The Mediating Role of Pain Catastrophizing on the Association Between Depression and Pain Severity and Interference Among Elderly Asian Immigrants with Chronic Pain

The relationship between psychosocial factors and reported disability: The role of pain self-efficacy

10.21203/rs.3.rs-736799/v1 ◽

2021 ◽

Author(s):

Antonio Varela

Keyword(s):

Physical Activity ◽

Chronic Pain ◽

Low Back Pain ◽

Psychosocial Factors ◽

Self Efficacy ◽

Pain Catastrophizing ◽

Low Back ◽

Mediating Role ◽

The Relationship

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.

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Understanding the Relationship Between Spiritual Well-Being and Depression in Chronic Pain Patients: The Mediating Role of Pain Catastrophizing

Pain Management Nursing ◽

10.1016/j.pmn.2018.12.001 ◽

2019 ◽

Vol 20 (4) ◽

pp. 358-364 ◽

Cited By ~ 1

Author(s):

Maryam Shaygan ◽

Laila Shayegan

Keyword(s):

Chronic Pain ◽

Pain Catastrophizing ◽

Well Being ◽

Mediating Role ◽

Chronic Pain Patients ◽

Spiritual Well Being ◽

The Relationship ◽

Pain Patients

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Unravelling the Relationship Between Parent and Child PTSD and Pediatric Chronic Pain: the Mediating Role of Pain Catastrophizing

Journal of Pain ◽

10.1016/j.jpain.2017.10.004 ◽

2018 ◽

Vol 19 (2) ◽

pp. 196-206 ◽

Cited By ~ 11

Author(s):

Alexandra Neville ◽

Sabine Soltani ◽

Maria Pavlova ◽

Melanie Noel

Keyword(s):

Chronic Pain ◽

Pain Catastrophizing ◽

Mediating Role ◽

Pediatric Chronic Pain ◽

Child Ptsd ◽

The Relationship

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The relationship between psychosocial factors and reported disability: the role of pain self-efficacy

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04955-6 ◽

2022 ◽

Vol 23 (1) ◽

Author(s):

Antonio J. Varela ◽

Kathryn W. Van Asselt

Keyword(s):

Physical Activity ◽

Chronic Pain ◽

Psychosocial Factors ◽

Self Efficacy ◽

Pain Catastrophizing ◽

Significant Proportion ◽

Cross Sectional ◽

Data Set ◽

Mediating Role

Abstract Background Chronic pain and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is now considered a world level crisis. Chronic non-specific low back pain (CNLBP) contributes a significant proportion to the chronic pain population. CNLBP occurs with overlapping psychosocial factors. This study was design to investigate specific psychosocial factors and their influence on reported disability in a population with CNLBP. Methods The specific psychosocial factors examined included fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study investigated the mediating role between pain self-efficacy, the specific psychosocial factors, and reported disability. The study recruited 61 female and 29 male participants from physical therapy clinics. The participants were between 20-to-60 years of age and diagnosed with CNLBP. All participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index. The battery of questionnaires measured fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability. Multivariate regression and mediation analyses was used to analyse the data. Results The principal finding was a strong inverse relationship between pain self-efficacy and reported disability with a p-value < 0.001. Further, pain self-efficacy was considered a statistical mediator with consistent p-value < 0.001 for the specific psychosocial factors investigated within this data set. Pain self-efficacy was considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, age and reported pain levels proved to be statistically significant. Adjustments for age and pain level did not alter the role of pain self-efficacy. Conclusion The results identified a mediating role for pain self-efficacy between the specific psychosocial factors (fear, catastrophizing, and depression) and reported disability. Pain self-efficacy plays a more significant role in the relationships between these specific psychosocial factors and reported disability with CNLBP than previously considered.

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Insomnia and HRQoL of Indonesians with Chronic Pain: The Role of Catastrophizing

Psychological Research on Urban Society ◽

10.7454/proust.v4i1.109 ◽

2021 ◽

Vol 4 (1) ◽

pp. 15

Author(s):

Fariza Nur Shabrina ◽

Sali Rahadi Asih

Keyword(s):

Chronic Pain ◽

Urban Population ◽

Pain Catastrophizing ◽

Mediation Analyses ◽

Mediating Role ◽

Anxiety Trait ◽

High Prevalence ◽

Related Quality ◽

Health Related

Insomnia and chronic pain share the same catastrophizing cognitive tendency. The high prevalence of insomnia and chronic pain was found in the urban population. Seeing the interaction between both in influencing individuals is imperative. Most studies in insomnia and pain are conducted in the Western population, with little to no research conducted in Indonesian urban population. As a part longitudinal chronic pain study, this research explored (a) the mediating role of pain catastrophizing in linking insomnia with health-related quality of life (HRQoL) and (b) the moderating role of anxiety trait in influencing the mediation within Indonesian adults with chronic pain. The data were gathered through self-administered online questionnaires, and the moderated-mediation analyses were conducted at the beginning phase of the longitudinal study. The results from 415 participants validated that pain catastrophizing partially mediated the relationship between insomnia and HRQoL. Furthermore, no significant moderating effect of anxiety trait was found. People with insomnia showed rumination, worry, and dysfunctional beliefs regarding their sleep, which generalized into catastrophic thoughts regarding their pain experience. This pain catastrophizing in turn influenced the HRQoL. Interventions that simultaneously target both catastrophic thoughts in insomnia and pain would prove to be beneficial in mitigating pain among Indonesian adults.

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Pain and Psychological Outcomes Among Iraq and Afghanistan Veterans with Chronic Pain and PTSD: ESCAPE Trial Longitudinal Results

Pain Medicine ◽

10.1093/pm/pnaa007 ◽

2020 ◽

Vol 21 (7) ◽

pp. 1369-1376

Author(s):

Matthew J Bair ◽

Samantha D Outcalt ◽

Dennis Ang ◽

Jingwei Wu ◽

Zhangsheng Yu

Keyword(s):

Chronic Pain ◽

Musculoskeletal Pain ◽

Pain Catastrophizing ◽

Psychological Outcomes ◽

Stepped Care ◽

Chronic Musculoskeletal Pain ◽

Pain Severity ◽

Analysis Of Covariance ◽

Escape Trial ◽

Care Intervention

Abstract Objective To compare pain and psychological outcomes in veterans with chronic musculoskeletal pain and comorbid post-traumatic stress disorder (PTSD) or pain alone and to determine if veterans with comorbidity respond differently to a stepped-care intervention than those with pain alone. Design Secondary analysis of data from the Evaluation of Stepped Care for Chronic Pain (ESCAPE) trial. Setting Six Veterans Health Affairs clinics. Subjects Iraq and Afghanistan veterans (N = 222) with chronic musculoskeletal pain. Methods Longitudinal analysis of veterans with chronic musculoskeletal pain and PTSD or pain alone and available baseline and nine-month trial data. Participants randomized to either usual care or a stepped-care intervention were analyzed. The pain–PTSD comorbidity group screened positive for PTSD and had a PTSD Checklist–Civilian score ≥41 at baseline. Results T tests demonstrated statistically significant differences and worse outcomes on pain severity, pain cognitions, and psychological outcomes in veterans with comorbid pain and PTSD compared with those with pain alone. Analysis of covariance (ANCOVA) modeling change scores from baseline to nine months indicated no statistically significant differences, controlling for PTSD, on pain severity, pain centrality, or pain self-efficacy. Significant differences emerged for pain catastrophizing (t = 3.10, P < 0.01), depression (t = 3.39, P < 0.001), and anxiety (t = 3.80, P < 0.001). The interaction between PTSD and the stepped-care intervention was not significant. Conclusions Veterans with the pain–PTSD comorbidity demonstrated worse pain and psychological outcomes than those with chronic pain alone. These findings indicate a more intense chronic pain experience for veterans when PTSD co-occurs with pain. PTSD did not lead to a differential response to a stepped-care intervention.

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John Henryism, self-reported physical health indicators, and the mediating role of perceived stress among high socio-economic status Asian immigrants

Social Science & Medicine ◽

10.1016/j.socscimed.2006.10.037 ◽

2007 ◽

Vol 64 (6) ◽

pp. 1192-1203 ◽

Cited By ~ 35

Author(s):

Jana Haritatos ◽

Ramaswami Mahalingam ◽

Sherman A. James

Keyword(s):

Physical Health ◽

Perceived Stress ◽

Economic Status ◽

Health Indicators ◽

Asian Immigrants ◽

John Henryism ◽

Mediating Role ◽

Socio Economic Status

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The Relationship Between Perceived Burdensomeness and Psychosocial Adjustment to Illness in Patients with Chronic Pain: A Mediating Role of Pain Self-Efficacy

Jundishapur Journal of Chronic Disease Care ◽

10.5812/jjcdc.99068 ◽

2020 ◽

Vol 9 (2) ◽

Author(s):

Esmaeil Sadri Damirchi ◽

Shahriar Dargahi ◽

Nader Ayadi ◽

Davod Fathi

Keyword(s):

Chronic Pain ◽

Direct Effect ◽

Psychosocial Adjustment ◽

Self Efficacy ◽

Pearson Correlation ◽

Perceived Burdensomeness ◽

Mediating Role ◽

Adjustment To Illness ◽

The Relationship

Background: The majority of patients living with chronic pain faces several challenges; therefore, factors affecting their adaptation to the disease to provide appropriate therapeutic methods and meditation and relaxation therapy should be identified. Objectives: The present study aimed at investigating the relationship between perceived burdensomeness and psychosocial adjustment, and the mediating role of pain self-efficacy. Methods: This descriptive correlational study was conducted on 240 patients with chronic pain referred to the orthopedic centers in Ardabil in 2019 selected by convenience sampling. Psychosocial Adjustment to Illness Scale, Pain Self-efficacy Questionnaire, and Interpersonal Needs Questionnaire were used for data collection. Also, Pearson correlation and multiple regressions were used for data analysis. Data were analyzed using SPSS V. 19 and AMOS V. 21. Results: The findings confirmed the negative and direct effect of perceived burdensomeness (β = -0.11 and P < 0.01), as well as the positive and direct effect of pain self-efficacy (β = 0.86 and P < 0.01) on psychosocial adjustment. On the other hand, perceived burdensomeness (β = -0.32, P < 0.01) had a negative and direct effect on pain self-efficacy. The indirect effect of perceived burdensomeness and pain self-efficacy on psychosocial adjustment to illness was also confirmed. Conclusions: According to the findings of the present study, it can be concluded that the feelings of pain self-efficacy mediate the relationship between perceived burdensomeness and psychosocial adjustment in patients with chronic pain. That can also be important for the patient and their caregivers in relation to other chronic illnesses. Chronic diseases can also affect patients and their caregivers.

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