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Cited by 32Cancer survivorship and carePain Management and Opioid UseAttachment and Relationship Dynamics

Pain catastrophizing, pain intensity, and dyadic adjustment influence patient and partner depression in metastatic breast cancer

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Badr, Hoda, Shen, Megan J.·2014·The Clinical Journal of Pain
DOI 10.1097/ajp.0000000000000058PMC PMC4461876
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Abstract

OBJECTIVE: Metastatic breast cancer can be challenging for couples given the significant pain and distress caused by the disease and its treatment. Although the use of catastrophizing (eg, ruminating, exaggerating) as a pain coping strategy has been associated with depression in breast cancer patients, little is known about the effects of pain intensity on this association. Moreover, even though social relationships are a fundamental resource for couples coping with cancer, no studies have examined whether the quality of the spousal relationship affects the association between catastrophizing and depression. This study prospectively examined these associations. METHODS: Couples (N=191) completed surveys at the start of treatment for metastatic breast cancer (baseline), and 3 and 6 months later. RESULTS: Multilevel models using the couple as the unit of analysis showed patients and partners (ie, spouses or significant others) who had high levels (+1 SD) of dyadic adjustment (DAS-7) experienced fewer depressive symptoms than those who had low levels (-1 SD) of dyadic adjustment (P's<0.01). Moreover, at low levels of dyadic adjustment, when patients engaged in high levels of catastrophizing and had high levels of pain, both patients and partners reported significantly (P=0.002) higher levels of depression than when patients engaged in high levels of catastrophizing but had low levels of pain. DISCUSSION: Findings showed that catastrophizing and pain exacerbate depression in couples experiencing marital distress. Programs that seek to alleviate pain and depressive symptoms in metastatic breast cancer may benefit from targeting both members of the couple, screening for marital distress, and teaching more adaptive pain coping strategies.

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  • Specific psychosocial characteristics increase risk for transition from acute to persistent pain or for pain-related disability when pain persists.

    “specific psychosocial characteristics place individuals at elevated risk for the transition from acute to persistent pain, or for the development of pain-related disability in the context of a persisting pain condition 15, 22, 28, 29.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [15]

  • Longitudinal observational research supports a strong bidirectional link between mood disorders and persistent pain.

    “longitudinal, observational research supports a strong bidirectional link between mood disorders and persistent pain”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [15]

  • Developing an enduring pain condition substantially increases vulnerability for a later diagnosis of an affective disorder.

    “the development of an enduring pain condition confers a substantially increased vulnerability for the subsequent diagnosis of an affective disorder”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [15]

  • Depression, anxiety, and distress are among the strongest and most robust psychosocial predictors of transition from acute to chronic pain.

    “psychosocial variables such as depression, anxiety, and distress are among the most potent and robust predictors of the transition from acute to chronic pain 13–18.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [15]

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Research works printed but not linked: 3

  1. [6]Brietbart W Payne DK Holland J Pain. Psychooncology 1998 Oxford University Press New York
  2. [13]Bishop SR Warr D Coping, catastrophizing and chronic pain in breast cancer. J Behav Med 2003 26 265 281 12845938
  3. [59]Badr H Carmack CL Kashy DA Cristofanilli M Revenson TA Dyadic coping in metastatic breast cancer. Health Psychol in press PMC3138118 20230090

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Authors
Badr, H., & Shen, M. J.
Affiliations
Icahn School of Medicine at Mount Sinai (US)
ORCID
Venue
The Clinical Journal of Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014-11
Volume
30
Issue
11
Pages
923-933
ISSN
0749-8047 (ISSN-L)
DOI
10.1097/ajp.0000000000000058
PMC
PMC4461876
OpenAlex
W1988324528
Cited by
32
References
74
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 6 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 1
FWCI
1.13
Type
journal article
Language
en
Open access
Locations
  • Clinical Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5r25ca081137-15)
  • National Cancer Institute (R25-CA081137, 5R25-CA081137)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords
pain catastrophizing, pain intensity, dyadic adjustment, marital distress, depression, metastatic breast cancer, couples, marital relationships, pain coping, depressive symptoms
MeSH terms
Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Depression, Female, Humans, Interpersonal Relations, Longitudinal Studies, Male, Middle Aged, Neoplasm Metastasis, Pain, Pain Measurement, Prospective Studies, Spouses, Young Adult, Catastrophization

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