Cognitive-behavioral determinants of pain and disability two years after traumatic injury

Archer, Kristin R.; Abraham, Christine M.; Song, Yanna; Obremskey, William T.

doi:10.1097/ta.0b013e3182245ece

Cited by 32 publications

(39 citation statements)

References 40 publications

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“…However, even when controlling for some of these related factors, catastrophizing often retains significant unique, predictive influence (though it is true that no published studies, to our knowledge, control for every other variable listed here). For example, after statistically adjusting for indices of depression and anxiety, catastrophizing remained significantly associated with such diverse outcomes as return to work 77;217 , pain-related physical disability 94 , risk for prescription opioid misuse 155;156 , brain responses to a noxious stimulus 79;144 , pain intensity 8 , pain tolerance 226 , and suicidal ideation 62 . Moreover, catastrophizing likely interacts with other processes such as social support 26 .…”

Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

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The recently-proposed ACTTION-APS Pain Taxonomy provides an evidence-based, multidimensional, chronic pain classification system. Psychosocial factors play a crucial role within several dimensions of the Taxonomy. In this paper, we discuss the evaluation of psychosocial factors that influence the diagnosis and trajectory of chronic pain disorders. We review studies in individuals with a variety of persistent pain conditions, and describe evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes. We consider both “general” psychosocial variables such as negative affect, childhood trauma, and social support, as well as “pain-specific” psychosocial variables that include pain-related catastrophizing, self-efficacy for managing pain, and pain-related coping. Collectively, the complexity and profound variability in chronic pain highlights the need to better understand the multidimensional array of interacting forces that determine the trajectory of chronic pain conditions.

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Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

627

544

View full text Add to dashboard Cite

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“…There has been increasing evidence to support the importance of pain‐related psychosocial factors, such as low pain self‐efficacy, pain catastrophizing, and fear of movement, to poor pain and disability outcomes after traumatic orthopedic injury (Archer, Castillo, Wegener, Abraham, & Obremskey, ; Archer, Devin, et al, ; Castillo et al, ; Castillo, Wegener, Heins, et al, ; McCarthy et al, ; Nota, Bot, Ring, & Kloen, ). The Lower Extremity Assessment Project study first reported on the importance of low self‐efficacy (the patient's confidence in being able to resume life activities) to long‐term outcomes following traumatic lower‐extremity injury (Bosse et al, ), with more recent evidence supporting the association between self‐efficacy and pain at hospital discharge (Archer, Abraham, Song, & Obremskey, ). Archer et al and others have also found that patients who display pain catastrophizing behavior (tendency to focus on, ruminate, and magnify pain sensations) and/or fear of movement are at risk for more severe pain and disability up to 2 years after trauma (Archer, Abraham, & Obremskey, ; Archer, Abraham, et al, ; Nota et al, ; Vranceanu et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…The Lower Extremity Assessment Project study first reported on the importance of low self‐efficacy (the patient's confidence in being able to resume life activities) to long‐term outcomes following traumatic lower‐extremity injury (Bosse et al, ), with more recent evidence supporting the association between self‐efficacy and pain at hospital discharge (Archer, Abraham, Song, & Obremskey, ). Archer et al and others have also found that patients who display pain catastrophizing behavior (tendency to focus on, ruminate, and magnify pain sensations) and/or fear of movement are at risk for more severe pain and disability up to 2 years after trauma (Archer, Abraham, & Obremskey, ; Archer, Abraham, et al, ; Nota et al, ; Vranceanu et al, ). Overall, studies suggest that psychosocial risk factors, especially those related to pain beliefs and behaviors, are potential targets for cognitive and behavioral strategies that address maladaptive beliefs and avoidance of activities (Vranceanu et al, ; Zale, Ring, & Vranceanu, ).…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of telephone‐delivered cognitive‐behavioral‐based physical therapy for patients with traumatic lower extremity injury

Davidson

Coronado

Vanston

et al. 2019

J Appl Biobehavioral Res

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Purpose To determine feasibility and acceptability of a telephone‐based Cognitive‐Behavioral‐Based Physical Therapy program for patients following traumatic lower extremity injury (CBPT‐Trauma). Methods Patients were screened for high psychosocial risk factors and then completed the 6‐week CBPT‐Trauma program. Physical function, pain, and psychosocial outcomes were assessed at baseline and 6‐months follow‐up. Descriptive statistics assessed change in outcomes. Results Recruitment rate was 59%. Twenty‐seven patients (73%) had a high psychosocial risk profile. Twelve patients completed the program and the follow‐up assessment at 6 months and found the program to be very or extremely helpful to their overall recovery. All demonstrated a clinically meaningful increase in physical function. Six patients demonstrated a clinically relevant decrease in pain intensity, pain catastrophizing, and fear of movement. Seven patients reported a clinically meaningful increase in pain self‐efficacy. Discussion Findings suggest that recruitment is feasible for CBPT‐Trauma program. However, engagement in the CBPT‐Trauma study was low. For those that completed the program, patients were satisfied with the CBPT‐Trauma program and experienced meaningful improvement in psychosocial factors and patient‐reported outcomes. This open pilot study highlights the importance of targeted treatment for patients at high‐risk for poor outcomes and the potential for increased access to services through telephone‐delivery.

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“…In patients who have experienced orthopaedic trauma, little is known about these specific psychosocial risk factors. Archer et al [2] demonstrated that pain catastrophizing was associated with pain intensity, pain interference, and physical health 2 years after traumatic injury. Three studies have found that patients who display catastrophizing behavior are at risk for more severe pain and disability up to 12 months after trauma [19,42,60].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Predict Pain and Physical Health After Lower Extremity Trauma

Archer

Abraham

Obremskey

2015

Clinical Orthopaedics &Amp; Related Research

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Background There has been increasing evidence to support the importance of psychosocial factors to poor outcomes after trauma. However, little is known about the contribution of pain catastrophizing and fear of movement to persistent pain and disability. Questions/purposes Therefore, we aimed to determine whether (1) high pain catastrophizing scores are independently associated with pain intensity or pain interference; (2) high fear of movement scores are independently associated with decreased physical health; and (3) depressive symptoms are independently associated with pain intensity, pain interference, or physical health at 1 year after accounting for patient characteristics of age and education. Methods Of 207 eligible patients, we prospectively enrolled 134 patients admitted to a Level I trauma center for surgical treatment of a fracture to the lower extremity. Sixty percent of patients (80 of 134) had an isolated lower extremity injury and the remainder sustained additional minor injury to the head/spine, abdomen/thorax, or upper extremity. Pain catastrophizing was measured with the Pain Catastrophizing Scale, fear of movement with the Tampa Scale for Kinesiophobia, and depressive symptoms with the Patient Health Questionnaire. Pain and physical health outcomes were assessed with the Brief Pain Inventory and the SF-12, respectively. Assessments were completed at 4 weeks and 1 year after hospitalization. Multiple variable hierarchical linear regression analyses were used to address study hypotheses. One hundred ten patients (82%)

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Cognitive-behavioral determinants of pain and disability two years after traumatic injury

Cited by 32 publications

References 40 publications

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Feasibility and acceptability of telephone‐delivered cognitive‐behavioral‐based physical therapy for patients with traumatic lower extremity injury

Psychosocial Factors Predict Pain and Physical Health After Lower Extremity Trauma

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