Social environment moderates the association between catastrophizing and pain among persons with a spinal cord injury
Abstract
Catastrophizing, or exaggerating the negative consequences of a situation, is associated with higher pain intensity, emotional distress, and functional disability among persons with chronic pain. According to the 'communal coping' model, catastrophizing in persons with pain may function as a social communication directed toward obtaining social proximity, support, or assistance. We tested the hypothesis, based on this model, that social factors would moderate the association between catastrophizing and sensory and affective pain. Seventy-four persons with a spinal cord injury and chronic pain completed measures of catastrophizing, solicitousness, depression, and sensory and affective pain before beginning a randomized controlled medication trial. Catastrophizing was significantly associated with solicitousness and pain reports. The association between catastrophizing and sensory pain scores was stronger for those who lived with a spouse or partner than for those who lived with someone else. In addition, there was a stronger association between catastrophizing and affective pain for those who reported greater solicitousness in their relationship. The results provide partial support for the communal coping model of catastrophizing.
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People with anxious or insecure attachment styles are at elevated risk for poorer mental and physical health, reduced physical activity engagement, and less treatment-related improvement in affective outcomes in a multidisciplinary program.
“Individuals with anxious or insecure attachment styles are at elevated risk for poorer mental and physical health 128, for reduced engagement in physical activity 129, and for less treatment- related improvement in affective outcomes among patients participating in a multidisciplinary treatment program 130.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [128]
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- Authors
- Giardino, N. D., Jensen, M. P., Turner, J. A., Ehde, D. M., & Cardenas, D. D.
- Affiliations
- University of Washington (US)
- Corresponding author
- Giardino, Nicholas D
- Venue
- Pain
- Published
- 2003-11
- Volume
- 106
- Issue
- 1
- Pages
- 19-25
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2003004823
- Cited by
- 122
- References
- 44
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 6 · 2015: 4 · 2014: 9 · 2013: 8 · 2012: 9
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (M01RR0037, M01RR000037)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (1P01 HD/NS33988)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- catastrophizing, spinal cord injury, chronic pain, affective pain, sensory pain, social environment, living arrangements, depression, pain intensity
- MeSH terms
- Adaptation, Psychological, Adult, Affective Symptoms, Chronic Disease, Depression, Family Health, Female, Humans, Male, Middle Aged, Pain, Social Environment, Social Support, Spinal Cord Injuries, Linear Models, Spouses
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