Cited by 334Musculoskeletal pain and rehabilitationSpinal Cord Injury ResearchPain Management and Treatment

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Catastrophizing is associated with pain intensity, psychological distress, and pain-related disability among individuals with chronic pain after spinal cord injury

Turner, Judith A., Jensen, Mark P., Warms, Catherine A., Cardenas, Diana D.·2002·Pain

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Abstract

Little research has examined the role of patient cognitive and behavioral responses, including catastrophizing, in adjustment to chronic pain associated with spinal cord injury (SCI). The objective of this study was to examine the associations of catastrophizing and specific pain coping strategies with pain intensity, psychological distress, and pain-related disability among individuals with chronic pain and SCI, after controlling for important demographic and SCI-related variables that might affect outcomes. Participants in this study were 174 community residents with SCI and chronic pain who completed a mailed questionnaire that included the SF-36 Mental Health scale, Coping Strategies Questionnaire, and Graded Chronic Pain Scale. The pain coping and catastrophizing measures explained an additional 29% of the variance in pain intensity after adjusting for the demographic and SCI variables (P<0.001). The coping and catastrophizing scales accounted for an additional 30% of the variance in psychological distress (P<0.001) and 11% of the variance in pain-related disability (P<0.001), after controlling for pain intensity and demographic and SCI variables. Catastrophizing, but not any other single pain coping strategy, was consistently strongly and independently associated with the outcome measures. Potentially, the assessment and treatment of catastrophizing may reduce psychological distress and pain-related disability among individuals with chronic pain and SCI.

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“A contrario, seules deux études de niveau 2 [26,36] donnent un avis inverse décrivant des douleurs plus fréquentes chez les sujets plus jeunes.”
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The Work-Disabled Patient
Coutu, M., Côté, D., & Baril, R. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6214-9_2 · Cited by 15
“…persistent pain due to a musculoskeletal disorder (MSD) have observed mixed anxiety and depressive symptoms (Hellström et al. 1999 ; McCracken et al. 1999 ; Naidoo and Pillay 1994 ; Plehn et al. 1998 ; Turner et al. 2002 ; Von Korff and Simon 1996 ; Walker and Sofaer 1998 ; Waters et al. 2004 ) .”
Background
The Communal Coping Model of Catastrophizing: Patient–Health Provider Interactions
Tsui, P. W., Day, M. A., Thorn, B. E., Rubin, N. J., Alexander, C. K., & Jones, R. N. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01288.x · Cited by 15
Catastrophizing mediates associations between pain severity, psychological distress, and functional disability among persons with spinal cord injury.
Ullrich, P. M., Jensen, M. P., Loeser, J. D., & Cardenas, D. D. (2007) · Rehabilitation Psychology · doi:10.1037/0090-5550.52.4.390 · Cited by 15
Contextual Influences on Distress Intolerance: Priming Effects on Behavioral Persistence
Szuhany, K. L., & Otto, M. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9672-x · Cited by 14
“Reports indicate that assumptions of interminability enhance the aversiveness of an experience (Fry et al. 1991; Turk 1999; Turner et al. 2002).”
Background
When Do Patients With Hand Illness Seek Online Health Consultations and What Do They Ask?
Briet, J. P., Hageman, M., Blok, R. D., & Ring, D. (2014) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-014-3461-9 · Cited by 15
“Protectiveness and preparation for the worst (catastrophic thinking/low self-efficacy) are strong determinants of symptom intensity and magnitude of disability [12, 15, 17, 18, 22, 23, 25] and it is possible that these factors also lead patients to seek online advice, particularly when they already have a hand special…”
Background
Outcomes and reflections on a consensus-building workshop for developing a spinal cord injury-related chronic pain research agenda
Hitzig, S. L., Hunter, J. P., Ballantyne, E. C., Katz, J. D., Rapson, L. M., Craven, B. C., & Boschen, K. A. (2016) · Journal of Spinal Cord Medicine · doi:10.1080/10790268.2015.1136115 · Cited by 14
Spinal Cord Injuries
Kennedy, P., & Smithson, E. F. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199733989.013.0016 · Cited by 14
Active or passive pain coping: Which predicts daily physical and psychosocial functioning in people with chronic pain and spinal cord injury?
Kuzu, D., Kim, S., & Kratz, A. L. (2022) · Rehabilitation Psychology · doi:10.1037/rep0000457 · Cited by 13
Frontal alpha asymmetry: A potential biomarker of approach-withdrawal motivation towards pain
Silva-Passadouro, B., Delgado-Sánchez, A., Henshaw, J., Lopez-Diaz, K., Trujillo‐Barreto, N. J., Jones, A. K. P., & Sivan, M. (2022) · Frontiers in Pain Research · doi:10.3389/fpain.2022.962722 · Cited by 12
Painful engrams: Oscillatory correlates of working memory for phasic nociceptive laser stimuli
Valentini, E., Nicolardi, V., & Aglioti, S. M. (2017) · Brain and Cognition · doi:10.1016/j.bandc.2017.03.009 · Cited by 11
Psychosocial factors associated with pain outcomes in patients with painful temporomandibular disorders and headaches
van der Meer, H. A., Tol, C. H. M., Speksnijder, C. M., van Selms, M. K. A., Lobbezoo, F., & Visscher, C. M. (2023) · European Journal Of Oral Sciences · doi:10.1111/eos.12919 · Cited by 13
Variation in the response to pain between athletes and non-athletes
Sharma, P., Sandhu, J. S., & Shenoy, S. (2011) · Ibnosina Journal of Medicine and Biomedical Sciences · doi:10.4103/1947-489x.210889 · Cited by 16
Identification and Characterization of Unique Subgroups of Chronic Pain Individuals with Dispositional Personality Traits
Mehta, S., Rice, D. B., McIntyre, A., Getty, H., Speechley, M. R., Sequeira, K., Shapiro, A. P., Morley-Forster, P. K., & Teasell, R. W. (2016) · Pain Research and Management · doi:10.1155/2016/5187631 · Cited by 13
“Despite there being no difference between the subgroups in terms of demographic factors such as age, duration of pain, and average pain intensity, the 3 groups differed over the time course in clinical outcomes.”
Background
Intraarticular Facet Injections for Low Back Pain: Design Considerations, Consensus Methodology to Develop the Protocol for a Randomized Controlled Trial
Ellard, D. R. (2015) · Pain Physician · doi:10.36076/ppj.2015/18/473 · Cited by 13
Psychological Adjustment to Spinal Cord Injury
Vocaturo, L. C. (2009) · Elsevier eBooks · doi:10.1016/b978-032300699-6.10005-x · Cited by 13
Disentangling trait versus state characteristics of the Pain Catastrophizing Scale and the PHQ‐8 Depression Scale
Dumenci, L., Kroenke, K., Keefe, F. J., Ang, D. C., Slover, J. D., Perera, R. A., & Riddle, D. L. (2020) · European Journal of Pain · doi:10.1002/ejp.1619 · Cited by 12
Pilot clinical trial of a clinical meditation and imagery intervention for chronic pain after spinal cord injury
Zanca, J. M., Gilchrist, C., Ortiz, C. E., & Dyson‐Hudson, T. A. (2021) · Journal of Spinal Cord Medicine · doi:10.1080/10790268.2021.1970894 · Cited by 12
Catastrophizing, Solicitous Responses From Significant Others, and Function in Individuals With Neuropathic Pain, Osteoarthritis, or Spinal Pain in the General Population
Glette, M., Landmark, T., Jensen, M. P., Woodhouse, A., Butler, S., Borchgrevink, P. C., & Stiles, T. C. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.03.010 · Cited by 13
Spinal Cord Injuries
Craig, A., Duff, J., & Middleton, J. (2021) · Reference Module in Neuroscience and Biobehavioral Psychology · doi:10.1016/b978-0-12-818697-8.00061-3 · Cited by 1
Modulation of Pain-Induced Neuromuscular Trunk Responses by Pain Expectations: A Single Group Study
Tétreau, C., Dubois, J.-D., Piché, M., & Descarreaux, M. (2012) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2012.06.008 · Cited by 12
Stress in patients diagnosed with rheumatoid arthritis compared to chronic pain.
Rice, D. B., Mehta, S., Serrato, J., Pope, J. E., Harth, M., Sequeira, K., Morley-Forster, P. K., Shapiro, A. P., & Teasell, R. W. (2017) · Rehabilitation Psychology · doi:10.1037/rep0000103 · Cited by 11
“In one previous study of patients with CP, it was established that pain catastrophizing predicted psychological distress after adjusting for pain intensity and demographic variables (Turner et al., 2002), which was confirmed in our findings specific to patients’ feeling stressed.”
Result
Clinical Measurement of Pain, Opioid Addiction, and Functional Status
Rodriguez, V. L., & Davoudian, T. (2016) · Springer eBooks · doi:10.1007/978-3-319-29863-4_5 · Cited by 11
Pain Catastrophising Affects Cortical Responses to Viewing Pain in Others
Fallon, N. B., Li, X., & Stančák, A. (2015) · PLoS ONE · doi:10.1371/journal.pone.0133504 · Cited by 12
“The communal coping model [2,9,18,19] has been suggested as an explanatory framework for pain catastrophising.”
Background
A multidisciplinary cognitive behavioural programme for coping with chronic neuropathic pain following spinal cord injury: the protocol of the CONECSI trial
Matagne Heutink, B., Post, M. W. M., Luthart, P., Pfennings, L. E. M. A., Dijkstra, C. A., & Lindeman, E. (2010) · BMC Neurology · doi:10.1186/1471-2377-10-96 · Cited by 11
“Results of several studies indicate that pain cognitions like catastrophizing [13,15-18] and pain coping strategies like passive coping [13,17] were significant predictors of pain intensity and pain-related disability.”
Background
Frequency and Perceived Effectiveness of Coping Define Important Subgroups of Patients With Chronic Pain
Roditi, D., Waxenberg, L. B., & Robinson, M. E. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181ed187f · Cited by 11
Pain Catastrophizing Mediates and Moderates the Link Between Acute Pain and Working Memory
Procento, P., Rand, K. L., Stewart, J. C., & Hirsh, A. T. (2021) · Journal of Pain · doi:10.1016/j.jpain.2021.03.138 · Cited by 10
Development of a pain education resource for people with spinal cord injury
Widerström-Noga, E., Anderson, K. D., Robayo, L. E., Perez, S., Martinez‐Arizala, A., Calle-Coule, L., Cherup, N., & Fernández, G. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1197944 · Cited by 9
“Indeed, evidence suggests that pain catastrophizing and other cognitive strategies, such as a belief in one’s ability to control pain, substantially influence the severity of pain symptoms and development of comorbid psychological distress in those living with SCI (21, 22).”
Background
Promoting optimal functioning in spinal cord injury
Wegener, S. T., Adams, L. L., & Rohe, D. E. (2012) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52137-8.00019-x · Cited by 11
Detecting malingered pain-related disability with the pain catastrophizing scale: a criterion groups validation study
Curtis, K. L., Aguerrevere, L. E., Bianchini, K. J., Greve, K. W., & Nicks, R. C. (2019) · The Clinical Neuropsychologist · doi:10.1080/13854046.2019.1575470 · Cited by 10
In Orthopaedic Speciality Care, Longer Explanations Are Not More Caring or More Satisfying
van Maren, K., Brown, L. E., Cremers, T., Khatiri, M. Z., Ring, D., & Fatehi, A. (2021) · Clinical Orthopaedics and Related Research · doi:10.1097/corr.0000000000001860 · Cited by 10

Authors: Turner, J. A., Jensen, M. P., Warms, C. A., & Cardenas, D. D.
Affiliations: University of Washington (US)
Corresponding author: Turner, Judith A.
ORCID: Turner, Judith A.
Jensen, Mark P.
Cardenas, Diana D.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2002-07
Volume: 98
Issue: 1
Pages: 127-134
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(02)00045-3
OpenAlex: W2082192971
Cited by: 333
References: 45
Citations by year: 2026: 5 · 2025: 6 · 2024: 6 · 2023: 11 · 2022: 7 · 2021: 13 · 2020: 8 · 2019: 18 · 2018: 13 · 2017: 19 · 2016: 21 · 2015: 19 · 2014: 18 · 2013: 20 · 2012: 12
FWCI: 5.25
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (1P01 HD/NS33988)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Clinical Neurology › Spinal Cord Injury Research
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: catastrophizing, chronic pain, spinal cord injury, pain coping, pain intensity, psychological distress, pain-related disability
MeSH terms: Adaptation, Psychological, Adult, Aged, Mental Disorders, Chronic Disease, Female, Persons with Disabilities, Humans, Male, Middle Aged, Pain, Pain Measurement, Severity of Illness Index, Spinal Cord Injuries

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Catastrophizing is associated with pain intensity, psychological distress, and pain-related disability among individuals with chronic pain after spinal cord injury

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