The role of pain behaviour and family caregiver responses in the link between pain catastrophising and pain intensity: A moderated mediation model

Mohammadi, Somayeh; Dehghani, Mohsen; Sanderman, Robbert; Hagedoorn, Mariët

doi:10.1080/08870446.2016.1275628

Cited by 14 publications

(13 citation statements)

References 47 publications

(65 reference statements)

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“…This can, consequently, influence the time allocation and prioritization of all the surgical patients on the ward. Further, the activities of some family members can convey to patient that there is a sense of urgency to obtain a response, perhaps even that their pain may have negative implications for their recovery, and reinforcing patients' pain complaints (Mohammadi, Dehghani, Sanderman, & Hagedoorn, ).…”

Section: Discussionmentioning

confidence: 99%

Do surgical patients' characteristics and behaviours affect nurses' pain management decisions? A qualitative inquiry

Shoqirat

Mahasneh

Singh

et al. 2019

Int J of Nursing Practice

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Background: Despite a growing body of literature investigating the impact of patients' age and sex differences on pain, there is little research on how patients' characteristics and behaviours affect nurses' pain management decisions. Aim: This study examined surgical nurses' views and experiences toward pain management in relation to the patients' characteristics and behaviours in a Jordanian university hospital. Methods: Focus group discussions (n = 4) were used with a convenience sample of 27 female Registered Nurses. Results:The study revealed differences in postoperative pain management related to patients' characteristics. Male patients were seen as more tolerant of postoperative pain than female patients and thus required less nursing attention. As a consequence, nurses might assess female surgical patients inaccurately or judgementally. Nurses label female patients as "demanding" or "over-sensitive" without intending to be judgemental. Nurses also reported that patients accompanied by relatives received quicker nursing responses and closer monitoring than unaccompanied patients. Conclusions:If patients' pain following surgery is to be treated effectively, health care policymakers and educators should work together to eliminate and prevent potential biases that might lead to disparities in pain management. KEYWORDS nurses, pain management, patients, qualitative, surgery SUMMARY STATEMENTWhat is already known about this topic?• Postsurgical pain is still the most common complaint verbalized by patients and remains a largely unrecognized clinical problem. • Registered Nurses in the postoperative setting play a vital role in the planning, implementation, and evaluation of pain management interventions.• Experimental evidence has revealed some contradictions in whether pain perceptions among patients are related to age and

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Section: Discussionmentioning

confidence: 99%

Do surgical patients' characteristics and behaviours affect nurses' pain management decisions? A qualitative inquiry

Shoqirat

Mahasneh

Singh

et al. 2019

Int J of Nursing Practice

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“…Drawing on a body of published work exploring the lived experience of pain-related fear in people with low-back pain, this clinical commentary illustrates how Leventhal's Common Sense Model may assist physiotherapists to understand the broader sense-making processes involved in the fear-avoidance cycle and how they can be altered to facilitate fear reduction by applying strategies established in the behavioural medicine literature [ 17 ]. A recent study done by Mohammadi, et al investigated the mediating role of pain behaviours in the association between pain catastrophising and pain intensity and explored the moderating role of family caregivers’ responses to pain in the link between pain behaviours and pain intensity [ 18 ]. The sample consisted of 154 chronic pain patients and their family caregivers.…”

Section: Reviewmentioning

confidence: 99%

“…The results showed that pain catastrophising was associated with pain intensity (r = 0.37) and pain behaviours partly mediated this association. The positive association between pain behaviours and pain intensity was significant only if patients reported that their family caregivers showed high levels of solicitious and distracting responses (effect = .58) and if caregivers reported to show high levels of solicitous responses (effect = .51) [ 18 ]. No support was found for negative responses as a moderator neither based on patients’ perception of negative responses nor based on caregivers’ perception of negative responses [ 18 ].…”

Section: Reviewmentioning

confidence: 99%

“…The positive association between pain behaviours and pain intensity was significant only if patients reported that their family caregivers showed high levels of solicitious and distracting responses (effect = .58) and if caregivers reported to show high levels of solicitous responses (effect = .51) [ 18 ]. No support was found for negative responses as a moderator neither based on patients’ perception of negative responses nor based on caregivers’ perception of negative responses [ 18 ]. The findings were in line with the idea that family caregivers’ solicitous and distracting responses convey to patients that their condition is serious, which may reinforce patients’ pain and pain behaviours, especially in those who catastrophise [ 18 ].…”

Section: Reviewmentioning

confidence: 99%

“…No support was found for negative responses as a moderator neither based on patients’ perception of negative responses nor based on caregivers’ perception of negative responses [ 18 ]. The findings were in line with the idea that family caregivers’ solicitous and distracting responses convey to patients that their condition is serious, which may reinforce patients’ pain and pain behaviours, especially in those who catastrophise [ 18 ].…”

Section: Reviewmentioning

confidence: 99%

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Neuroanatomy and Neuropsychology of Pain

Khalid

Tubbs

2017

Cureus

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We have reviewed here the neuroanatomical and neuropsychological literature of the human brain and have proposed the various pain mechanisms that we currently know of. Essentially when tissue is damaged, peripheral nociceptors are activated continuously and prostanoids are hence produced. Nonsteroidal anti-inflammatory drugs (NSAIDs) and medications aim to target these prostanoids to treat the inflammatory component of pain. Normal pain tends to have a protective response. It is important for the nervous system to learn and recognize this painful stimulus earlier and quicker with repeated exposure to avoid tissue damage. This neuronal plasticity and gain in sensitivity result in sensitization of the nervous system, both centrally and peripherally and help in earlier detection of the pain sensation. However, persistent pain can become pathologic and will eventually result in the loss of protection pain offers to the body. Pain-related fear has been implicated in the transition from acute to chronic low back pain and the persistence of disabling low back pain, making it a key target for physiotherapy intervention. The current understanding of pain-related fear is that it is a psychopathological problem where people who catastrophise about the meaning of pain become trapped in a vicious cycle of avoidance behaviour, pain and disability, as recognised in the fear-avoidance model. We looked at how pain is perceived, especially in low-back pain patients. It has been hypothesized that individuals with low-back pain (LBP) can change their motor behavior, which is fundamentally an adaptation mechanism aimed at minimizing the real or perceived risk of further pain.

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

Keskindağ¹,

Karaaziz²,

Cirhinlioğlu

2020

Curr Psychol

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The role of pain behaviour and family caregiver responses in the link between pain catastrophising and pain intensity: A moderated mediation model

Abstract: The findings are in line with the idea that family caregivers' solicitous and distracting responses convey to patients that their condition is serious, which may reinforce patients' pain and pain behaviours, especially in those who catastrophise.

Cited by 14 publications

References 47 publications

Do surgical patients' characteristics and behaviours affect nurses' pain management decisions? A qualitative inquiry

Do surgical patients' characteristics and behaviours affect nurses' pain management decisions? A qualitative inquiry

Neuroanatomy and Neuropsychology of Pain

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

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