Browsing by Subject "Catastrophizing"

Now showing 1 - 3 of 3
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    Examining the Association of Trait-like vs. In-Vivo Catastrophizing and Experimental Pain Sensitivity
    (2014-04-11) Miller, Macey N.; Squillace, Anna E.; Meints, Samantha M.; Hirsh, Adam T.
    Catastrophizing cognitions, consisting of rumination, helplessness, and magnification, are associated with increased pain intensity and pain behaviors in individuals with chronic pain. Trait-like catastrophizing refers to levels of catastrophizing related to general past pain experiences. In-vivo catastrophizing refers to levels of catastrophizing related to a specific pain event, usually one that has just occurred. The current study examined the extent to which trait-like and in-vivo pain catastrophizing are differentially related to experimental pain tolerance. We hypothesized that: 1) In-vivo catastrophizing would have a stronger relationship with pain tolerance than trait-like catastrophizing. 2) Different components of catastrophizing (i.e. rumination, helplessness, and magnification) would be differentially related to pain tolerance.
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    An Experimental Investigation and Conditional Process Analysis of the Role of Catastrophizing in the Pain — Working Memory Nexus
    (2019-12) Procento, Philip Matthew; Hirsh, Adam T.; Stewart, Jesse C.; Rand, Kevin L.
    There is a well-documented bidirectional relationship between pain and cognitive dysfunction, especially working memory. Despite this extensive body of research, the pain–working memory relationship is poorly understood. Pain catastrophizing – exaggerated negative cognitive and emotional responses towards pain – may contribute to working memory deficits by occupying finite, shared cognitive resources, but this has yet to be investigated. The present study sought to clarify the role of pain catastrophizing (assessed as both a trait-level disposition and state-level process) in working memory dysfunction. Healthy undergraduate participants were randomized to an ischemic pain or control task, during which they completed verbal and non-verbal working memory tests. They also completed measures of state- and trait-level pain catastrophizing. Mediation analyses indicated that state-level pain catastrophizing mediated the relationships of pain group to both verbal and non-verbal working memory, such that participants in the pain group (vs. the control group) catastrophized more about their pain, which then resulted in worse verbal and non-verbal working memory performance. In moderated mediation analyses, trait-level pain catastrophizing moderated this mediation effect for both verbal and non-verbal working memory. Those participants in the pain group who reported greater tendency to catastrophize about pain in general exhibited greater catastrophizing in-the-moment during the pain task, thereby leading to worse verbal and non-verbal working memory performance. These results provide evidence for pain catastrophizing as a putative mechanism and moderating factor of working memory dysfunction in pain. Future research should replicate these results in chronic pain samples, investigate other potential mechanisms (e.g., sleep), and develop interventions to ameliorate cognitive dysfunction by targeting pain catastrophizing.
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    Opioid use prior to knee arthroplasty in patients who catastrophize about their pain: preoperative data from a multisite randomized clinical trial
    (Dovepress, 2018-08-21) Riddle, Daniel L.; Slover, James D.; Ang, Dennis C.; Bair, Matthew J.; Kroenke, Kurt; Perera, Robert A.; Dumenci, Levent; Medicine, School of Medicine
    Background: Opioid use rates prior to knee arthroplasty (KA) among people who catastrophize about their pain are unknown. We determined prevalence of opioid use and compared patterns of preoperative opioid use and oral morphine equivalent (OME), a measure of daily opioid dose, across varied geographic sites. We also determined which baseline variables were associated with opioid use and OME. Patients and methods: Preoperative opioid use data described type of opioid, dosage, and frequency among 397 patients scheduled for KA. Demographic, knee-related pain, and psychological distress dimensions were examined to identify variables associated with opioid use and opioid dose (OME). Opioid use prevalence and OME were compared across the four sites. A three-level censored regression determined variables associated with opioid use and OME. Results: The overall opioid use prevalence was 31.7% (95% confidence interval [CI] = 27.0, 36.3) and varied across sites from 15.9% (95% CI = 9.0, 22.8) to 51.2% (95% CI = 40.5, 61.9). After adjustment, patients using opioids were more likely to be younger, African American, and have higher self-efficacy and comorbidity scores (P < 0.05). The only variable independently associated with OME was lower depressive symptoms (P < 0.05). Conclusion: People who catastrophized prior to KA did not demonstrate increased preoperative opioid use based on current evidence, but variation in the prevalence of opioid use across study sites was substantial. Variables associated with opioid use were non-modifiable demographic and comorbidity variables.