Cited by 11Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsPain Management and Treatment

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

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.

Overview

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Crossref · 10.1097/ajp.0000000000000135

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20 of 20 references verified0 citation errors · 0 not checkable

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Citations

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Research works printed but not linked: 1

  1. Carroll, 2009, Ferrari R, et al.., Recovery in whiplash-associated disorders: do you get what you expect J Rheumatol, 36, 1063

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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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