“…34,36,37 Moreover, catastrophizing has shown to grow when treatments for pain fail, and decrease dramatically as pain and disability improve when effective treatments are applied, 38,39 which suggests that catastrophizing may be triggered by treatment failure, as opposed to predicting it. 38,39 Furthermore, the association between catastrophizing and disability disappears when other variables are taken into account, 38,40 and the influence of catastrophizing may vary across cultural contexts; all the studies performed in Southern Europe, where the current one took place, have shown its influence to be inexistent or clinically irrelevant. [39][40][41] Therefore, it is unlikely that catastrophizing could have had any influence on the relationship between SQ, pain, and disability that was found in this study (Tables 3-5).…”