scholarly journals Pain Catastrophizing and Its Relationship with Health Outcomes: Does Pain Intensity Matter?

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Carlos Suso-Ribera ◽  
Azucena García-Palacios ◽  
Cristina Botella ◽  
Maria Victoria Ribera-Canudas

Pain catastrophizing is known to contribute to physical and mental functioning, even when controlling for the effect of pain intensity. However, research has yet to explore whether the strength of the relationship between pain catastrophizing and pain-related outcomes varies across pain intensity levels (i.e., moderation). If this was the case, it would have important implications for existing models of pain and current interventions. The present investigation explored whether pain intensity moderates the relationship between pain catastrophizing and pain-related outcomes. Participants were 254 patients (62% women) with heterogeneous chronic pain. Patients completed a measure of pain intensity, pain interference, pain catastrophizing, and physical and mental health. Pain intensity moderated the relationship between pain catastrophizing and pain interference and between pain catastrophizing and physical health status. Specifically, the strength of the correlation between pain catastrophizing and these outcomes decreased considerably as pain intensity increased. In contrast, pain intensity did not moderate the relationship between pain catastrophizing and mental health. Study findings provide a new insight into the role of pain intensity (i.e., moderator) in the relationship between pain catastrophizing and various pain-related outcomes, which might help develop existent models of pain. Clinical implications are discussed in the context of personalized therapy.

2019 ◽  
Vol 60 (3) ◽  
pp. 274-290 ◽  
Author(s):  
Christina J. Diaz ◽  
Michael Niño

It is well known that Hispanic immigrants exhibit better physical and mental health than their U.S.-born counterparts. Scholars theorize that stronger orientations toward the family, also known as familism, could contribute to this immigrant advantage. Yet, little work directly tests whether familial attitudes may be responsible for the favorable health of foreign-born Hispanics. We investigate this possibility using biomarkers, anthropometrics, and mental health assessments from the Hispanic Community Health Study/Study of Latinos (N = 4,078). Results demonstrate that the relationship between familial attitudes and health vary depending on the outcome assessed. While Hispanics with strong attitudes toward familial support have fewer symptoms of depression and anxiety, those who report high referent familism display worse mental health outcomes. We find little evidence that familism is linked to physical health or that immigrant generation moderates the relationship of interest. Our results challenge assumptions that familism is responsible for the comparably better health of foreign-born Hispanics.


Author(s):  
Kundadak Ganesh Kudva ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
Boon Yiang Chua ◽  
Saleha Shafie ◽  
...  

Suicidality encompasses suicidal ideation, plans, and attempts. This paper aims to establish associations between suicidality and sociodemographic variables, physical disorders, and psychiatric disorders. The Singapore Mental Health Study 2016 was a population-level epidemiological survey, which determined the prevalence of physical disorders, psychiatric disorders, and suicidality. Questionnaires were used to determine socio-demographic information. A total of 6216 respondents were interviewed. Lifetime prevalence of suicidal ideation, planning, and attempts were 7.8%, 1.6%, and 1.6%, respectively. All components of suicidality were more likely in those with major depressive disorder, bipolar disorder, generalized anxiety disorder, alcohol use disorder, and chronic pain. Suicidal ideation and attempts were more likely in those with diabetes. Age above 65, being male, and a monthly household income of ≥ SGD 10,000 were associated with a lower likelihood of suicidal ideation. These findings indicate that there are high-risk groups for whom suicidality is a concern, and for whom interventions may be needed.


2017 ◽  
Vol 59 (4) ◽  
pp. 266-274 ◽  
Author(s):  
Fereshte Sadat Mortazavi Nasiri ◽  
Shahla Pakdaman ◽  
Mohsen Dehghani ◽  
Mansoureh Togha

Author(s):  
Elisabet Sánchez-Rodríguez ◽  
Alexandra Ferreira-Valente ◽  
Anupa Pathak ◽  
Ester Solé ◽  
Saurab Sharma ◽  
...  

This study sought to better understand the associations between perfectionistic self-presentation and measures of pain intensity, pain catastrophizing, pain interference, and fatigue in children and adolescents with pain. In the study, 218 adolescents responded to measures of perfectionistic self-presentation (i.e., perfectionistic self-promotion, nondisplay of imperfection and nondisclosure of imperfection), pain intensity, pain catastrophizing, pain interference, and fatigue. Four hierarchical regression analyses and three mediation analyses were conducted. Our results showed that perfectionistic self-promotion was significantly and independently associated with pain intensity and that nondisplay of imperfection was significantly and independently associated with pain catastrophizing, pain interference, and fatigue. Nondisclosure of imperfection was not significantly associated with any criterion variable. Pain catastrophizing mediated the association between both perfectionistic self-presentation and nondisplay imperfection and pain interference but not between nondisclosure of imperfection and pain interference. The findings provide new information about the role of perfectionistic self-presentation in children and adolescents’ experience of pain. These findings, if replicated, support perfectionism as a potential target of pain treatment in young people.


2019 ◽  
Vol 31 (2-2019) ◽  
pp. 138-154
Author(s):  
Johannes Stauder ◽  
Ingmar Rapp ◽  
Thomas Klein

A positive correlation between couple relationships and health is well established. However, recent studies indicate that the beneficial effects of couple relationships on health vary substantially according to the characteristics of the relationship and of the partners involved. The present paper examines to what extent partnership effects on physical and mental health differ based on the individual’s education, the partner’s education and educational homogamy between partners. Our database is the German Socio-Economic Panel for the period of 2002 to 2016. Based on fixed effects analysis, our results show that a highly educated partner is more beneficial for mental and physical health than a partner with low education. In contrast, the effects of partnerships on health do not depend on whether the partners have same or different educational levels. The results also indicate that partnership effects on health depend on mate choice and on the potential to find a highly educated partner. Education-specific partnership effects on mental health are more prevalent for women, and effects on physical health are more prevalent for men.


2021 ◽  
pp. 095892872199665
Author(s):  
Ben Baumberg Geiger

While disability benefits make up the largest group of claimants in high-income countries, we know surprisingly little about which disabled people are seen as ‘deserving’ benefits, nor whether different people in different countries judge deservingness-related characteristics similarly. This is surprising given they are increasingly the focus of retrenchment, which often affirms the deservingness of ‘truly deserving’ disabled people while focusing cuts and demands on those ‘less deserving’. This article addresses this gap using two vignette-based factorial survey experiments: (i) the nine-country ‘Stigma in Global Context – Mental Health Study’ (SGC-MHS); (ii) a new YouGov survey in Norway/the UK, together with UK replication. I find a hierarchy of symptoms/impairments, from wheelchair use (perceived as most deserving), to schizophrenia and back pain, fibromyalgia, depression and finally asthma (least deserving). Direct manipulations of deservingness-related characteristics also influence judgements, including membership of ethnic/racial ingroups and particularly blameworthiness and medical legitimation. In contrast, the effects of work ability, age and work history are relatively weak, particularly when compared to the effects on unemployed claimants. Finally, for non-disabled unemployed claimants, I confirm previous findings that right-wingers respond more strongly to deservingness-related characteristics, but Norwegians and Britons respond similarly. For disabled claimants, however, the existing picture is challenged, with, for example, Britons responding more strongly to these characteristics than Norwegians. I conclude by drawing together the implications for policy, particularly the politics of disability benefits, the role of medical legitimation and the legitimacy challenges of the increasing role of mental health in disability benefit recipiency.


2021 ◽  
Vol 50 (5) ◽  
pp. 390-401
Author(s):  
Mythily Subramaniam ◽  
Jue Hua Lau ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
James Junda Tan ◽  
...  

ABSTRACT Introduction: This study examines: (1) the employment rate among those with a mental disorder in the 12 months preceding the survey (referred henceforth as 12-month mental disorder); (2) the sociodemographic correlates of unemployment; and (3) the association of unemployment with 12-month mental disorders and chronic physical conditions in the adult resident population in Singapore. Methods: Data are from the Singapore Mental Health Study 2016, a household survey of a nationally representative sample of 6,126 Singapore residents. The Composite International Diagnostic Interview (CIDI) was used to assess mental disorders and physical health conditions. Employment-related information was collected using a modified employment module of the CIDI. Results: Of the 6,125 participants who took part in the study, 4,055 (72%) were employed, 1,716 (22.7%) were economically inactive, and 354 (5.3%) were unemployed. The unemployment rate was twice as high among those with a 12-month mental disorder (11.5%) than those without (4.8%). The proportion of unemployed individuals increased sharply with the increasing severity of mental disorders. Being married and higher household income were significantly associated with a higher likelihood of being employed than unemployed. In contrast, the presence of one 12-month mental disorder was significantly associated with a lower likelihood of being employed. Conclusion: Our findings provide information on the significant association of mental disorders with unemployment. Clinicians should remain vigilant and consider the loss of employment a potential risk factor for adverse physical and mental health changes. Management of unemployed patients with a combination of pharmacotherapy and work-directed interventions can facilitate their re-entry into the workforce and improve health outcomes. Keywords: Employment, epidemiology, mental health, survey


2021 ◽  
Vol 17 (4) ◽  
pp. 289-299
Author(s):  
Amanda Kutz, PhD ◽  
Amber Martinson, PhD ◽  
Katherine Stratton, PsyD ◽  
Clayton Hamilton, PharmD ◽  
Julie Carney, RN ◽  
...  

Objective: As part of the evaluation of the Whole Health Primary Care Pain Education and Opioid Monitoring Program (PC-POP), we examined the relationship between pain intensity, pain interference, and mental health symptoms among PC-POP enrollees.Design/methods: Retrospective cohort study examining self-reported symptoms of pain intensity, pain interference, anxiety, depression, substance use, and quality of life. Data were retrieved through a combination of chart review and data extracted from the VA Informatics and Computing Infrastructure. Setting: Veterans Health Administration Health Care System Primary Care service.Subjects: Adult veterans with chronic noncancer pain receiving opioid therapy 3 months being managed in primary care and enrolled in PC-POP between August 1, 2018 and April 1, 2019.Results: A total of 439 participants were included in the final analysis. Results showed that anxiety has a unique relationship to pain intensity and that depression and quality of life have unique relationships to pain interference when relevant covariates, eg, gender, age, pain diagnosis, and predictors are examined among this unique sample of veterans enrolled in a pain and opioid education and monitoring program.Conclusions: Given that primary care is the dominant healthcare setting in which opioids are prescribed for chronic noncancer pain, further research is needed to examine factors that influence pain management in this setting. This study examined the role mental health factors have on pain intensity and pain interference among patients enrolled in an opioid monitoring program and found that anxiety and depression appear to uniquely predict how intensely and impactful these veterans experience their pain. This study extends the literature by examining such factors among a unique population that has yet to be studied and offers some recommendations for monitoring and practice.


Sign in / Sign up

Export Citation Format

Share Document