Pain Catastrophizing in Patients with Noncardiac Chest Pain: Relationships With Pain, Anxiety, and Disability

Shelby, Rebecca A.; Somers, Tamara J.; Keefe, Francis J.; Silva, Susan G.; McKee, Daphne C.; She, Lilin; Waters, Sandra J.; Varia, Indira; Riordan, Yelena B.; Knowles, Verena; Blazing, Michael A.; Blumenthal, James A.; Johnson, Paige

doi:10.1097/psy.0b013e3181b49584

Cited by 32 publications

(24 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, several other studies have also involved highly educated samples of NCCP patients (e.g. Aikens et al, 1999;Esler et al, 2003;Shelby et al, 2009). Average age was 50 years (SD = 10.3).…”

Section: Participantsmentioning

confidence: 96%

“…Further, these overemphasized interpretations of pain are associated with physical and psychosocial impairments (Shelby et al, 2009). Other research has found a direct link between perceiving cardiac sensations as uncontrollable and experiencing those sensations as intense and fear provoking (Zvolensky, Feldner, Eifert, Vujanovic, & Solomon, 2008).…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Israel

White

Gervino

2015

J Clin Psychol Med Settings

View full text Add to dashboard Cite

Illness-specific cognitions are associated with outcomes in numerous health conditions, however, little is known about their role in noncardiac chest pain (NCCP). NCCP is prevalent, impairing, and associated with elevated health care utilization. Our objective was to investigate the relations between illness perceptions, emotion, and pain in a sample of 196 adult patients diagnosed with NCCP. We found that negative illness perceptions were associated with greater anxiety, depression, chest pain, and pain-related life interference while controlling for the effects of demographic and pain-related variables. These results expand current NCCP theory and may inform future treatment development.

show abstract

Section: Participantsmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Israel

White

Gervino

2015

J Clin Psychol Med Settings

View full text Add to dashboard Cite

show abstract

“…In contrast, a vicious circle may be created if patients catastrophize their pain, which gives rise to pain-related fear and safety seeking behaviour, such as avoidance (16,83). Pain catastrophizing refers to pain being interpreted as extremely threatening (16), and there is a tendency to magnify the pain sensation and feel helpless and unable to inhibit pain-related thoughts (84,85). Pain catastrophizing is associated with both physical and psychosocial disability (84).…”

Section: Fear Of Body Sensations and Fear Avoidancementioning

confidence: 99%

“…Pain catastrophizing refers to pain being interpreted as extremely threatening (16), and there is a tendency to magnify the pain sensation and feel helpless and unable to inhibit pain-related thoughts (84,85). Pain catastrophizing is associated with both physical and psychosocial disability (84).…”

Section: Fear Of Body Sensations and Fear Avoidancementioning

confidence: 99%

Improving care for patients with non-cardiac chest pain : Description of psychological distress and costs, and evaluation of an Internet-delivered intervention

Mourad¹

2015

Linköping University Medical Dissertations

View full text Add to dashboard Cite

Introduction: More than half of all patients seeking care for chest pain do not have a cardiac cause for this pain. Despite recurrent episodes of chest pain, many patients are discharged without a clear explanation of the cause for their pain. A lack of explanation may result in a misinterpretation of the pain as being cardiac-related, causing worry and uncertainty, which in turn leads to substantial use of healthcare resources. Psychological distress has been associated with non-cardiac chest pain (NCCP), but there is limited research regarding the relationship between different psychological factors and their association with healthcare utilization. There is a need for interventions to support patients to manage their chest pain, decrease psychological distress, and reduce healthcare utilization and costs. Aim: The overall aim of this thesis was to improve care for patients with non-cardiac chest pain by describing related psychological distress, healthcare utilization and societal costs, and by evaluating an Internet-delivered cognitive behavioural intervention. Designs and methods: This thesis presents results from four quantitative studies. Studies I and II had a longitudinal descriptive and comparative design. The studies used the same initial cohort. Patients were consecutively approached within 2 weeks from the day of discharge from a general hospital in southeast Sweden. In study I, 267 patients participated (131 with NCCP, 66 with acute myocardial infarction (AMI), and 70 with angina pectoris (AP)). Out of these, 199 patients (99 with NCCP, 51 with AMI, 49 with AP) participated in study II. Participants were predominantly male (about 60 %) with a mean age of 67 years. Data was collected on depressive symptoms (Study I), healthcare utilization (Study I, II), and societal costs (Study II). Study III had a cross-sectional explorative and descriptive design. Data was collected consecutively on depressive symptoms, cardiac anxiety and fear of body sensations in 552 patients discharged with diagnoses of NCCP (51 % women, mean age 64 years) from four hospitals in southeast Sweden. Patients were approached within one month from the day of discharge. Study IV was a pilot randomized controlled study including nine men and six women with a median age of 66 years, who were randomly assigned to an intervention (n=7) or control group (n=8). The intervention consisted of a four-session guided Internet-delivered cognitive behavioural therapy (CBT) program containing psychoeducation, exposure to physical activity, and relaxation. The control group received usual care. Data was collected on chest pain frequency, cardiac anxiety, fear of body sensations, and depressive symptoms. Results: Depressive symptoms were prevalent in 20 % (Study IV) and 25 % (Study I, III) of the patients, and more than half of the patients still experienced depressive symptoms one year later (Study I). There were no significant differences in prevalence and severity of depressive symptoms between patients diagnosed with NCCP, AMI or AP. Living a...

show abstract

“…Chronic pain may negatively affect mood, cognition, and sleep quality of the individuals [13]. Because of the catastrophic thinking, UCP frequently leads to social avoidance, psychosocial problems [10] and may significantly impair the quality of life [14].…”

Section: Introductionmentioning

confidence: 99%

Adolescent mental health, attachment characteristics, and unexplained chest pain: a case–control study

Bolat

Eliaçık

Yavuz

et al. 2018

Psychiatry and Clinical Psychopharmacology

View full text Add to dashboard Cite

OBJECTIVES: Psychological factors may be the underlying causes in unexplained chest pain (UCP). Chest pain symptom may influence the emotional status and peer relationships of the children and adolescents negatively. However, the number of studies focussing on the aetiology and consequences of the adolescent UCP are still limited. The aim of this study is to investigate the relationships among psychological problems, attachment characteristics, and the UCP in a group of adolescents. METHODS: Seventy-three adolescents with UCP and seventy-one healthy adolescents were included in the study. The adolescents completed the short form of Inventory of Parent and Peer Attachment (s-IPPA), and Strengths and Difficulties Questionnaire (SDQ), while their parents completed the parental form of the SDQ. RESULTS: Contrary to expectations, there was no significant interaction between total parental attachment levels and UCP in the adolescents with UCP. There were significant correlations between the attachment problems and total difficulties score of SDQ. Binary logistic regression analysis revealed that higher emotional and conduct problems and lower prosocial characteristics predict the UCP in adolescents, significantly. CONCLUSIONS: The results suggested that emotional/behavioural problems and lower prosocial behaviour scores are associated with UCP. However, further studies are needed for better understanding about the relationships between the UCP and attachment quality. ARTICLE HISTORY

show abstract

Pain Catastrophizing in Patients with Noncardiac Chest Pain: Relationships With Pain, Anxiety, and Disability

Cited by 32 publications

References 71 publications

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Illness Perceptions, Negative Emotions, and Pain in Patients with Noncardiac Chest Pain

Improving care for patients with non-cardiac chest pain : Description of psychological distress and costs, and evaluation of an Internet-delivered intervention

Adolescent mental health, attachment characteristics, and unexplained chest pain: a case–control study

Contact Info

Product

Resources

About