Do changes in cognitive factors influence outcome following multidisciplinary treatment for chronic pain? A cross-lagged panel analysis.

Burns, John W.; Kubilus, Amanda; Bruehl, Stephen; Harden, R. Norman; Lofland, Kenneth R.

doi:10.1037//0022-006x.71.1.81

Cited by 52 publications

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“…Moreover, their findings imply that a multimodal rehabilitation can cause a significant decrease in pain catastrophizing, which further leads to a considerable improvement in treatment success. Some studies [ 90 , 91 ] have further found that in their complex dynamics, pain catastrophizing often precedes pain. These findings are in line with experimental studies which have found that changing the levels of pain catastrophizing in both patient and community-based population influences pain levels [ 69 ].…”

Section: Clinical Significance Of Pain Catastrophizingmentioning

confidence: 99%

Pain Catastrophizing: How Far Have We Come

Simic,

Savic,

Knezevic

2024

Neurology International

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The perception of pain is strongly influenced by various social, emotional, and cognitive factors. A psychological variable which has consistently been shown to exert its influence on pain is a cognitive process referred to as pain catastrophizing. Numerous studies have found it to be a strong predictor of pain intensity and disability across different clinical populations. It signifies a maladaptive response to pain marked by an exaggerated negative assessment, magnification of symptoms related to pain, and, in general, a tendency to experience marked pain-related worry, as well as experiencing feelings of helplessness when it comes to dealing with pain. Pain catastrophizing has been correlated to many adverse pain-related outcomes, including poor treatment response, unsatisfactory quality of life, and high disability related to both acute and chronic pain. Furthermore, there has been consistent evidence in support of a correlation between pain catastrophizing and mental health disorders, such as anxiety and depression. In this review, we aim to provide a comprehensive overview of the current state of knowledge regarding pain catastrophizing, with special emphasis on its clinical significance, and emerging treatment modalities which target it.

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Section: Clinical Significance Of Pain Catastrophizingmentioning

confidence: 99%

Pain Catastrophizing: How Far Have We Come

Simic,

Savic,

Knezevic

2024

Neurology International

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“…One important type of fear appraisal is pain catastrophizing, which is broadly conceptualized as an exaggerated negative cognitive or affective response during an actual or anticipated pain experience (e.g., magnification of negative outcome expectancies) ( 14 – 16 ). Pain catastrophizing is associated with a host of adverse clinical outcomes independent of pain intensity including amplified pain experiences ( 17 ), greater negative functional impact of pain ( 18 ), and poor treatment response in patients with chronic pain ( 19 – 21 ). Importantly, pain catastrophizing has been listed as a risk factor for the development of chronic pain ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

Pain catastrophizing is associated with reduced neural response to monetary reward

Cooke,

Edwards,

Wheeler

et al. 2023

Front. Pain Res.

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IntroductionPain catastrophizing, a measure of an individual's negative emotional and cognitive appraisals of pain, has been included as a key treatment target in many psychological interventions for pain. However, the neural correlates of pain catastrophizing have been understudied. Prior neuroimaging evidence suggests that adults with pain show altered reward processing throughout the mesocorticolimbic reward circuitry.MethodsIn this study, we tested the association between Pain Catastrophizing Scale (PCS) scores and neural activation to the Monetary Incentive Delay (MID) reward neuroimaging task in 94 adults reporting a range of pain, insomnia, and mood symptoms.ResultsResults indicated that PCS score but not pain intensity was significantly associated with blunted activation in the caudate and putamen in response to feedback of successful vs. unsuccessful trials on the MID task. Mediation analyses indicated that PCS score fully mediated the relationship between depression symptoms and reward activation.DiscussionThese findings provide evidence that pain catastrophizing is independently associated with altered striatal function apart from depression symptoms and pain intensity. Thus, in individuals experiencing pain and/or co- morbid conditions, reward dysfunction is directly related to pain catastrophizing.

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Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain

et al. 2021

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IMPORTANCE Chronic low back pain (CLBP), the most prevalent chronic pain condition, imparts substantial disability and discomfort. Cognitive behavioral therapy (CBT) reduces the effect of CLBP, but access is limited.OBJECTIVE To determine whether a single class in evidence-based pain management skills (empowered relief) is noninferior to 8-session CBT and superior to health education at 3 months after treatment for improving pain catastrophizing, pain intensity, pain interference, and other secondary outcomes. DESIGN, SETTING, AND PARTICIPANTS This 3-arm randomized clinical trial collected data fromMay 24, 2017, to March 3, 2020. Participants included individuals in the community with selfreported CLBP for 6 months or more and an average pain intensity of at least 4 (range, 0-10, with 10 indicating worst pain imaginable). Data were analyzed using intention-to-treat and per-protocol approaches.Author affiliations and article information are listed at the end of this article.

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Do changes in cognitive factors influence outcome following multidisciplinary treatment for chronic pain? A cross-lagged panel analysis.

Cited by 52 publications

References 0 publications

Pain Catastrophizing: How Far Have We Come

Pain Catastrophizing: How Far Have We Come

Pain catastrophizing is associated with reduced neural response to monetary reward

Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain

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