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An Adaptive Role for Negative Expected Pain in Patients With Neuropathic Pain
Abstract
OBJECTIVES: To study the relationship between expected pain and future outcomes along with the moderating effects of expected pain in neuropathic pain patients. METHODS: Study participants were recruited for the Canadian Neuropathic Pain Database. To examine the relationship between expected pain and 6-month pain intensity, pain-related disability, and catastrophizing, multiple regressions were performed. These relationships were adjusted for potential confounding (age, sex, baseline pain intensity, and psychological distress). To evaluate the moderating effect of expected pain on the relationship between baseline pain intensity and 6-month outcomes, pain intensity×expected pain interaction terms were created. RESULTS: Complete data for analysis was available for 560 patients (71%). Expected pain was positively correlated with pain intensity and pain-related disability scores at 6 months. The relationship between baseline pain intensity and 6-month catastrophizing scores was moderated by expected pain (however, despite a similar trend, expected pain did not statistically moderate the relationship between baseline pain intensity and 6-month pain intensity or disability). At higher levels of pain, predicted catastrophizing scores were higher for those with low levels of expected pain than those with high levels of expected pain. An opposite relationship was observed for patients with the lower levels of pain. DISCUSSION: In neuropathic pain patients whose pain does not respond to therapy, high levels of expected pain may relate to relatively lower catastrophizing scores by shifting focus away from futile attempts at "curing" pain toward focusing on achievement of more realistic personal goals.
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“and also an indicator of future pain trajectory and quality of life [8,11].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [11]
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Predictors and social consequences of daily pain expectancy among adults with chronic pain
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Metadata
- Authors
- Bostick, G. P., Toth, C., Dick, B. D., Carr, E. C. J., Stitt, L. W., & Moulin, D. E.
- Affiliations
- Western University (CA)
- University of Alberta (CA)
- University of Calgary (CA)
- Corresponding author
- Bostick, Geoff P.
- Venue
- The Clinical Journal of Pain
- Published
- 2015-05
- Volume
- 31
- Issue
- 5
- Pages
- 438-443
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2001889736
- Cited by
- 11
- References
- 20
- Citations by year
- 2024: 1 · 2023: 2 · 2021: 1 · 2020: 1 · 2017: 2 · 2016: 4
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- neuropathic pain, pain catastrophizing, pain intensity, pain-related disability, moderating effect, psychological distress, treatment-resistant pain
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Canada, Disability Evaluation, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neuralgia, Pain Measurement, Regression Analysis, Databases, Factual, Catastrophization
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- Bostick, G. P., Toth, C., Dick, B. D., Carr, E. C. J., Stitt, L. W., & Moulin, D. E. (2015). An Adaptive Role for Negative Expected Pain in Patients With Neuropathic Pain. The Clinical Journal of Pain. https://doi.org/10.1097/ajp.0000000000000135
