The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.
Daily pain catastrophizing predicts less physical activity and more sedentary behavior in older adults with osteoarthritis
Open accessAbstract
Musculoskeletal disorders such as knee osteoarthritis (OA) are the primary cause of chronic pain in older adults. Recommended self-management strategies for knee OA include staying physically active in the face of pain, but many patients avoid activities they are capable of doing. The overall purpose of this study was to examine the extent to which daily pain catastrophizing, a maladaptive coping strategy, could influence OA patients' physical activity and sedentary behavior. The current study used data from 143 older knee OA patients who completed electronic daily diaries for 22 days and wore an accelerometer to capture physical activity and sedentary behavior. At the beginning of each day, patients reported their pain catastrophizing regarding the day ahead. Results from multilevel models demonstrated that on mornings when patients catastrophized more than usual about their pain in the day ahead, they spent more time in sedentary behavior and engaged in fewer minutes of moderate to vigorous physical activity that day. Cross-day lagged analyses further showed that the effect of morning pain catastrophizing on subsequent sedentary behavior extended to the next day. More time spent in sedentary behavior, in turn, contributed to greater pain catastrophizing the next morning. These findings support the mechanistic role of daily pain catastrophizing in the avoidance of physical activity for older OA patients, and suggest that effective interventions for pain catastrophizing may also reduce sedentary behavior and enhance physical activity, with longer-term benefits for pain management, physical function, and overall health.
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“Pain catastrophizing is associated with reduced physical activity and avoidance of movement, both of which are known to exacerbate central sensitization.42–44”
From Acceptance and commitment therapy for prevention of chronic pain after total knee arthroplasty. (2026) · cites this paper as [44]
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Citations
Cites
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“According to the fear-avoidance model, pain catastrophizing—the exaggerated negative cognitive-emotional responses to real or anticipated pain—can lead to pain-related fear and avoidance of physical activities.(39,47) In the long term, activity avoidancemight result in disuse, depression, disability, and further exace…”
BackgroundFear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931 · cited 7×
“One pathway through which pain catastrophizing may lead to long-term pain persistence and other pain-related outcomes is through its impact on daily physical activity.(47) Physical activity is well documented as one of the most effective nonpharmacologic treatments to manage chronic pain, and sufficient physical activ…”
BackgroundMethodResultInfluentialFear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
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“Although most health interventions that target pain catastrophizing are delivered through face-to-face sessions, there is growing evidence that novel mobile technology such as smartphones and sensors may allow just-in-time adaptive interventions, which are designed to deliver highly personalized treatments in real tim…”
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“painmay be responsible for avoidance behavior (eg, avoidance of work, physical activity, and social activity).(5,8,47) Particularly, the”
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“Pain catastrophizing is an important psychological risk factor for a wide range of pain-related outcomes, including increased pain intensity, increased emotional distress, depression, decreased physical function, and prolonged disability.(29,31,49) One pathway through which pain catastrophizing may lead to long-term p…”
BackgroundInterventions to reduce social isolation and loneliness among older people: an integrative review
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Robustness issues in multilevel regression analysis
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“Analyses were conducted using SAS PROC MIXED with restricted maximum likelihood to handle missing data and robust standard errors to adjust against the slight skewness of the residuals.(15) Three sets of multilevel models were used to examine the within-day prospective associations between patients’ morning pain catas…”
Method
Cited by
Sorted by citations
Meredith, S. J., Cox, N. J., Ibrahim, K., Higson, J., McNiff, J., Mitchell, S., Rutherford, M., Wijayendran, A., Shenkin, S. D., Kilgour, A. H. M., et al. (2023) · Age and Ageing · doi:10.1093/ageing/afad145 · Cited by 267
“Results from multilevel models demonstrated that on mornings when older people catastrophized more than usual about arthritic pain, they spent more time in sedentary behaviour and engaged in fewer minutes of moderate-to-vigorous PA [63].”
Verdú, E., Homs, J., & Boadas‐Vaello, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413333 · Cited by 57
Dong, H., Gerdle, B. U. C., Bernfort, L., Levin, L., & Dragioti, E. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9072073 · Cited by 45
Furlough, K. A., Miner, H., Crijns, T. J., Jayakumar, P., Ring, D., & Koenig, K. M. (2021) · Journal of Orthopaedics · doi:10.1016/j.jor.2021.07.013 · Cited by 34
Guo, H., Wang, Y., Qiu, L., Huang, X., He, C., Zhang, J., & Gong, Q. (2021) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2021.783355 · Cited by 31
“…et al., 2018), functional connectivity density (Tomasi and Volkow, 2010), and amplitude of low-frequency fluctuation (ALFF) (Zou et al., 2008) were proposed and applied to characterize the brain functional couplings, integration, or activity (Zou et al., 2016; Sun et al., 2018; Wang et al., 2018).”
Method
Metadata
- Authors
- Zhaoyang, R., Martire, L. M., & Darnall, B. D.
- Affiliations
- Pennsylvania State University (US)
- Stanford Medicine (US)
- Corresponding author
- Zhaoyang, Ruixue
- Venue
- Pain
- Published
- 2020-06-15
- Volume
- 161
- Issue
- 11
- Pages
- 2603-2610
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- PMC
- PMC7572728
- OpenAlex
- W3036178370
- Cited by
- 105
- References
- 50
- Citations by year
- 2026: 16 · 2025: 17 · 2024: 27 · 2023: 20 · 2022: 8 · 2021: 15 · 2020: 2
- FWCI
- 6.75
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG026010, R01AG063241, R03AG067006)
- National Center for Complementary and Integrative Health (R01AT008561)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- pain catastrophizing, knee osteoarthritis, older adults, physical activity, sedentary behavior, activity avoidance, maladaptive coping, chronic pain, self-management, accelerometer-measured activity
- MeSH terms
- Aged, Female, Humans, Male, Middle Aged, Prospective Studies, Exercise, Osteoarthritis, Knee, Sedentary Behavior, Catastrophization
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