Pain resilience and catastrophizing combine to predict functional restoration program outcomes.
Abstract
Objective Whereas decades of research have been devoted to psychological factors that confer vulnerability to disability and other negative outcomes in the face of chronic pain, recent studies have begun to emphasize psychological characteristics that contribute to enhanced adaptation and better clinical outcomes. Accordingly, the present study was conducted as a longitudinal assessment of the predictive utility of pain resilience and pain catastrophizing as indicators of clinical outcomes among patients receiving a standardized treatment for chronic pain. Method Using an observational design, analyses were conducted on measures of pain resilience, pain catastrophizing, quality of life, and clinical pain administered to 149 patients upon admission and prior to discharge from an 8-week outpatient functional restoration program. Hierarchical linear regressions were conducted to predict improvement in physical and mental health quality of life and clinical pain intensity at discharge based on individual differences in admission levels of pain-related catastrophizing and resilience. Results Results of the primary analyses indicated that pain catastrophizing and pain resilience independently predicted physical and mental health quality-of-life outcomes at discharge but did not significantly predict clinical pain intensity. Specifically, higher baseline pain resilience was associated with better quality-of-life outcomes, whereas higher baseline catastrophizing was associated with p…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Pain resilience has been shown to predict quality of life among chronic pain patients.
“This is significant as pain resilience has been shown to predict quality of life among chronic pain patients (Ankawi et al., 2017; France et al., 2020).”
From Increasing access to pain management: Feasibility of a self-compassion psychoeducational website using a minimally monitored delivery model (2021) · cites this paper as France et al., 2020
Cites
Still being checked.
Cited by
Sorted by citations
Edwards, R. R., Schreiber, K. L., Dworkin, R. H., Turk, D. C., Baron, R., Freeman, R. L., Jensen, T. S., Latrémolière, A., Markman, J. D., Rice, A. S. C., et al. (2022) · Journal of Pain · doi:10.1016/j.jpain.2022.08.010 · Cited by 108 · see citing works
Delussi, M., Gentile, E., Coppola, G., Prudenzano, A., Rainero, I., Sances, G., Abagnale, C., Caponnetto, V., Cesaris, F. D., Frattale, I., et al. (2020) · Frontiers in Neurology · doi:10.3389/fneur.2020.597881 · Cited by 47 · see citing works
Papetti, L., Loro, P. A. D., Tarantino, S., Grazzi, L., Guidetti, V., Parisi, P., Raieli, V., Sciruicchio, V., Termine, C., Toldo, I., et al. (2020) · Cephalalgia · doi:10.1177/0333102420965139 · Cited by 53 · see citing works
When thinking about pain contributes to suffering: the example of pain catastrophizing
Haythornthwaite, J. A., Campbell, C. M., & Edwards, R. R. (2024) · Pain · doi:10.1097/j.pain.0000000000003372 · Cited by 32 · see citing works
Pain Management in Burn Patients
Nosanov, L., Brandt, J., Schneider, D. M., & Johnson, L. (2020) · Current Trauma Reports · doi:10.1007/s40719-020-00203-9 · Cited by 20 · see citing works
Wilson, J. M., Colebaugh, C. A., Flowers, K. M., Edwards, R. R., & Schreiber, K. L. (2022) · Pain Medicine · doi:10.1093/pm/pnac079 · Cited by 18 · see citing works
Montag, L. T., Salomons, T. V., Wilson, R. A., Duggan, S., & Bisson, E. J. (2022) · Canadian Journal of Pain · doi:10.1080/24740527.2022.2156330 · Cited by 16 · see citing works
Mao, L., Dumkrieger, G. M., Ku, D., Ross, K., Berisha, V., Schwedt, T. J., Li, J., & Chong, C. D. (2023) · Headache The Journal of Head and Face Pain · doi:10.1111/head.14450 · Cited by 13 · see citing works
Distinct Worst Pain Profiles in Oncology Outpatients Undergoing Chemotherapy
Shin, J., Oppegaard, K. R., Calvo‐Schimmel, A., Harris, C., Cooper, B. A., Paul, S. M., Conley, Y. P., Hammer, M. J., Cartwright, F., Kober, K. M., et al. (2022) · Cancer Nursing · doi:10.1097/ncc.0000000000001095 · Cited by 11 · see citing works
Brittain, D. R., Gyurcsik, N. C., Cary, M. A., Moser, E., & Davis, L. (2021) · Women s Health Issues · doi:10.1016/j.whi.2021.11.004 · Cited by 10 · see citing works
Measuring Resilience in Women with Endometriosis
López, D. M. L., Moya-Bejarano, D., Hinojo, C. A. B., Marín‐Sánchez, P., Alonso, M. B., López, J. S. J., Muñoz, E. V., & González‐Mesa, E. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10245942 · Cited by 11 · see citing works
Chronic Pain Resilience Across Clinical Populations: A Concept Analysis
Kinnie, K. R., Vance, D. E., Patrician, P. A., Billings, R., & Aroke, E. N. (2024) · Pain Management Nursing · doi:10.1016/j.pmn.2024.03.019 · Cited by 8 · see citing works
Ysidron, D. W., France, C. R., Yang, Y., & Mischkowski, D. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110948 · Cited by 8 · see citing works
Self-citationYsidron, D. W., France, J. L., Himawan, L. K., & France, C. R. (2020) · Journal of Behavioral Medicine · doi:10.1007/s10865-020-00181-y · Cited by 6 · see citing works
Self-citationBasque, D., Talbot, F., & French, D. J. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100458 · Cited by 5 · see citing works
“A randomized controlled study on a smoking cessation program offered valuable information in this regard (Frandsen et al., 2016).”
BackgroundSelf-citationPain Resilience and Coping Behaviors in Individuals in a Collectivist Social Context
Liu, L.-J., Peng, H.-L., Liang, W.-P., & Lin, E. M. H. (2024) · Healthcare · doi:10.3390/healthcare12191979 · Cited by 5 · see citing works
Wertli, M. M., Aegler, B., McCabe, C., Grieve, S., Llewellyn, A. M., Schneider, S. E., Bachmann, L. M., & Brunner, F. (2023) · Pain Medicine · doi:10.1093/pm/pnad055 · Cited by 5 · see citing works
Hall, O. T., Gunawan, T., Teater, J. E., Bryan, C. J., Gorka, S. M., & Ramchandani, V. A. (2024) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2024.2350057 · Cited by 5 · see citing works
Rogers, A. H., Lackner, J. M., Radziwon, C. D., Danforth, T. L., & Gudleski, G. D. (2025) · Journal of Pain · doi:10.1016/j.jpain.2025.105439 · Cited by 4 · see citing works
Heelas, L., Soni, A., & Barker, K. L. (2023) · British Journal of Pain · doi:10.1177/20494637231190190 · Cited by 3 · see citing works
Dereli, M., Kahraman, T., & France, C. R. (2022) · Evaluation & the Health Professions · doi:10.1177/01632787221127377 · Cited by 3 · see citing works
Self-citationLin, A., Liu, Z., Zhang, T., Zhao, Y., Yang, C., & Wan, H. (2025) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2025.103213 · Cited by 2 · see citing works
Niederstrasser, N. G., Attridge, N., & Slepian, P. M. (2025) · PLoS ONE · doi:10.1371/journal.pone.0334144 · Cited by 2 · see citing works
Self-citationMakhoul, M., Noureddine, S., Abu‐Saad, H. H., Farhood, L., Fares, S. A., Uthman, I. W., French, D. J., & France, C. R. (2024) · Pain Research and Management · doi:10.1155/2024/7361038 · Cited by 3 · see citing works
Self-citationResiliency is a Predictor of Clinical Outcomes in a Chronic Pain Cohort
Chandler, G., Worts, P. R., Solatikia, F., Gaillard, P. R., Rojas, A. M., & Flynn, H. A. (2025) · Pain Physician · doi:10.36076/ppj.2025.28.e173 · Cited by 1 · see citing works
Hua, Z., & Ma, D. (2025) · Journal of Gerontological Social Work · doi:10.1080/01634372.2025.2574401 · Cited by 1 · see citing works
Predictors of Sustained Response to Functional Restoration in a Military Population
Flynn, D. M., Burke, L., Ransom, J. C., McQuinn, H. M., Steffen, A. D., Snow, T. J., & Doorenbos, A. Z. (2023) · Military Medicine · doi:10.1093/milmed/usac432 · Cited by 1 · see citing works
Delussi, M., Gentile, E., Coppola, G., Prudenzano, A., Rainero, I., Sances, G., Abagnale, C., Caponnetto, V., Cesaris, F. D., Lupi, C., et al. (2020) · doi:10.21203/rs.3.rs-39228/v1
The power to adapt: How resilience and changing expectations contribute to placebo effects
Thomas, S., Resnick, B. M., Klinedinst, N. J., Zhu, S., & Colloca, L. (2026) · Journal of Pain · doi:10.1016/j.jpain.2026.106234
Beibei, Y., Huaifei, G., & HongWei, W. (2026) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2026.0583
Pain Resilience and Catastrophizing as Mediators of Pain Intensity and Outcomes.
Makhoul, M., Huijer, H., French, D. J., France, C. R., & Bartley, E. (2026) · Pain Management Nursing · doi:10.1016/j.pmn.2026.04.011
Self-citationTatta, J., Palombaro, K. M., Bezner, J. R., Pignataro, R. M., & Rothschild, C. E. (2026) · European Journal of Physiotherapy · doi:10.1080/21679169.2026.2736261
- Authors
- France, C. R., Ysidron, D. W., Slepian, P. M., French, D. J., & Evans, R. T.
- Affiliations
- Ohio University (US)
- Venue
- Health Psychology
- Published
- 2020-07
- Volume
- 39
- Issue
- 7
- Pages
- 573-579
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W3018552017
- Cited by
- 32
- References
- 0
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 3 · 2020: 5
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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
- pain resilience, pain catastrophizing, chronic pain, functional restoration program, quality of life, pain intensity, treatment outcome prediction, outpatient rehabilitation
- MeSH terms
- Adult, Female, Humans, Male, Mental Health, Middle Aged, Pain Measurement, Quality of Life, Treatment Outcome, Catastrophization, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
