The social context of gastrointestinal cancer pain: a preliminary study examining the relation of patient pain catastrophizing to patient perceptions of social support and caregiver stress and negative responses
Abstract
A number of studies have shown that catastrophizing is an important predictor of pain and disability in persons having persistent pain conditions. The newly developed communal model of catastrophizing maintains that catastrophizing is a part of broader, interpersonal style of coping in which coping efforts are directed at interpersonal goals, rather than solely at pain reduction. This study examined the potential interpersonal correlates of pain catastrophizing in a sample of 70 patients having gastrointestinal cancers and their caregivers. Measures of pain catastrophizing, perceptions of social support, pain level, and pain behavior were obtained from patients. Caregivers completed measures that included their judgments about the patient's pain level, caregiver stress, and their tendency to engage in negative responses (critical or avoidant behaviors). Overall, patients who engaged in catastrophizing reported receiving higher levels of instrumental support. Caregivers of patients who catastrophized, rated the patient as having more pain and engaging in more pain behavior. Caregivers of patients who catastrophized, also reported higher levels of caregiver stress and critical behaviors. Taken together, these preliminary findings suggest that pain catastrophizing has interpersonal correlates and support the need for additional research examining the social context of pain catastrophizing.
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Several studies show an association between endorsing masculinity and higher pain threshold and tolerance and lower pain ratings.
“A number of studies have demonstrated an association between endorsing masculinity and a higher pain threshold and tolerance and lower pain ratings 194–198.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [195]
Ruminators engage in behaviours that erode social support.
“ruminators appear to engage in behaviours that erode social support such as placing high emotional and practical demands on members of their social network, excessive reassurance-seeking, and creating conflict and disturbances in their interpersonal relationships due to dissatisfaction with perceived support (Flynn, Kecmanovic, & Alloy, 2010;Keefe et al., 2003;Weinstock & Whisman, 2007).”
From Perseverative negative thinking predicts depression in people with acute coronary syndrome (2019) · cites this paper as Keefe et al., 2003
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- Authors
- Keefe, F. J., Lipkus, I., Lefebvre, J. C., Hurwitz, H., Clipp, E., Smith, J., & Porter, L.
- Affiliations
- Duke Medical Center (US)
- Duke University (US)
- Wofford College (US)
- Corresponding author
- Keefe, Francis J
- Venue
- Pain
- Published
- 2003-05
- Volume
- 103
- Issue
- 1
- Pages
- 151-156
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2032260145
- Cited by
- 114
- References
- 25
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 7 · 2017: 4 · 2016: 4 · 2015: 6 · 2014: 6 · 2013: 8 · 2012: 8
- FWCI
- 4.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1r21ca088049-01, 5r01ca076945-05)
- National Cancer Institute (P01 CA 72099, R01 CA 76945, R21-CA-88049-01, P01CA072099)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain catastrophizing, gastrointestinal cancer, social support, caregiver stress, critical behavior, avoidance behavior, instrumental support, pain behavior, interpersonal coping, cancer pain
- MeSH terms
- Aged, Female, Gastrointestinal Neoplasms, Humans, Male, Middle Aged, Pain, Pain Measurement, Perception, Psychological Tests, Social Support, Stress, Physiological, Caregivers
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