Pain catastrophizing and associated factors in preoperative total knee arthroplasty in Lanzhou, China: a cross-sectional study

Pei, Juhong; Chen, Hạixia; Ma, Tong; Zhang, Ying; Wang, Xiangfu; Li, Chenxu; Ye, Binglin; Wang, Xinsheng; Zhao, Jirong; Dou, Xinman

doi:10.1186/s12891-022-05435-1

Cited by 9 publications

(8 citation statements)

References 40 publications

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“…Pain catastrophizing was assumed as a significant risk factor for TMDs and both subtypes according to univariate analysis, but its association with TMDs subtypes was not statistically significant after adjustment of demographic confounders. It was supposed that the perception of pain might be influenced by some demographic-social factors such as education level [ 48 , 49 ]. Therefore, the conclusion might differ in studies based on different cultural backgrounds.…”

Section: Discussionmentioning

confidence: 99%

Psychological Profiles and Their Relevance with Temporomandibular Disorder Symptoms in Preorthodontic Patients

Xiong

Zhang

et al. 2022

Pain Research and Management

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Background. Temporomandibular disorders (TMDs) refer to a group of heterogenous musculoskeletal diseases with diverse clinical symptoms and an undetermined aetiology. The psychological profiles were closely related to the onset and treatment outcomes of TMDs. Objective. To examine the relevance between psychological profiles and different symptoms of TMDs in preorthodontic patients. Methods. The study was conducted among 570 preorthodontic patients. TMDs symptoms were recorded by the Diagnostic Criteria for TMD (DC/TMD) symptom questionnaire. The seven-item Generalized Anxiety Disorder Scale (GAD-7), the nine-item Patient Health Questionnaire (PHQ-9), and the Pain Catastrophizing Scale (PCS) were used for the evaluation of anxiety, depression, and pain catastrophizing levels. The relevance of three psychological profiles with TMDs and subtypes was evaluated with Spearman’s rank correlation test and logistic regression analysis ( P < 0.05 ). Results. 34.56% of the enrolled preorthodontic patients were diagnosed with TMDs. Scores of GAD-7, PHQ-9, and PCS were significantly higher in the TMDs group than in the non-TMDs group. Participants with anxiety, depression, or high pain catastrophizing had a higher prevalence of both pain-related TMDs symptoms and intra-articular TMDs symptoms. The correlations among pain-related TMDs, intra-articular TMDs, and scores on the psychological scales were significant ( P < 0.05 ). The adjusted logistic regression model revealed that anxiety, depression, and high pain catastrophizing were significant risk factors for TMDs with an odds ratio (OR) of 2.196, 1.741, and 1.601, respectively. Depression was associated with higher pain-related TMDs prevalence (OR = 2.136), while anxiety and depression were associated with higher intra-articular TMDs prevalence (OR = 2.341 and 1.473). Conclusion. Anxiety, depression, and high pain catastrophizing were comorbid psychological conditions of TMDs. Depression was the top risk factor for pain-related TMDs, while anxiety rendered the highest risk for intra-articular TMDs. Inclusion of psychological assessments in preorthodontic evaluation might yield great benefits in TMDs screening.

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Section: Discussionmentioning

confidence: 99%

Psychological Profiles and Their Relevance with Temporomandibular Disorder Symptoms in Preorthodontic Patients

Xiong

Zhang

et al. 2022

Pain Research and Management

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“…People with higher education levels might understand the questions better, or they may pay more attention to oral health issues. In addition, other studies have suggested that pain perception may be influenced by demographic‐social factors such as education level 40–42 . These are all possible causes of the above results.…”

Section: Discussionmentioning

confidence: 76%

“…In addition, other studies have suggested that pain perception may be influenced by demographic-social factors such as education level. [40][41][42] These are all possible causes of the above results.…”

Section: Ta B L E 1 Descriptive Analyses Of the Datamentioning

confidence: 88%

Impact of different types of temporomandibular disorders on jaw functional limitation and psychological distress in orthodontic patients

Dan

Zhang

Xie

et al. 2023

J of Oral Rehabilitation

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Background: Some orthodontic patients are associated with temporomandibular joint disorders (TMDs), and the differences between jaw function and psychological states in orthodontic patients with different types of TMDs remain unknown.Objective: This cross-sectional study aimed to investigate the prevalence of different types of TMDs in orthodontic patients and to evaluate the relationship between different types of TMDs and jaw functional limitation and psychological distress in orthodontic patients. Methods:A questionnaire was sent to patients willing to participate in this survey, which included questions about the demographic characteristics of the participants, the five TMD symptoms (5Ts) of the Diagnostic Criteria for TMDs, the Jaw Functional Limitation Scale-8 (JFLS-8) and the Patient Health Questionnaire for Depression and Anxiety (PHQ-4). The subjects were divided into three groups: painful TMDs (PT), non-painful TMDs (NPT), and TMD-free according to whether they had TMDs and its subtypes.Results: A total of 670 valid questionnaires were collected from 182 males and 488 females. The prevalence of TMDs was 35.4%, of which the prevalence of PT was 11.8% and the prevalence of NPT was 23.6%. The median JLFS-8 score of TMD patients was significantly higher than TMD-free, and PT patients were significantly higher than NPT (p = .026). After adjusting for confounding factors, the jaw function and psychological states of PT patients and NPT patients were worse than those of the TMD-free group.Conclusions: Among the orthodontic patients surveyed, more than one-third had TMDs and the prevalence of PT was lower than NPT. Having TMDs is associated with more severe jaw functional limitation, and PT patients were more serious than NPT patients. At the same time, the psychological states of TMDs patients were also worse.

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“…A total score of ≥38 indicates a high degree of pain catastrophizing. 20 The Chinese version of the scale has demonstrated strong internal consistency, with Cronbach's α = 0.927. 19 Kinesiophobia was evaluated using the Chinese version of Tampa Scale of Kinesiophobia (TSK-11).…”

Section: Methodsmentioning

confidence: 99%

“…Participants were asked to rate each item on a scale from 0 to 4, with options ranging from “never” to “always.” The total score on the scale ranges from 0 to 52. A total score of ≥38 indicates a high degree of pain catastrophizing 20 . The Chinese version of the scale has demonstrated strong internal consistency, with Cronbach's α = 0.927 19 …”

Section: Methodsmentioning

confidence: 99%

Chain‐mediating effects of kinesiophobia and self‐efficacy on pain catastrophizing and physical activity in haemophilia patients

Zhang,

Zhu,

Wang

et al. 2024

Haemophilia

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BackgroundThere is a lack of research on the relationship between pain catastrophizing, kinesiophobia, and physical activity (PA) in people with haemophilia (PWH), and the underlying mechanisms connecting these variables remain unclear.AimThe study's aim was to clarify the roles of kinesiophobia and self‐efficacy in the relationship between pain catastrophizing and PA in PWH.MethodsThis cross‐sectional study included adult PWH at the Haemophilia Centre of a Tertiary hospital in Beijing, China. The following questionnaires were used to collect data: the general information, the International Physical Activity Short Questionnaire, the Pain Catastrophizing Scale, the Tampa Scale of Kinesiophobia Scale, and the Exercise Self‐Efficacy Scale.ResultsThe study included a total of 187 PWH, including 154 having haemophilia A and 33 having haemophilia B. The median interquartile range of PA was 594 (198, 1554) MET‐min/wk. There were significant differences in PA of patients based on age stage, treatment modality, highest pain score within the last seven days, and presence of haemophilic arthropathy (p < .05). It was showed that pain catastrophizing could directly predict PA (p < .001), accounting for 38.13% of the total effect. Pain catastrophizing also had indirect effects on PA through the mediating factors of kinesiophobia or self‐efficacy, and through the chain‐mediating effect of kinesiophobia and self‐efficacy, accounting for 38.40%, 17.07%, and 6.40%, respectively.ConclusionThe study discovered that PWH have limited PA due to pain catastrophizing. This not only directly affects their activity but also indirectly influences it through kinesiophobia and self‐efficacy.

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Pain catastrophizing and associated factors in preoperative total knee arthroplasty in Lanzhou, China: a cross-sectional study

Cited by 9 publications

References 40 publications

Psychological Profiles and Their Relevance with Temporomandibular Disorder Symptoms in Preorthodontic Patients

Psychological Profiles and Their Relevance with Temporomandibular Disorder Symptoms in Preorthodontic Patients

Impact of different types of temporomandibular disorders on jaw functional limitation and psychological distress in orthodontic patients

Chain‐mediating effects of kinesiophobia and self‐efficacy on pain catastrophizing and physical activity in haemophilia patients

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