Dispositional pain catastrophising in non-clinical sample: The role of depression, perceived stress and social support

Keskindağ, Buse; Karaaziz, Meryem; Cirhinlioğlu, Fatma Gül

doi:10.1007/s12144-020-00956-1

Cited by 2 publications

(1 citation statement)

References 54 publications

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“…18,19 Chronic pain is often comorbid with depression, 20,21 and among individuals with chronic pain, depression is associated with greater pain catastrophizing. [22][23][24] Importantly, depression and catastrophizing are considered conceptually distinct constructs, as depression refers to a more general mood disorder. 25 Therefore, depression may link loneliness and pain catastrophizing, potentially mediating their association.…”

Section: Introductionmentioning

confidence: 99%

Loneliness and Pain Catastrophizing Among Individuals with Chronic Pain: The Mediating Role of Depression

Wilson¹,

Colebaugh²,

Meints³

et al. 2022

JPR

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Purpose Loneliness increased during the COVID-19 pandemic and social distancing guidelines, potentially exacerbating negative cognitions about pain. The present study investigated the longitudinal relationship between loneliness, assessed during the early weeks of the pandemic, and pain catastrophizing, assessed after living in the pandemic for approximately 1 year, among chronic pain patients. We also examined whether severity of depressive symptoms mediated this association. Methods This prospective longitudinal study recruited individuals with chronic pain (N=93) from Massachusetts using an online convenience sampling method via the platform Rally. Participants completed an initial survey early after the onset of social distancing (4/28/20–6/17/20; Time 1) and a follow-up survey 1 year later (5/21/21–6/7/21; Time 2). Participants completed validated assessments of loneliness (T1), pain catastrophizing (T2), and depression (T2). Spearman correlations and Mann–Whitney U -tests were used to explore associations among psychosocial, pain, and participant characteristics. A mediation analysis was conducted to test whether the association between loneliness and pain catastrophizing was mediated by depression. Results Participants had a mean age of 40.6 years and were majority female (80%) and White (82%). Greater loneliness was associated with subsequent higher pain catastrophizing ( b =1.23, 95% CI [0.03, 2.44]). Mediation analysis showed a significant indirect effect ( b =0.57, 95% CI [0.10, 1.18) of loneliness (T1) on catastrophizing (T2) through depression (T2) while accounting for several important covariates. The direct effect of loneliness on catastrophizing was no longer significant when depression was included in the model ( b =0.66, 95% CI [−0.54, 1.87]). Conclusion Findings suggest that greater loneliness during the pandemic was associated with higher pain catastrophizing 1 year later, and severity of depression after living in the pandemic mediated this association. As loneliness, depression, and catastrophizing can all be modified with behavioral interventions, understanding the temporal associations among these variables is important for the employment of future empirically supported treatments.

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Section: Introductionmentioning

confidence: 99%

Loneliness and Pain Catastrophizing Among Individuals with Chronic Pain: The Mediating Role of Depression

Wilson¹,

Colebaugh²,

Meints³

et al. 2022

JPR

View full text Add to dashboard Cite

show abstract

The moderating effect of resting heart rate variability on the relationship between pain catastrophizing and depressed mood: an empirical study

Kocsel,

Galambos,

Szőke

et al. 2023

BIOLOGIA FUTURA

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Previous research indicated that pain catastrophizing—a negative emotional and cognitive response toward actual or anticipated pain—could contribute to pain intensity and could be associated with depressive symptoms not just in chronic pain patients but in healthy population as well. Accumulated evidence suggests that resting heart rate variability (HRV) as a putative proxy of emotion regulation could moderate the association of self-reported pain catastrophizing and depressed mood. In the present cross-sectional study, we investigated these associations in a healthy young adult sample controlling for the effect of trait rumination. Seventy-two participants (58 females, mean age = 22.2 ± 1.79 years ranging from 19 to 28 years old) completed the Pain Catastrophizing Scale, the Zung Self-Rating Depression Scale and the Ruminative Response Scale. Resting HRV was measured by time domain metric of HRV, the root mean square of successive differences (RMSSD). The results showed that the relationship between pain catastrophizing and depressive symptoms is significantly moderated by resting HRV (indexed by lnRMSSD). Specifically, in participants with higher resting HRV there was no significant relationship between the two investigated variables, while in participants with relatively low or medium HRV pain catastrophizing and depressed mood showed significant positive association. The relationship remained significant after controlling for sex, age and trait rumination. These results might indicate that measuring pain catastrophizing and depressive symptoms is warranted in non-clinical samples as well and higher resting HRV could have a buffer or protective role against depressive symptoms.

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Dispositional pain catastrophising in non-clinical sample: The role of depression, perceived stress and social support

Cited by 2 publications

References 54 publications

Loneliness and Pain Catastrophizing Among Individuals with Chronic Pain: The Mediating Role of Depression

Loneliness and Pain Catastrophizing Among Individuals with Chronic Pain: The Mediating Role of Depression

The moderating effect of resting heart rate variability on the relationship between pain catastrophizing and depressed mood: an empirical study

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