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  4. Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons with Spinal Cord Injury

Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons with Spinal Cord Injury

J Pain, 2008 · DOI: 10.1016/j.jpain.2008.04.008 · Published: September 1, 2008

Spinal Cord InjuryMental HealthPain Management

Simple Explanation

This research explores how changes in what people believe about their pain and how they deal with it affect their ability to function and their mental well-being, specifically in individuals who have spinal cord injuries (SCI) and experience pain. The study found that when people's tendency to 'catastrophize' their pain (exaggerate the negative aspects) increased, they experienced greater difficulty in daily activities and poorer mental health. Conversely, believing they had control over their pain was linked to less interference and better psychological functioning. These findings suggest that targeting negative thought patterns and promoting a sense of control could be beneficial in managing pain and improving the quality of life for individuals with SCI.

Study Duration
6 Months
Participants
N = 40, individuals with spinal cord injuries (SCI) and pain
Evidence Level
Longitudinal Study

Key Findings

  • 1
    Changes in catastrophizing were significantly associated with changes in pain interference and psychological functioning; increased catastrophizing predicted greater pain interference and poorer psychological functioning.
  • 2
    Changes in belief in one’s ability to control pain were significantly associated with changes in the outcome variables; greater perceived control was associated with decreased pain interference and improved psychological functioning.
  • 3
    Changes in specific coping strategies and social support were not predictors of changes in pain, interference, or psychological functioning.

Research Summary

This study examined the longitudinal relationships between pain-related beliefs, coping, and social support with pain interference and psychological functioning in individuals with spinal cord injury (SCI) and pain. The results indicated that changes in catastrophizing and perceived control over pain were significantly associated with changes in pain interference and psychological functioning, even after controlling for changes in pain intensity. The findings suggest that interventions targeting maladaptive pain-related beliefs and catastrophizing may improve multidisciplinary treatment of pain in SCI.

Practical Implications

Targeted Interventions

Intervention programs should focus on reducing catastrophizing and enhancing perceived control over pain to improve outcomes.

Cognitive Behavioral Therapy (CBT)

CBT techniques could be utilized to address maladaptive pain-related beliefs and promote adaptive coping strategies.

Multidisciplinary Approach

A multidisciplinary approach including psychological interventions may be most appropriate for individuals with high affective distress and dysfunctional coping styles.

Study Limitations

  • 1
    Small sample size may limit the power to detect some associations.
  • 2
    Lack of diversity in education level and ethnicity may limit the generalizability of the results.
  • 3
    The study did not assess changes in other medical issues associated with SCI or in medical interventions.

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