@article{ref1,
title="Role of pain-based catastrophizing in pain, disability, distress, and suicidal ideation",
journal="Psychiatry interpersonal and biological processes",
year="2017",
author="Noyman-Veksler, Gal and Lerman, Sheera F. and Joiner, Thomas E. and Brill, Silviu and Rudich, Zvia and Shalev, Hadar and Shahar, Golan",
volume="80",
number="2",
pages="155-170",
abstract="BACKGROUND: In chronic pain, patients' coping affects their adaptation. In two studies, we examined the role of pain catastrophizing, a maladaptive coping strategy, in pain, distress, and disability. In Study 2 we compared catastrophizing to pain acceptance and to other coping strategies. <br><br>METHODS: Study 1. Chronic pain patients (N = 428) were assessed four times as to their pain, disability, catastrophizing, and distress (depression and anxiety). Study 2. Patients (N = 165) were assessed as to coping and pain acceptance, pain, related distress, depression, hope, suicidal ideations, perceived burdensomeness, and thwarted belongingness. <br><br>RESULTS: Study 1. A Structural Equation Modeling (SEM) analysis revealed that Time 1 Pain-based catastrophizing prospectively predicted pain (β =.36, p <.001). Distress prospectively predicted pain related disability (β =.34, p <.001). Study 2. Pain-based catastrophizing predicted sensory pain (β =.22, p =.018), depression (β =.43, p <.001), and suicidal ideation (O.R. = 1.88), which were also predicted by depression and perceived burdensomeness. Distraction predicted sensory pain (β =.21, p =.017, respectively). Activity engagement predicted low levels of depression (β = -.29, p <.001, respectively), and willingness to accept pain predicted low pain-related distress (β = -.16, p =.05). <br><br>CONCLUSIONS: Pain catastro-phizing and pain acceptance constitute risk and resilience factors. Both should be assessed and targeted in pain management.<p /> <p>Language: en</p>",
language="en",
issn="0033-2747",
doi="10.1080/00332747.2016.1230984",
url="http://dx.doi.org/10.1080/00332747.2016.1230984"
}