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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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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