Role of pain-based catastrophizing in pain, disability, distress, and suicidal ideation
Abstract
BACKGROUND: In chronic pain, patients' coping affects their adaptation. In two studies, we examined the role of pain catastrophizing, a maladaptive coping strategy, in pain, distress, and disability. In Study 2 we compared catastrophizing to pain acceptance and to other coping strategies. METHODS: Study 1. Chronic pain patients (N = 428) were assessed four times as to their pain, disability, catastrophizing, and distress (depression and anxiety). Study 2. Patients (N = 165) were assessed as to coping and pain acceptance, pain, related distress, depression, hope, suicidal ideations, perceived burdensomeness, and thwarted belongingness. RESULTS: Study 1. A Structural Equation Modeling (SEM) analysis revealed that Time 1 Pain-based catastrophizing prospectively predicted pain (β =.36, p < .001). Distress prospectively predicted pain related disability (β = .34, p <.001). Study 2. Pain-based catastrophizing predicted sensory pain (β = .22, p = .018), depression (β = .43, p < .001), and suicidal ideation (O.R. = 1.88), which were also predicted by depression and perceived burdensomeness. Distraction predicted sensory pain (β = .21, p = .017, respectively). Activity engagement predicted low levels of depression (β = -.29, p < .001, respectively), and willingness to accept pain predicted low pain-related distress (β = -.16, p = .05). CONCLUSIONS: Pain catastro-phizing and pain acceptance constitute risk and resilience factors. Both should be assessed and targeted in pain management.
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Hoping and praying is correlated with higher disability, more pain interference, and greater pain severity.
“Likewise, hoping and praying is also correlated with higher levels of disability, more pain interference, and increased pain severity 280–283.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [280]
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- Authors
- Noyman-Veksler, G., Lerman, S. F., Joiner, T. E., Brill, S., Rudich, Z., Shalev, H., & Shahar, G.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Florida State University (US)
- Tel Aviv Sourasky Medical Center (IL)
- Corresponding author
- Noyman-Veksler, Gal
- Venue
- Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2017-04-03
- Volume
- 80
- Issue
- 2
- Pages
- 155-170
- ISSN
- 0033-2747 (ISSN-L)
- 1943-281X
- OpenAlex
- W2740513887
- Cited by
- 28
- References
- 49
- Citations by year
- 2025: 4 · 2024: 8 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 6 · 2018: 1 · 2017: 2
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Israel Science Foundation (IL) (197/12)
- 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 catastrophizing, chronic pain, pain acceptance, coping strategies, disability, distress, depression, suicidal ideation, perceived burdensomeness, thwarted belongingness, distraction, activity engagement, resilience factors, risk factors
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety, Depression, Female, Humans, Male, Middle Aged, Young Adult, Catastrophization, Suicidal Ideation, Chronic Pain
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