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Pain-related catastrophizing and perceived social responses: Inter-relationships in the context of chronic pain
Open accessAbstract
Pain-related coping, particularly catastrophizing, plays a significant role in shaping pain responses. One way catastrophizing is hypothesized to amplify pain and disability is via its effect on patients' social environments (e.g., communal coping model), though empirical support is limited. The present study tested whether the association between catastrophizing and deleterious pain-related outcomes was mediated by patients' perceptions of significant others' responses to their pain in a sample of 1356 pain patients. Regression analyses showed that perceived significant other punishing responses partially mediated catastrophizing's relationship with pain-related disability, and with depressive symptoms. Further, several variables moderated the association between catastrophizing and perceived social responses to pain. Catastrophizing was more strongly associated with greater perceived solicitous responses for patients of relatively short pain duration. Also, higher catastrophizing was more strongly associated with perceived punishing responses among patients perceiving lower social support. In addition, the mediational effects of perceived punishing responses on catastrophizing's relationship with depressive symptoms, and with pain-related disability were only found in individuals reporting low levels of perceived social support. In sum, perceived social responses were found to play a small role in mediating the relationship between catastrophizing and pain-related outcomes, and these mediational effects may be strongest in particular patient subgroups. The present data suggest that interpersonal mechanisms may not constitute a primary route by which catastrophizing exerts its maladaptive effects on pain responses. The study and further understanding of what principal factors mediate catastrophizing's deleterious effects on pain will be important in illuminating the biopsychosocial model of pain.
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“Rather than related to pain severity and disability, punishing spouse responses are more typically related to depressive symptoms and affective distress96 rather than to pain severity and disability.”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [96]
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“A positive association has been documented between depression and catastrophism [4]”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [4]
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“It has been demonstrated that interpersonal mechanisms may not play a significant role in its development [4]”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [4]
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“there is a wealth of evidence that symptoms of depression, anxiety, and emotional distress contribute strongly (more strongly than pain intensity, in many studies) to key long-term outcomes of persistent pain such as physical disability 35, 43–46, work disability 47, healthcare costs 48, 49, mortality 50–53, and suicide 22, 54, 55.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [47]
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Metadata
- Authors
- Buenaver, L. F., Edwards, R. R., & Haythornthwaite, J. A.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Buenaver, Luis F.
- Venue
- Pain
- Published
- 2007-02
- Volume
- 127
- Issue
- 3
- Pages
- 234-242
- ISSN
- 0304-3959 (ISSN-L)
- PMC
- PMC1866270
- OpenAlex
- W1966767544
- Cited by
- 113
- References
- 33
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 8 · 2017: 7 · 2016: 8 · 2015: 6 · 2014: 3 · 2013: 9 · 2012: 9
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (7k23ar051315-05)
- National Institute of Neurological Disorders and Stroke (K24NS002225)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K23-AR051315)
- National Institute of Dental and Craniofacial Research (F32DE017282)
- 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, pain-related disability, depressive symptoms, social support, pain duration, biopsychosocial model of pain, mediation
- MeSH terms
- Adult, Anxiety, Chronic Disease, Female, Humans, Interpersonal Relations, Male, Pain, Perception, Social Adjustment, United States, Comorbidity
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