Can people catastrophize barriers? An exploratory analysis of the association between pain catastrophizing and perceptions of environmental factors

Ravesloot, Craig; Berendts, Cathy; Schiwal, Alex

doi:10.1016/j.dhjo.2016.10.001

Cited by 1 publication

(2 citation statements)

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“…We tested 2 significant mediation models in which pain catastrophizing mediated the relationship between trait mindfulness and depression and anxiety. These models drew on previous studies that reported a negative correlation between trait mindfulness and pain catastrophizing, 41,54 and others that documented a positive correlation between pain catastrophizing and psychological distress 29,31,32 . Our finding is innovative because it helps clarify the mechanism underlying the association between trait mindfulness and psychological distress.…”

Section: Discussionmentioning

confidence: 68%

“…Studies have shown that pain catastrophizing is strongly associated with a variety of pain‐related outcomes, such as pain severity, behavioral expressions of pain, negative mood indices such as depression, and alterations in social support networks, etc 25–27 . Accordingly, individuals with chronic pain who are characterized by pain catastrophizing report more dysfunction in their daily activities compared to individuals with lesser tendencies toward catastrophic thinking 28,29 . Thus, catastrophic thinking related to pain is associated with an amplification of the perceived pain and with more significant dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Pain Catastrophizing Mediates the Association Between Mindfulness and Psychological Distress in Chronic Pain Syndrome

et al. 2020

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Aim Trait mindfulness has been found to be inversely associated with emotional distress such as depression and anxiety among patients suffering from pain. The current study investigated the putative mechanisms underlying these associations by examining whether pain catastrophizing mediates the association between mindfulness and psychological distress and whether this model differs in patients suffering from chronic pain compared to patients experiencing nonchronic pain in a medical rehabilitation setting. Methods Forty‐eight patients in their subacute stage of recovery participated in the study. Seventeen participants had a diagnosis of chronic pain. Trait mindfulness was assessed using the Mindful Attention Awareness Scale, pain catastrophizing was assessed using the Pain Catastrophizing Scale, depression symptoms were assessed using the Patient Health Questionnaire, and anxiety was assessed using the Generalized Anxiety Disorder scale. Two mediation models were used, with pain catastrophizing mediating the association between mindfulness and depression and anxiety. Results Catastrophizing significantly mediated the association between trait mindfulness and depression (P < 0.05, confidence interval [CI] = −0.35, −0.05). Catastrophizing also mediated the relationship between trait mindfulness and anxiety (P < 0.05, CI = −0.34, −0.04). Two moderated mediation models were tested, in which pain catastrophizing fully mediated the relationship between trait mindfulness and depression and anxiety, but only in patients with chronic pain. Conclusions The negative association between trait mindfulness and psychological distress may thus be partly attributed to pain catastrophizing: individuals high in trait mindfulness engage in less catastrophic thinking and therefore experience less distress. Importantly, this was only observed in the patients with chronic pain. These results further underscore the need to cope with pain catastrophizing and encourage mindfulness among patients with chronic pain.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%