The DOI matches its Crossref record; 45 of the 46 references it cites were found in a registry or an index.
Psychological functioning of people living with chronic pain: a meta-analytic review
Abstract
Objectives Chronic pain (CP; >3 months) is a common condition that is associated with significant psychological problems. Many people with CP do not fit into discrete diagnostic categories, limiting the applicability of research that is specific to a particular pain diagnosis. This meta-analysis synthesized the large extant literature from a general CP, rather than diagnosis-specific, perspective to systematically identify and compare the psychological problems most commonly associated with CP. Methods Four databases were searched from inception to December 2013 (PsychINFO, The Cochrane Library, Scopus, and PubMed) for studies comparing the psychological functioning of adults with CP to healthy controls. Data from 110 studies were meta-analysed and Cohen's d effect sizes calculated. Results The CP group reported experiencing significant problems in a range of psychological domains (depression, anxiety, somatization, anger/hostility, self-efficacy, self-esteem and general emotional functioning), with the largest effects observed for pain anxiety/concern and somatization; followed by anxiety and self-efficacy; and then depression, anger/hostility, self-esteem and general emotional functioning. Conclusions This study demonstrates, for the first time, that individuals with CP are more likely to experience physically focussed psychological problems than other psychological problems and that, unlike self-efficacy, fear of pain is intrinsically tied to the CP experience. This challe…
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“This draws on previous empirical findings that subjective beliefs of low self-efficacy can generalize beyond the specific situation (Bandura, 1977; Burke et al., 2015) and might result in a domain-unspecific vulnerability”
From Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression (2016) · cites this paper as Burke et al., 2015
In the citing paper
“On the other hand, CP commonly co-occurs with anxiety and depression,2-4 which adds more complications to the health status of the patients.”
From Psychological interventions for depression and anxiety: a systematic review and meta-analysis of Iranian chronic pain trials. (2020) · cites this paper as [3]
In the citing paper
“there is a wealth of evidence that symptoms of depression, anxiety, and emotional distress contribute strongly (more strongly than pain intensity, in many studies) to key long-term outcomes of persistent pain such as physical disability 35, 43–46, work disability 47, healthcare costs 48, 49, mortality 50–53, and suicide 22, 54, 55.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [48]
Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,421
(1970) · Cited by 24,983
(2000) · Cited by 9,198
Progressive Statistics for Studies in Sports Medicine and Exercise Science
HOPKINS, W. G., MARSHALL, S. W., BATTERHAM, A. M., & HANIN, J. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31818cb278 · Cited by 9,128
The Pain Catastrophizing Scale: Development and validation.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995) · Psychological Assessment · doi:10.1037//1040-3590.7.4.524 · Cited by 8,227
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650
Screening for serious mental illness in the general population
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S.-L. T., Manderscheid, R. W., Walters, E. E., et al. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.2.184 · Cited by 5,692
The MOS Short-form General Health Survey: Reliability and Validity in a Patient Population
Stewart, A. L., Hays, R. D., & Ware, J. E. (1988) · Medical Care · doi:10.1097/00005650-198807000-00007 · Cited by 3,339
The global burden of low back pain: estimates from the Global Burden of Disease 2010 study
Hoy, D. G., MARCH, L. M., Brooks, P., Blyth, F., Woolf, A. D., Bain, C. J., Williams, G. M., Smith, E. U. R., Vos, T., Barendregt, J. J., et al. (2014) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2013-204428 · Cited by 3,194
The West Haven-Yale Multidimensional Pain Inventory (WHYMPI)
Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985) · Pain · doi:10.1016/0304-3959(85)90004-1 · Cited by 2,128
A Fail-Safe N for Effect Size in Meta-Analysis
Orwin, R. G. (1983) · Journal of Educational Statistics · doi:10.2307/1164923 · Cited by 2,064
The pain self-efficacy questionnaire: Taking pain into account
Nicholas, M. K. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2005.12.008 · Cited by 1,656
Pain as a global public health priority
Goldberg, D. S., & McGee, S. J. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-770 · Cited by 1,471
Publication Manual of the American Psychological Association
Yao, R. (2011) · Family and Consumer Sciences Research Journal · doi:10.1111/j.1552-3934.2011.02081.x · Cited by 1,459
Chronic Pain and Psychopathology: Research Findings and Theoretical Considerations
Dersh, J., Polatin, P. B., & Gatchel, R. J. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200209000-00010 · Cited by 676
Development of the Fear of Pain Questionnaire-III
McNeil, D. W., & Rainwater, A. J. (1998) · Journal of Behavioral Medicine · doi:10.1023/a:1018782831217 · Cited by 619
Von Korff, M., Crane, P., Lane, M., Miglioretti, D. L., Simon, G., Saunders, K., Stang, P., Brandenburg, N., & Kessler, R. (2005) · Pain · doi:10.1016/j.pain.2004.11.010 · Cited by 612
McWilliams, L. A., Goodwin, R. D., & Cox, B. J. (2004) · Pain · doi:10.1016/j.pain.2004.06.002 · Cited by 562
International Classification of Diseases (ICD)
Owens, D. L., & Owenby, B. (2016) · Sage eBooks · doi:10.4135/9781483369532.n271 · Cited by 557
The specific disease burden of neuropathic pain: Results of a French nationwide survey
Attal, N., Lanteri-Minet, M., Laurent, B., Fermanian, J., & Bouhassira, D. (2011) · Pain · doi:10.1016/j.pain.2011.09.014 · Cited by 427
Interpreting the WHOQOL-Brèf: Preliminary Population Norms and Effect Sizes
Hawthorne, G., Herrman, H., & Murphy, B. M. (2006) · Social Indicators Research · doi:10.1007/s11205-005-5552-1 · Cited by 381
“Evidence” in chronic pain–establishing best practice in the reporting of systematic reviews
Moore, A. R., Eccleston, C., Derry, S., Wiffen, P., Bell, R. F., Straube, S., & McQuay, H. (2010) · Pain · doi:10.1016/j.pain.2010.05.011 · Cited by 370
International Classification of Diseases ( ICD )
Israel, R. A. (2005) · Encyclopedia of Biostatistics · doi:10.1002/0470011815.b2a02025 · Cited by 369
Zakzanis, K. K. (2001) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/16.7.653 · Cited by 346
Chronic pain and frequent use of health care
Blyth, F., MARCH, L. M., Brnabic, A. J. M., & Cousins, M. J. (2004) · Pain · doi:10.1016/j.pain.2004.05.020 · Cited by 309
How to assess common somatic symptoms in large-scale studies: A systematic review of questionnaires
Zijlema, W. L., Stolk, R. P., Löwe, B., Rief, W., White, P. D., & Rosmalen, J. G. M. (2013) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2013.03.093 · Cited by 280
Psychological Aspects of Neuropathic Pain
Haythornthwaite, J. A., & Benrud‐Larson, L. M. (2000) · Clinical Journal of Pain · doi:10.1097/00002508-200006001-00017 · Cited by 202
Employment and Work Impact of Chronic Migraine and Episodic Migraine
Stewart, W. F., Wood, G. C., Manack, A. N., Varon, S. F., Buse, D. C., & Lipton, R. B. (2010) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3181c1dc56 · Cited by 194
The psychological effects of spinal cord injury: a review
North, N. T. (1999) · Spinal Cord · doi:10.1038/sj.sc.3100913 · Cited by 156
Depression, Chronic Pain, and Suicide by Overdose: On the Edge
Cheatle, M. D. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01131.x · Cited by 143
Chronic pain‐related disability and use of analgesia and health services in a Sydney community
Blyth, F., Cousins, M. J., & MARCH, L. M. (2003) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2003.tb05441.x · Cited by 114
Gynecological Cancer Survivors: Assessment of Psychological Distress and Unmet Supportive Care Needs
Urbaniec, O. A., Collins, K., Denson, L. A., & Whitford, H. S. (2011) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2011.599829 · Cited by 96
Self-citationPosttraumatic Stress Disorder in Migraine
Peterlin, B. L., Tietjen, G. E., Brandes, J. L., Rubin, S. M., Drexler, E. D., Lidicker, J. R., & Meng, S. (2009) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.2009.01368.x · Cited by 93
The physical symptoms inventory: Measuring levels of somatic complaining behavior
Wahler, H. J. (1968) · Journal of Clinical Psychology · doi:10.1002/1097-4679(196804)24:2 · Cited by 69
Homann, D., Stefanello, J. M. F., Góes, S. M., Breda, C. A., Paiva, E. D. S., & Leite, N. (2012) · Revista Brasileira de Reumatologia · doi:10.1590/s0482-50042012000300003 · Cited by 36
Pain management in musculoskeletal conditions
Nicholas, M. K. (2008) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2007.11.008 · Cited by 34
Impact of rheumatic diseases and chronic joint symptoms on quality of life in the elderly
Falsarella, G. R., Coimbra, I. B., Neri, A. L., de Barcelos, C. C., Costallat, L. T. L., Carvalho, O., & Coimbra, A. M. V. (2011) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2011.06.038 · Cited by 32
Assessing depression in patients with chronic pain: A comparison of three rating scales
Wong, W. S., Chen, P. P., Yap, J., Mak, K. H., Tam, B. K. H., & Fielding, R. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.04.012 · Cited by 24
Managing chronic pain through cognitive change and multidisciplinary treatment program
Douglas, W., Graham, C., Anderson, D., & Rogerson, K. (2004) · Australian Psychologist · doi:10.1080/00050060412331295045 · Cited by 17
Romano, J. M. (2005) · Clinical Journal of Pain · doi:10.1097/01.ajp.0000148629.77250.69 · Cited by 12
Research works printed but not linked: 11
- Borenstein M., 2005, Comprehensive meta‐analysis (version 2.0)
- Derogatis L. R., 1994, Symptom checklist‐90‐revised: Administration, scoring and procedures manual
- 10.1097/01.PSY.0000024232.11538.54 · DOI · Paper page
- Homann D., 2012, Stress perception and depressive symptoms: Functionality and impact on the quality of life of women with fibromyalgia, Revista Brasileira de Reumatologia, 52, 319
- International Association for the Study of Pain (IASP), 1994, IASP Task Force on Taxonomy
- Lovibond S. H., 1996, Manual for the depression anxiety stress scale
- McNair D. M., 1992, EdITS manual for the profile of mood states
- 10.3102/10769986008002157 · DOI · Paper page
- Schwarzer R., 1995, Measures in health psychology: A user's portfolio. Causal and control beliefs, 35
- Spielberger C. D., 1988, Manual for the state‐trait anger expression inventory (STAXI)
- 10.1037/1040‐3590.7.4.524 · DOI · Paper page
Cited by
Sorted by citations
The role of psychosocial processes in the development and maintenance of chronic pain
Edwards, R. R., Dworkin, R. H., Sullivan, M. D., Turk, D. C., & Wasan, A. D. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.01.001 · Cited by 954
“’’ Recent systematic reviews indicate that chronic pain patients show elevations, relative to pain-free controls, in all of these indices of self-reported negative affect.(28,95) Although psychological symptomatology is often interpreted as a consequence of chronic pain, prospective studies suggest that premorbid psyc…”
Evaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719
Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression
Stephan, K. E., Manjaly, Z. M., Mathys, C. D., Weber, L. A. E., Paliwal, S., Gard, T., Tittgemeyer, M., Fleming, S. M., Haker, H., Seth, A. K., et al. (2016) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2016.00550 · Cited by 437
“This draws on previous empirical findings that subjective beliefs of low self-efficacy can generalize beyond the specific situation (Bandura, 1977; Burke et al., 2015) and might result in a domainunspecific vulnerability: the self-fulfilling expectation that one generally lacks control and cannot…”
BackgroundSleep disturbances and sleep disorders in adults living with chronic pain: a meta-analysis
Mathias, J. L., Cant, M. L., & Burke, A. L. J. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.05.023 · Cited by 310
Self-citationThe Role of Self-Efficacy on the Prognosis of Chronic Musculoskeletal Pain: A Systematic Review
Martinez-Calderon, J., Zamora-Campos, C., Navarro-Ledesma, S., & Luque-Suarez, A. (2018) · The Journal of Pain · doi:10.1016/j.jpain.2017.08.008 · Cited by 268
Metadata
- Authors
- Burke, A. L. J., Mathias, J. L., & Denson, L. A.
- Affiliations
- Royal Adelaide Hospital (AU)
- The University of Adelaide (AU)
- Corresponding author
- Burke, Anne L. J.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2015-03-13
- Volume
- 54
- Issue
- 3
- Pages
- 345-360
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2082947525
- Cited by
- 239
- References
- 46
- Citations by year
- 2026: 16 · 2025: 28 · 2024: 20 · 2023: 27 · 2022: 21 · 2021: 20 · 2020: 25 · 2019: 25 · 2018: 21 · 2017: 19 · 2016: 13 · 2015: 4
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Funders
- American Psychological Association
- Cilag
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- chronic pain, psychological functioning, depression, anxiety, somatization, anger, hostility, self-efficacy, self-esteem, emotional functioning, pain-related anxiety, fear of pain, psychological comorbidity
- MeSH terms
- Adult, Anger, Anxiety, Depression, Fear, Female, Hostility, Humans, Male, Middle Aged, Quality of Life, Self Concept, Somatoform Disorders, Stress, Psychological, Databases, Factual, Self Efficacy, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review