Cited by 122Musculoskeletal pain and rehabilitationPain Management and TreatmentPediatric Pain Management Techniques

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Social environment moderates the association between catastrophizing and pain among persons with a spinal cord injury

Giardino, Nicholas D, Jensen, Mark P, Turner, Judith A, Ehde, Dawn M, Cardenas, Diana D·2003·Pain

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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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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
ORCID: Giardino, Nicholas D
Jensen, Mark P
Turner, Judith A
Ehde, Dawn M
Cardenas, Diana D
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2003-11
Volume: 106
Issue: 1
Pages: 19-25
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(03)00226-4
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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Social environment moderates the association between catastrophizing and pain among persons with a spinal cord injury

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