Cited by 114Musculoskeletal pain and rehabilitationPain Management and Opioid UsePediatric Pain Management Techniques

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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

Keefe, Francis J, Lipkus, Isaac, Lefebvre, John C, Hurwitz, Herbert, Clipp, Elizabeth, Smith, Jill, Porter, Laura·2003·Pain

DOI 10.1016/s0304-3959(02)00447-5

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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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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
ORCID: Keefe, Francis J
Lipkus, Isaac
Hurwitz, Herbert
Porter, Laura
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2003-05
Volume: 103
Issue: 1
Pages: 151-156
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(02)00447-5
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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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

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