The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
Clinically Meaningful Scores on Pain Catastrophizing Before and After Multidisciplinary Rehabilitation: A Prospective Study of Individuals With Subacute Pain After Whiplash Injury
Abstract
OBJECTIVES: Pain catastrophizing has emerged as a significant risk factor for problematic recovery after musculoskeletal injury. As such, there has been an increased focus on interventions that target patients' levels of catastrophizing. However, it is not presently clear how clinicians might best interpret scores on catastrophizing before and after treatment. Thus, the purpose of this study was to provide preliminary guidelines for the clinical interpretation of scores on pain catastrophizing among individuals with subacute pain after musculoskeletal injury. METHODS: A sample of 166 occupationally disabled individuals with subacute pain due to a whiplash injury participated in this study. Participants completed a 7-week standardized multidisciplinary rehabilitation program aimed at fostering functional recovery. Participants completed the Pain Catastrophizing Scale (PCS) upon program commencement and completion. One year later, participants indicated their pain severity and involvement in employment activities. Separate receiver operating characteristic curve analyses were conducted to determine absolute pretreatment and posttreatment and percent change scores on the PCS that were best associated with clinically important levels of pain and employment status at the follow-up. RESULTS: An absolute pretreatment PCS score of 24 best identified patients according to follow-up clinical outcomes. Posttreatment PCS scores of 14 and 15 best identified patients with high follow-up pain intensity ratings and those who did not return to work, respectively. PCS reductions of approximately 38% to 44% were best associated with return to work and low pain intensity ratings at follow-up. DISCUSSION: The results indicate scores on catastrophizing before and after treatment that are clinically meaningful. These results may serve as preliminary guidelines to assess the clinical significance of interventions targeting pain catastrophizing in patients with subacute pain after musculoskeletal injury.
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“However, change scores have ranged from 30% to 60% across investigations depending on the outcomes and the measures used [61], so the generalizability of our findings should be taken with caution.”
In the citing paper
“This analysis is recommended in guidelines for pain trials and a reduction in 30% of severity of symptoms is argued to be a useful benchmark, representing at least moderate clinically significant changes (CSC) for the individuals [61,62].”
Citations
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Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., & Cherkin, D. C. (2016) · Pain · doi:10.1097/j.pain.0000000000000635 · Cited by 281
Development and validation of a daily pain catastrophizing scale
Darnall, B. D., Sturgeon, J. A., Cook, K. F., Taub, C. J., Roy, A., Burns, J. W., Sullivan, M., & Mackey, S. C. (2017) · The Journal of Pain · doi:10.1016/j.jpain.2017.05.003 · Cited by 264
Self-citationSchütze, R., Rees, C., Smith, A., Slater, H., Campbell, J. M., & O'Sullivan, P. (2018) · The Journal of Pain · doi:10.1016/j.jpain.2017.09.010 · Cited by 231
Darnall, B. D., Roy, A., Chen, A. L., Ziadni, M. S., Keane, R. T., You, D. S., Slater, K., Poupore-King, H., Mackey, I., Kao, M.-C., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.13401 · Cited by 191
Lotzke, H., Brisby, H., Gutke, A., Hägg, O., Jakobsson, M., Smeets, R., & Lundberg, M. (2019) · Physical Therapy · doi:10.1093/ptj/pzz020 · Cited by 112
Metadata
- Authors
- Scott, W., Wideman, T. H., & Sullivan, M. J. L.
- Affiliations
- McGill University (CA)
- Venue
- The Clinical Journal of Pain
- Published
- 2014-03
- Volume
- 30
- Issue
- 3
- Pages
- 183-190
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2101385374
- Cited by
- 155
- References
- 54
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 9 · 2023: 18 · 2022: 13 · 2021: 23 · 2020: 20 · 2019: 17 · 2018: 6 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 4
- FWCI
- 5.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain catastrophizing, Pain Catastrophizing Scale, whiplash injury, subacute pain, multidisciplinary rehabilitation, return to work, clinically meaningful change, pain intensity, musculoskeletal injuries, work disability
- MeSH terms
- Adult, Employment, Female, Follow-Up Studies, Humans, Pain, Pain Measurement, Prognosis, Prospective Studies, Psychological Tests, ROC Curve, Whiplash Injuries, Treatment Outcome, Catastrophization
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