The Moderator Role of Pain Duration in Relation between Pain Catastrophizing and Pain Intensity

Year 2023, , 731 - 737, 31.05.2023

Şule Şimşek , Nesrin Yağcı , Aybike Şenel

https://doi.org/10.30621/jbachs.1191468

Abstract

Background and Purpose: Pain catastrophizing is one of the most important factors contributing to pain experience and duration of action. This study aimed to explore the moderator role of pain duration in the hypothetical relation between pain catastrophizing and pain intensity in patients with chronic musculoskeletal pain (CMSP).
Methods: Seven hundred and eight patients with CMSP (mean age: 28.52 ± 7.75 years) participated in this cross-sectional and descriptive study. The pain intensity and catastrophizing of the patients was assessed with the Visual Analog Scale (VAS) and Pain Catastrophizing Scale (PCS), respectively. The time elapsed since the participants' first experience of pain (number of days) was recorded as pain duration.
Results: There was a positive correlation between pain duration (r=0.181, p0.001), pain intensity (r=0.432, p0.001) and total score of pain catastrophizing. According to univariate and multivariate regression analysis, pain duration adjusting for pain catastrophizing maintained its predictor effect on pain intensity (p0.001). According to hierarchical model, the effect of pain catastrophizing on pain intensity was 44.7%, its effect increases to 48.5% adding pain duration.
Conclusion: The results of this study supports that pain duration has no critical effect on the relation between pain catastrophization to pain intensity in patients with CMSP.

Keywords

Pain catastrophizing, musculoskeletal pain, pain duration, moderator

References

• 1. Cimmino MA, Ferrone C, Cutolo M. Epidemiology of chronic musculoskeletal pain. Best practice & research. Clin Rheumatol. 2011;25(2):173–183. doi: 10.1016/j.berh.2010.01.012
• 2. Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133(4):581–624. doi: 10.1037/0033-2909.133.4.581
• 3. Diatchenko L, Fillingim RB, Smith SB, Maixner W. The phenotypic and genetic signatures of common musculoskeletal pain conditions. Nature reviews. Rheumatol. (2013);9(6): 340–350. doi: 10.1038/nrrheum.2013.43.
• 4. Sullivan MJL, Bishop SR, Pivi J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:524–532. doi: 10.1037/1040-3590.7.4.524
• 5. Leung L. Pain catastrophizing: an updated review. Indian J Psychol Med. 2012;34(3):204–217. doi: 10.4103/0253-7176.106012
• 6. Wertli MM, Eugster R, Held U, Steurer J, Kofmehl R, Weiser S. Catastrophizing-a prognostic factor for outcome in patients with low back pain: a systematic review. Spine J. 2014;14(11):2639-57. doi: 10.1016/j.spinee.2014.03.003
• 7. Martinez-Calderon J, Jensen MP, Morales-Asencio JM, Luque-Suarez A. Pain Catastrophizing and Function In Individuals With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Clin J Pain. 2019;35(3):279–293. doi: 10.1097/AJP.0000000000000676
• 8. Goubert L, Crombez G, Van Damme S. The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach. Pain 2014; 107:234–241. doi: 10.1016/j.pain.2003.11.005
• 9. Beneciuk JM, Bishop MD, George SZ. Pain catastrophizing predicts pain intensity during a neurodynamic test for the median nerve in healthy participants. Man Ther 2010;(15):370–375. doi: 10.1016/j.math.2010.02.008
• 10. Lucey BP, Clifford DB, Creighton J, Edwards RR, McArthur JC, Haythornthwaite J. Relationship of depression and catastrophizing to pain, disability, and medication adherence in patients with HIV-associated sensory neuropathy. AIDS Care 2011;23(8):921–928. doi: 10.1080/09540121.2010.543883
• 11. Vranceanu AM, Jupiter JB, Mudgal CS, Ring D. Predictors of pain intensity and disability after minor hand surgery. J Hand Surg. 2010;35:956–960. doi: 10.1016/j.jhsa.2010.02.001
• 12. Vase L, Nikolajsen L, Christensen B, et al. Cognitive-emotional sensitization contributes to wind-up-like pain in phantom limb pain patients. Pain 2011;152(1):157–162. doi: 10.1016/j.pain.2010.10.013
• 13. Sullivan MJ, Thorn B, Haythornthwaite JA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17(1):52–64. doi: 10.1097/00002508-200103000-00008
• 14. Edwards RR, Smith MT, Stonerock G, Haythornthwaite JA. Pain-related catastrophizing in healthy women is associated with greater temporal summation of and reduced habituation to thermal pain. Clin J Pain. 2006;22(8):30–737. doi: 10.1097/01.ajp.0000210914.72794.bc
• 15. Son C, Son D, An J, Cho S. Gender-dependent difference in the relationship between pain aspects and pain catastrophizing. Social Behavior and Personality: An International Journal 2019; 47 (2):1-11. doi:10.2224/sbp.7718
• 16. Edwards RR, Cahalan C, Mensing G, Smith M, Haythornthwaite JA. Pain, catastrophizing, and depression in the rheumatic diseases. Nat Rev Rheumatol. 2011;7(4):216–224. doi:10.1038/nrrheum.2011.2
• 17. Bakshi N, Lukombo I, Belfer I, Krishnamurti L. Pain catastrophizing is associated with poorer health-related quality of life in pediatric patients with sickle cell disease. J Pain Res. 2018; 8(11):947-953. doi:10.2147/JPR.S151198
• 18. Price DD, Vase L. The contribution of desire, expectation and reduced negative emotions to placebo analgesia. In Flaten MA, Meissner FK, Colloca L. (editors). Placeboanalgesia, Amsterdam, Holland: Elsevier 2006.p.215–226.
• 19. Ugurlu M, Karakas UG, Erten S, Caykoylu A. Validity of turkish form of pain catastrophizing scale and modeling of the relationship between pain-related disability with pain intensity, cognitive, and emotional factors. Psychiatr Clin Psychopharmacol. 2017;27(2):189-196. doi: 10.1080/24750573.2017.1322672
• 20. Lee KE, Ryu H, Chang SJ. The Effect of Pain Catastrophizing on Depression among Older Korean Adults with Chronic Pain: The Mediating Role of Chronic Pain Interference and Sleep Quality. Int J Environ Res Public Health. 2020;17(23):8716. doi: 10.3390/ijerph17238716.
• 21. Carriere JS, Lazaridou A, Martel MO, et al. The moderating role of pain catastrophizing on the relationship between partner support and pain intensity: a daily diary study in patients with knee osteoarthritis. J Behav Med. 2020;43(5):807–816. doi: 10.1007/s10865-019-00121-5.
• 22. Vase L, Egsgaard LL, Nikolajsen L, Svensson P, Jensen TS, Arendt-Nielsen L. Pain catastrophizing and cortical responses in amputees with varying levels of phantom limb pain: a high-density EEG brain-mapping study. Exp Brain Res. 2012;218(3):407–417. doi: 10.1007/s00221-012-3027-6
• 23. Latremoliere A, Woolf CJ. Central sensitization: a generator of pain hypersensitivity by central neural plasticity. J. Pain 2009;10(9):895-926. doi: 10.1016/j.jpain.2009.06.012
• 24. Staud R, Craggs JG, Robinson ME, Perlstein WM, Price DD. Brain activity related to temporal summation of C-fiber evoked pain. Pain 2007;129(1-2):130–142. doi: 10.1016/j.pain.2006.10.010
• 25. Cano A. Pain catastrophizing and social support in married individuals with chronic pain: the moderating role of pain duration. Pain 2004;110(3):656-664. doi: 10.1016/j.pain.2004.05.004
• 26. Kjøgx H, Zachariae R, Pfeiffer-Jensen M, et al. Pain frequency moderates the relationship between pain catastrophizing and pain. Front. Psychol. 2014;5:1421. doi: 10.3389/fpsyg.2014.01421