Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?

Turner, Judith A.; Jensen, Mark P.; Romano, Joan M.

doi:10.1016/s0304-3959(99)00259-6

Cited by 490Musculoskeletal pain and rehabilitationPediatric Pain Management TechniquesPain Management and Treatment

Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?

Turner, Judith A., Jensen, Mark P., Romano, Joan M.·2000·Pain

DOI 10.1016/s0304-3959(99)00259-6

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Abstract

Physical and psychosocial disability in patients with chronic pain have been shown to be associated with patients' pain-related beliefs, tendency to catastrophize, and pain coping strategy use. However, little is known about whether beliefs, catastrophizing, and coping strategies are independently associated with patient adjustment. Identification of specific beliefs, cognitive responses, and coping strategies strongly and independently associated with physical and psychosocial functioning would suggest the importance of targeting those variables for modification in treatment. One hundred sixty-nine patients entering a multidisciplinary pain treatment program completed measures of pain, beliefs, coping, catastrophizing, physical disability, and depression. Principal components analyses were used to create belief and coping components, which were then entered in multiple regression analyses predicting physical disability and depression. Belief scores significantly and independently predicted both physical disability and depression, after controlling for age, sex, pain intensity, catastrophizing, and coping. Coping scores significantly and independently predicted physical disability, but not depression, whereas catastrophizing independently predicted depression, but not physical disability. These findings suggest the importance of targeting specific pain-related beliefs and coping strategies, as well as catastrophizing, for modification in the treatment of patients with chronic…

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Catastrophic beliefs and coping strategies with pain significantly predict physical disability and depression in patients with chronic pain.
“Turner, Jensen & Romano (2000) studied on 169 patients with chronic pain and found out those catastrophic beliefs and coping strategies with pain significantly predict physical disability and depression in patients.”
From The effectiveness of group acceptance and commitment therapy on pain intensity, pain catastrophizing and pain-associated anxiety in patients with chronic pain (2015) · cites this paper as Turner, Jensen & Romano (2000)
The SOPA predicts outcomes of pain management efforts.
“shown that the SOPA predicts outcomes of pain management efforts”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [42]
The authors have demonstrated strong construct validity, internal consistency, and two-week test-retest reliability for the SOPA.
“The authors have demonstrated strong construct validity, internal consistency, and two-week test-retest reliability”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [42]
Improving dysfunctional beliefs improves pain management outcomes.
“and that improving dysfunctional beliefs improves pain management outcomes.14,41,42”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [42]

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Authors: Turner, J. A., Jensen, M. P., & Romano, J. M.
Affiliations: University of Washington (US)
Corresponding author: Turner, Judith A.
ORCID: Turner, Judith A.
Romano, Joan M.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-03-01
Volume: 85
Issue: 1
Pages: 115-125
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(99)00259-6
OpenAlex: W2021859221
Cited by: 487
References: 59
Citations by year: 2026: 3 · 2025: 11 · 2024: 10 · 2023: 6 · 2022: 12 · 2021: 13 · 2020: 12 · 2019: 23 · 2018: 16 · 2017: 17 · 2016: 25 · 2015: 25 · 2014: 16 · 2013: 19 · 2012: 28
FWCI: 11.01
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: American Pain Society
National Institute of Neurological Disorders and Stroke (NS31638, R01NS031638)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic pain, pain beliefs, pain catastrophizing, pain coping, physical disability, depression, psychosocial functioning, multidisciplinary pain management
MeSH terms: Adaptation, Psychological, Adult, Aged, Attitude, Chronic Disease, Culture, Depression, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Predictive Value of Tests

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Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?

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