins15020086 · Cited by 13
Evaluation of the Empower Veterans Program for Military Veterans With Chronic Pain
Uche (2022) · Journal of Clinical Outcomes Management · doi:10.12788/jcom.0089 · Cited by 8
Majumder, M. S. M., Ahmed, S., Shazzad, M. N., Hasan, A. T. M. T., Haq, S. A., & Rasker, J. J. (2020) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.13954 · Cited by 13
“Pain catastrophizing has been associated with poor pain treatment response in patients with chronic pain (9).”
BackgroundInfluentialSharwood, L. N., Kifley, A., Craig, A. R., Gopinath, B., Jagnoor, J., & Cameron, I. D. (2021) · BMC Public Health · doi:10.1186/s12889-021-12003-0 · Cited by 12
“The pain catastrophizing scale was used to enable qualification of an individual’s perceived threat value of the pain stimulus and was scored from 0 to 52 where higher scores indicate higher levels of perceived threat [39].”
MethodFernández-Gualda, M. Á., Ariza‐Vega, P., Lozano‐Lozano, M., Cantarero‐Villanueva, I., Martín‐Martín, L., Castro‐Martín, E., Arroyo‐Morales, M., Martín, I. T., López-Garzón, M., Postigo-Martín, P., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0290096 · Cited by 12
Slooter, C. D., Perquin, C. W., Zwaans, W. A. R., Roumen, R. M. H., Scheltinga, M. R., & Slooter, G. D. (2022) · Hernia · doi:10.1007/s10029-022-02712-9 · Cited by 10
Verner, M., Sirois, A., Coutu-Nadeau, E., Fournier, C., Carrière, J. S., & Martel, M. O. (2022) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000001022 · Cited by 10
Doran-Sherlock, R., Devitt, S., & Sood, P. (2023) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2023.04.038 · Cited by 13
“…period following an acute musculoskeletal (MSK) injury, the co-occurrence of depression increases the probability of a patient developing persistent pain (Currie and Wang, 2005) and is associated with fear-avoidant behaviour and catastrophising cognitions (Baez et al., 2018; Darnall et al., 2017).”
InfluentialFerrie, M. L., Rogers, A. H., Zvolensky, M. J., & Buckner, J. D. (2022) · American Journal on Addictions · doi:10.1111/ajad.13343 · Cited by 10
Health literacy in women with chronic pelvic pain
Bennis, S. A., Pham, Y., Tseng, I., Malisch, B., Joyce, C., & Fitzgerald, C. M. (2023) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-023-07066-w · Cited by 10
“The PCS-EN is a thirteen-item questionnaire that measures catastrophizing with three subscales: rumination, magnification, and helplessness [15].”
BackgroundGrazzi, L., Montisano, D. A., D’Amico, D., Altamura, C., Raggi, A., Rizzoli, P. B., & Marcassoli, A. (2024) · Neurological Sciences · doi:10.1007/s10072-024-07568-8 · Cited by 10
“Pain catastrophizing, i.e. an exaggerated negative mental set brought to bear during actual or anticipated painful experience, was measured with the Pain Catastrophizing Scale (PCS) [27].”
Chang, R., Campbell, A., Kent, P. M., O’Sullivan, P., Hancock, M. J., Hoffman, L., & Smith, A. J. (2025) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2025.13114 · Cited by 9
Lippold, B., Tarkunde, Y. R., Cheng, A. L., Hannon, C. P., Adelani, M. A., & Calfee, R. P. (2022) · Arthroplasty Today · doi:10.1016/j.artd.2022.01.032 · Cited by 10
“Anxiety is also inter-related with the experience of pain and coping [58,59].”
Navarro‐Santana, M. J., Valera‐Calero, J. A., Romanos-Castillo, G., Hernández-González, V. C., Fernández‐de‐las‐Peñas, C., López‐de‐Uralde‐Villanueva, I., & Plaza‐Manzano, G. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11226616 · Cited by 9
“The Pain Catastrophizing Scale (PCS) is a 12-item questionnaire answered in a 5-point Likert scale (where 0 means “never” and 4 means “always”) commonly used for assessing different catastrophizing behaviors against pain including rumination (constant worry and inability to inhibit thoughts related to pain), magnifica…”
MethodOtero-Ketterer, E., Peñacoba, C., Valera‐Calero, J. A., Galán-del-Río, F., & Ortega‐Santiago, R. (2023) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2023.102744 · Cited by 11
Terkawi, A. S., Popat, R. A., & Mackey, S. (2023) · Pain Practice · doi:10.1111/papr.13267 · Cited by 9
Self-citationNasir, M., Scott, E. J., & Westermann, R. W. (2023) · PubMed Central · Cited by 9
Kang, D.-H., Park, J. H., Yoon, C., Choi, C.-H., Lee, S., Park, T. H., Chang, S. Y., & Jang, S. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13237377 · Cited by 8
“All Psychological status was measured using the Patient Health Questionnaire-9 (PHQ-9) [23], Pain Catastrophizing Scale (PCS) [24], and Fear-Avoidance Beliefs Questionnaire (FABQ) at baseline and 8 and 12 weeks [25]. analyses were performed using SAS software (version 9.4), with the significance…”
InfluentialRogers, A. H., Heggeness, L. F., Smit, T., & Zvolensky, M. J. (2023) · Journal of Behavioral Medicine · doi:10.1007/s10865-023-00416-8 · Cited by 8
Felder, J. N., Mirchandaney, R., Manber, R., Cuneo, J., Krystal, A. D., Solomon, N., Janette, S., Zhang, L., Moran, P. J., Mashash, M., et al. (2024) · Behavioral Sleep Medicine · doi:10.1080/15402002.2024.2359415 · Cited by 8
“Fourteen items assessed ways of responding to pain or discomfort previously shown or theorized to be associated with sleep quality (e.g., pain acceptance (McCracken et al., 2011) and pain catastrophizing (Darnall et al., 2017) or mindfulness training (Table 5).”
Ünver, S., & Turan, F. N. (2021) · Medical Bulletin of Haseki · doi:10.4274/haseki.galenos.2021.7225 · Cited by 7
“In the literature, the Cronbach’s alpha values of the developed Experience of Cognitive Intrusion of Pain scale was 0.94 and of the developed Daily Pain Catastrophizing scale was 0.892 for the total score (34,35).”
InfluentialNgoue, M., Lam, R., Pierson, S. R., Smoot, J., Ring, D., & Crijns, T. (2022) · Clinical Orthopaedics and Related Research · doi:10.1097/corr.0000000000002494 · Cited by 7
“The four-item version of the Pain Catastrophizing Scale was used to measure unhelpful thoughts in the form of catastrophic thinking [9, 23].”
MethodBabiloni, A. H., Provost, C., Charlebois‐Plante, C., Koninck, B. P. D., Apinis-Deshaies, A., Beaumont, L. D., Lavigne, G. J., & Martel, M. O. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.104576 · Cited by 9
Spruijt, M. A., Klerkx, W. M., Notten, K. J. B., van Eijndhoven, H., Speksnijder, L., Kerkhof, M. H., & Kluivers, K. B. (2024) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17991 · Cited by 7
Spatiotemporal patterns of pain distribution and recall accuracy: a dose-response study
Villa, M. G., Palsson, T. S., & Boudreau, S. A. (2021) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2021-0032 · Cited by 7
Wilson, A. C., Morasco, B. J., Holley, A. L., & Ewing, S. W. F. (2020) · American Psychologist · doi:10.1037/amp0000697 · Cited by 7
“Future work might consider pain catastrophizing in the moment (Darnall et al., 2017), which has been related to opioid use in other pediatric diary studies (A.”
BackgroundAvellanet, M., Boada-Pladellorens, A., Pagès, E., Josa, A. D., Bernadó, B. S., Pfeifer, M. A., & Gea, E. (2021) · Spine · doi:10.1097/brs.0000000000004123 · Cited by 7
“Secondary outcomes included cervical pain-related disability, measured with the validated Spanish version of Neck Disability Index (NDI),(17) and psychological factors, assessed with the Pain Catastrophizing Scale (PCS).(18) We assessed physical activity with the International Physical Activity questionnaire (IPAQ)(19…”
MethodThe Interaction Between Psychosocial Factors and Exercise-Induced Hypoalgesia in Pain-Free Nurses
Johnsen, K., Owen, P. J., Tagliaferri, S. D., Oosterwijck, J. V., Fitzgibbon, B. M., Ford, J. J., Belavý, D. L., & Miller, C. T. (2023) · Journal of Pain Research · doi:10.2147/jpr.s386440 · Cited by 11
Peng, L., Song, Y., Lv, B., & Jing, C. (2023) · Journal of Anesthesia · doi:10.1007/s00540-023-03235-y · Cited by 6
Metadata
- Authors
- Darnall, B. D., Sturgeon, J. A., Cook, K. F., Taub, C. J., Roy, A., Burns, J. W., Sullivan, M., & Mackey, S. C.
- Affiliations
- Stanford Medicine (US)
- Northwestern University (US)
- Rush University (US)
- The University of Queensland (AU)
- Corresponding author
- Darnall, Beth D.
- ORCID
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2017-09
- Volume
- 18
- Issue
- 9
- Pages
- 1139-1149
- ISSN
- 1526-5900 (ISSN-L)
- PMC
- PMC5581222
- OpenAlex
- W2614350387
- Cited by
- 264
- References
- 35
- Citations by year
- 2026: 36 · 2025: 58 · 2024: 38 · 2023: 38 · 2022: 38 · 2021: 31 · 2020: 17 · 2019: 6 · 2018: 1 · 2017: 1
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K24DA029262, K24DA053564, T32DA035165, HHSN271201200728P)
- National Center for Complementary and Integrative Health (P01AT006651, R01AT008561)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- pain catastrophizing, chronic pain, scale development, cognitive interviewing, unidimensionality, factor structure, self-regulation, pain mechanisms, pain intensity, sleep, physical activity, positive affect
- MeSH terms
- Adult, Cross-Sectional Studies, Delphi Technique, Factor Analysis, Statistical, Female, Humans, Interviews as Topic, Male, Medical Records, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Psychometrics, Time Factors, Qualitative Research, Multilevel Analysis, Catastrophization, Chronic Pain
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