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Johan W S Vlaeyen - One of the best experts on this subject based on the ideXlab platform.
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Pain Catastrophizing threat and the informational value of mood task persistence during a Painful finger pressing task
Pain, 2012Co-Authors: Petra A. Karsdorp, Martien G S Schrooten, Stewart Ranson, Johan W S VlaeyenAbstract:Abstract Pain Catastrophizing has shown to predict avoidance behavior in acute and chronic Pain, but the literature is inconsistent. The present study tested the hypothesis that current mood and threat context moderate the relationship between Pain Catastrophizing and performance duration. Affective-motivational models postulate that negative and positive moods provide information about whether an activity is respectively threatening or safe. Moreover, it has been proposed that stable cognitive schemas about threat influence behavior particularly in threat-relevant contexts. The present study aimed to establish whether Pain Catastrophizing is related to less or greater performance duration, when participants experience respectively negative or positive moods, particularly in a high threatening Pain context. A 2 mood × 2 threat context between-subjects factorial design was applied in 89 healthy participants with Pain Catastrophizing as covariate and performance duration during a Painful finger pressing task as dependent variables. As predicted, higher Pain Catastrophizing was associated with less performance duration when participants experienced negative moods. The opposite was found when participants experienced positive moods. Moreover, these relationships were most pronounced in a high threatening Pain context. This study suggests that the relationship between Pain Catastrophizing and performance duration during Painful activities is moderated by situational factors such as current mood and threat context.
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s401 Pain Catastrophizing threat and the informational value of mood task persistence during a Painful finger pressing task
European Journal of Pain Supplements, 2011Co-Authors: Petra A. Karsdorp, Martien G S Schrooten, Stewart Ranson, Johan W S VlaeyenAbstract:Pain Catastrophizing has shown to predict avoidance behavior in acute and chronic Pain, but the litera- ture is inconsistent. The present study tested the hypothesis that current mood and threat context mod- erate the relationship between Pain Catastrophizing and performance duration. Affective-motivational models postulate that negative and positive moods provide information about whether an activity is respectively threatening or safe. Moreover, it has been proposed that stable cognitive schemas about threat influence behavior particularly in threat-relevant contexts. The present study aimed to establish whether Pain Catastrophizing is related to less or greater performance duration, when participants experience respectively negative or positive moods, particularly in a high threatening Pain context. A 2 mood 2 threat context between-subjects factorial design was applied in 89 healthy participants with Pain Catastrophizing as covariate and performance duration during a Painful finger pressing task as dependent variables. As predicted, higher Pain Catastrophizing was associated with less performance duration when participants experienced negative moods. The opposite was found when participants experienced positive moods. Moreover, these relationships were most pronounced in a high threatening Pain context. This study suggests that the relationship between Pain Catastrophizing and performance duration during Painful activities is moderated by situational factors such as current mood and threat context.
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reduction of Pain Catastrophizing mediates the outcome of both physical and cognitive behavioral treatment in chronic low back Pain
The Journal of Pain, 2006Co-Authors: Rob J E M Smeets, Arnold D. M. Kester, Johan W S Vlaeyen, Andre J KnottnerusAbstract:UNLABELLED: The aim of this study was to examine whether treatments based on different theories change Pain Catastrophizing and internal control of Pain, and whether changes in these factors mediate treatment outcome. Participants were 211 patients with nonspecific chronic low back Pain (CLBP) participating in a randomized controlled trial, attending active physical treatment (APT, n = 52), cognitive-behavioral treatment (CBT, n = 55), treatment combining the APT and CBT (CT, n = 55), or waiting list (WL, n = 49). Pain Catastrophizing decreased in all 3 active treatment groups and not in the WL. There was no difference in the change in internal control across all 4 groups. In all the active treatment groups, patients improved regarding perceived disability, main complaints, and current Pain at post-treatment, and no changes were observed in the WL group. Depression only changed significantly in the APT group. Change in Pain Catastrophizing mediated the reduction of disability, main complaints, and Pain intensity. In the APT condition, Pain Catastrophizing also mediated the reduction of depression. Not only cognitive-behavioral treatments but also a physical treatment produced changes in Pain Catastrophizing that seemed to mediate the outcome of the treatment significantly. The implications and limitations of these results are discussed. PERSPECTIVE: This article shows that treatment elements that do not deliberately target cognitive factors can reduce Pain Catastrophizing. Reduction in Pain Catastrophizing seemed to mediate the improvement of functioning in patients with chronic low back Pain. The results might contribute to the development of more effective interventions.
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reduction of Pain Catastrophizing mediates the outcome of both physical and cognitive behavioral treatment in chronic low back Pain
The Journal of Pain, 2006Co-Authors: Rob J E M Smeets, Arnold D. M. Kester, Johan W S Vlaeyen, Andre J KnottnerusAbstract:Abstract The aim of this study was to examine whether treatments based on different theories change Pain Catastrophizing and internal control of Pain, and whether changes in these factors mediate treatment outcome. Participants were 211 patients with nonspecific chronic low back Pain (CLBP) participating in a randomized controlled trial, attending active physical treatment (APT, n = 52), cognitive-behavioral treatment (CBT, n = 55), treatment combining the APT and CBT (CT, n = 55), or waiting list (WL, n = 49). Pain Catastrophizing decreased in all 3 active treatment groups and not in the WL. There was no difference in the change in internal control across all 4 groups. In all the active treatment groups, patients improved regarding perceived disability, main complaints, and current Pain at post-treatment, and no changes were observed in the WL group. Depression only changed significantly in the APT group. Change in Pain Catastrophizing mediated the reduction of disability, main complaints, and Pain intensity. In the APT condition, Pain Catastrophizing also mediated the reduction of depression. Not only cognitive-behavioral treatments but also a physical treatment produced changes in Pain Catastrophizing that seemed to mediate the outcome of the treatment significantly. The implications and limitations of these results are discussed. Perspective This article shows that treatment elements that do not deliberately target cognitive factors can reduce Pain Catastrophizing. Reduction in Pain Catastrophizing seemed to mediate the improvement of functioning in patients with chronic low back Pain. The results might contribute to the development of more effective interventions.
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acute low back Pain Pain related fear and Pain Catastrophizing influence physical performance and perceived disability
Pain, 2006Co-Authors: Jeffrey Roelofs, Ilse Swinkelsmeewisse, R A B Oostendorp, Andre L M Verbeek, Johan W S VlaeyenAbstract:Pain-related fear and Pain Catastrophizing are associated with disability and actual performance in chronic Pain patients. In acute low back Pain (LBP), little is known about the prediction of actual performance or perceived disability by Pain-related fear and Pain Catastrophizing. This experimental, cross-sectional study aimed at examining whether Pain-related fear and Pain Catastrophizing were associated with actual performance and perceived disability. Ninety six individuals with an episode of acute LBP performed a dynamic lifting task to measure actual performance. Total lifting time was used as outcome measure. The results show that Pain-related fear, as measured with the Tampa Scale for Kinesiophobia, was the strongest predictor of this physical task. Using the Roland Disability Questionnaire as a measure of perceived disability, both Pain-related fear and Pain Catastrophizing, as measured with the Pain Catastrophizing Scale, were significantly predictive of perceived disability and more strongly than Pain intensity was. The results of the current study suggest that Pain-related fear is an important factor influencing daily activities in individuals suffering an episode of acute LBP. The study results have important clinical implications, especially in the development of preventive strategies for chronic LBP.
Beth D Darnall - One of the best experts on this subject based on the ideXlab platform.
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the factor structure and subscale properties of the Pain Catastrophizing scale are there differences in the distinctions
Pattern Recognition, 2021Co-Authors: Karon F Cook, Sean Mackey, Corinne Jung, Beth D DarnallAbstract:Increasingly, studies have documented the negative impact of Pain Catastrophizing on health outcomes. The Pain Catastrophizing Scale (PCS) has been the measure of choice for many of these studies. The PCS provides 3 subscales for measuring Pain Catastrophizing: rumination, magnification, and helplessness. Factor analytic investigations of these factors have been limited by the sample size and relevance, and results have been inconsistent. No study has directly estimated the added value of subscale scoring of the PCS compared with scoring it as a single measure. Objective The purpose of this study was to evaluate the dimensionality of PCS responses in a sample of patients with chronic Pain (N = 8370). Methods Data were randomly halved, and results were cross-validated. Both traditional factor analysis and traditional factor analyses were conducted. Results Findings based on common factor analyses and on bifactor analyses supported the essential unidimensionality of PCS responses. In the bifactor analyses, the general factor accounted for 96% of the explained common variance in the modeling sample. After extracting the general factor, helplessness, magnification, and rumination subscales accounted for 7.0%, 0.0%, and 15%, respectively. Conclusion The results do not necessarily disconfirm helplessness, magnification, and rumination as clinically meaningful theoretical distinctions. However, the PCS (at least as presently constructed) fails to discriminate these distinctions. Joint efforts in theory and measurement science could illuminate the role that posited "kinds" of Pain Catastrophizing play in individuals' Pain experiences.
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daily Pain Catastrophizing predicts less physical activity and more sedentary behavior in older adults with osteoarthritis
Pain, 2020Co-Authors: Ruixue Zhaoyang, Lynn M Martire, Beth D DarnallAbstract:Musculoskeletal disorders such as knee osteoarthritis (OA) are the primary cause of chronic Pain in older adults. Recommended self-management strategies for knee OA include staying physically active in the face of Pain, but many patients avoid activities they are capable of doing. The overall purpose of this study was to examine the extent to which daily Pain Catastrophizing, a maladaptive coping strategy, could influence OA patients' physical activity and sedentary behavior. The current study used data from 143 older knee OA patients who completed electronic daily diaries for 22 days and wore an accelerometer to capture physical activity and sedentary behavior. At the beginning of each day, patients reported their Pain Catastrophizing regarding the day ahead. Results from multilevel models demonstrated that on mornings when patients catastrophized more than usual about their Pain in the day ahead, they spent more time in sedentary behavior and engaged in fewer minutes of moderate to vigorous physical activity that day. Cross-day lagged analyses further showed that the effect of morning Pain Catastrophizing on subsequent sedentary behavior extended to the next day. More time spent in sedentary behavior, in turn, contributed to greater Pain Catastrophizing the next morning. These findings support the mechanistic role of daily Pain Catastrophizing in the avoidance of physical activity for older OA patients, and suggest that effective interventions for Pain Catastrophizing may also reduce sedentary behavior and enhance physical activity, with longer-term benefits for Pain management, physical function, and overall health.
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the relationship between negative metacognitive thoughts Pain Catastrophizing and adjustment to chronic Pain
European Journal of Pain, 2018Co-Authors: Maisa S Ziadni, John A Sturgeon, Beth D DarnallAbstract:BACKGROUND Cognitive appraisals, most notably Pain Catastrophizing, play an important role in chronic Pain. The role of metacognition and its impact on the relationship between Pain Catastrophizing and health are understudied. The identification of metacognition as a moderator of psychological constructs may have clinical and empirical implications. We hypothesized that negative metacognitive beliefs would moderate the relationships between Pain Catastrophizing and emotional functioning and physical activity. METHOD Participants (N = 211) with mixed aetiology chronic Pain were primarily Caucasian females with severe average Pain intensity. Over the course of 2 weeks, participants completed online daily-diary measures of Pain Catastrophizing, Pain intensity, mood, physical activity and metacognition. RESULTS Participants with higher average levels of daily Pain intensity and negative metacognitive beliefs about worry reported higher levels of daily Pain Catastrophizing, as well as daily depression, and anxiety. Some aspects of metacognitive beliefs (i.e. dangerousness and uncontrollability of thoughts) were also negatively associated with average daily levels of positive affect. However, these effects were not interactive; metacognitive beliefs did not moderate the relationships of Pain Catastrophizing with other daily variables. CONCLUSIONS From a daily coping perspective, findings reveal that people with stronger negative metacognitive beliefs report greater emotional distress on a day-to-day basis. However, negative metacognitive beliefs did not appear to modify the effects of Pain Catastrophizing on psychological and physical functioning at the daily level, suggesting that metacognitive beliefs may be better conceptualized as a more parallel indicator of emotional maladjustment to chronic Pain whose effects do not reliably manifest in daily measurement models. SIGNIFICANCE Findings highlight the need to better characterize the value of metacognitive beliefs as an important predictor and therapeutic target. Despite limited evidence of a dynamic relationship between metacognition and daily adjustment to chronic Pain, results emphasize the potential importance of interventions that target cognitive appraisal process beyond Catastrophizing, including uncontrollability and danger-laden thought patterns.
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Pain Catastrophizing moderates relationships between Pain intensity and opioid prescription nonlinear sex differences revealed using a learning health system
Anesthesiology, 2017Co-Authors: Yasamin Sharifzadeh, John A Sturgeon, Sean Mackey, Mingchih J Kao, Thomas J Rico, Beth D DarnallAbstract:Background:Pain Catastrophizing is a maladaptive response to Pain that amplifies chronic Pain intensity and distress. Few studies have examined how Pain Catastrophizing relates to opioid prescription in outpatients with chronic Pain.Methods:The authors conducted a retrospective observational study o
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development and validation of a daily Pain Catastrophizing scale
The Journal of Pain, 2017Co-Authors: Beth D Darnall, John W Burns, John A Sturgeon, Karon F Cook, C Taub, Anuradha Roy, Michael J Sullivan, Sean MackeyAbstract:Abstract To date, there is no validated measure for Pain Catastrophizing at the daily level. The Pain Catastrophizing Scale (PCS) is widely used to measure trait Pain Catastrophizing. We sought to develop and validate a brief, daily version of the PCS for use in daily diary studies to facilitate research on mechanisms of Catastrophizing treatment, individual differences in self-regulation, and to reveal the nuanced relationships between Catastrophizing, correlates, and Pain outcomes. After adapting the PCS for daily use, we evaluated the resulting 14 items using 3 rounds of cognitive interviews with 30 adults with chronic Pain. We refined and tested the final daily PCS in 3 independent, prospective, cross-sectional, observational validation studies conducted in a combined total of 519 adults with chronic Pain who completed online measures daily for 14 consecutive days. For study 1 (N = 131), exploratory factor analysis revealed adequate fit and—unexpectedly—unidimensionality for item responses to the daily PCS. Study 2 (N = 177) correlations indicated adequate association with related constructs (anger, anxiety, Pain intensity, depression). Similarly, results for study 3 (N = 211) revealed expected correlations for daily PCS and measures of daily constructs including physical activity, sleep, energy level, and positive affect. Results from complex/multilevel confirmatory factor analysis confirmed good fit to a unidimensional model. Scores on the daily PCS were statistically comparable with and more parsimonious than the full 14-item version. Next steps include evaluation of score validity in populations with medical diagnoses, greater demographic diversity, and in patients with acute Pain. Perspective This article describes the development and validation of a daily PCS. This daily measure may facilitate research that aims to characterize Pain mechanisms, individual differences in self-regulation, adaptation, and nuanced relationships between Catastrophizing, correlates, and Pain outcomes.
Geert Crombez - One of the best experts on this subject based on the ideXlab platform.
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let s talk about Pain Catastrophizing measures an item content analysis
PeerJ, 2020Co-Authors: Geert Crombez, Annick De Paepe, Elke Veirman, Christopher Eccleston, Gregory Verleysen, Dimitri M L Van RyckeghemAbstract:Background. Concerns have been raised about whether self-report measures of Pain Catastrophizing reflect the construct as defined in the cognitive-behavioral literature. We investigated the content of these self-report measures; that is, whether items assess the construct 'Pain Catastrophizing' and not other theoretical constructs (i.e., related constructs or Pain outcomes) using the discriminant content validity method. Method. Items (n = 58) of six Pain Catastrophizing measures were complemented with items (n = 34) from questionnaires measuring Pain-related worrying, vigilance, Pain severity, distress, and disability. Via an online survey, 94 participants rated to what extent each item was relevant for assessing Pain Catastrophizing, defined as "to view or present Pain or Pain-related problems as considerably worse than they actually are" and other relevant constructs (Pain-related worrying, vigilance, Pain severity, distress, and disability). Results. Data were analyzed using Bayesian hierarchical models. The results revealed that the items from Pain-related worrying, vigilance, Pain severity, distress, and disability questionnaires were distinctively related to their respective constructs. This was not observed for the items from the Pain Catastrophizing questionnaires. The content of the Pain Catastrophizing measures was equally well, or even better, captured by Pain-related worrying or Pain-related distress. Conclusion. Based upon current findings, a recommendation may be to develop a novel Pain Catastrophizing questionnaire. However, we argue that Pain Catastrophizing cannot be assessed by self-report questionnaires. Pain Catastrophizing requires contextual information, and expert judgment, which cannot be provided by self-report questionnaires. We argue for a person-centered approach, and propose to rename 'Pain Catastrophizing' measures in line with what is better measured: 'Pain-related worrying'.
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parental Catastrophizing about their child s Pain the parent version of the Pain Catastrophizing scale pcs p a preliminary validation
Pain, 2006Co-Authors: Liesbet Goubert, Christopher Eccleston, Tine Vervoort, Abbie Jordan, Geert CrombezAbstract:Numerous studies have found evidence for the role of Catastrophizing about Pain in adjustment to Pain in both adults and children. However, the social context influencing Pain and Pain behaviour has been largely ignored. Especially in understanding the complexities of childhood Pain, family processes may be of major importance. In line with the crucial role of Pain Catastrophizing in explaining adjustment and disability in adults and children, this study investigates the role of parental catastrophic thinking about their child’s Pain in explaining child disability and parental distress. To study parental Catastrophizing, a parent version of the Pain Catastrophizing Scale (PCS-P) was developed. An oblique three-factor structure emerged to best fit the data in both a sample of parents of schoolchildren (N = 205) and in a sample of parents of children with chronic Pain (N = 107). Moreover, this three-factor structure was found to be invariant across both parent samples. Further, in the clinical sample, parents’ catastrophic thinking about their child’s Pain had a significant contribution in explaining (a) childhood illness-related parenting stress, parental depression and anxiety, and (b) the child’s disability and school attendance, beyond the child’s Pain intensity.
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the role of neuroticism Pain Catastrophizing and Pain related fear in vigilance to Pain a structural equations approach
Pain, 2004Co-Authors: Liesbet Goubert, Geert Crombez, Stefaan Van DammeAbstract:The present study aimed at clarifying the precise role of Pain Catastrophizing, Pain-related fear and personality dimensions in vigilance to Pain and Pain severity by means of structural equation modelling. A questionnaire survey was conducted in 122 patients with chronic or recurrent low back Pain. Results revealed that Pain Catastrophizing and Pain-related fear mediated the relationship between neuroticism and vigilance to Pain. Furthermore, vigilance to Pain was found to be associated with heightened Pain severity. Finally, we found that neuroticism moderated the relationship between Pain severity and catastrophic thinking about Pain. The results strongly support the idea that vigilance to Pain is dependent upon catastrophic thinking and Pain-related fear. Neuroticism is best conceived of as a vulnerability factor; it lowers the threshold at which Pain is perceived as threatening, and at which catastrophic thoughts about Pain emerge.
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the child version of the Pain Catastrophizing scale pcs c a preliminary validation
Pain, 2003Co-Authors: Geert Crombez, Liesbet Goubert, Christopher Eccleston, Patricia Bijttebier, T Mascagni, Gustaaf Mertens, Katrien VerstraetenAbstract:Catastrophizing about Pain has emerged as a critical variable in how we understand adjustment to Pain in both adults and children. In children, however, current methods of measuring Catastrophizing about Pain rely on brief subscales of larger coping inventories. Therefore, we adapted the Pain Catastrophizing Scale (Sullivan et al., 1995) for use in children, and investigated its construct and predictive validity in two studies. Study 1 revealed that in a community sample (400 boys, 414 girls; age range between 8 years 9 months and 16 years 5 months) the Pain Catastrophizing Scale for Children (PCS-C) assesses the independent but strongly related dimensions of rumination, magnification and helplessness that are subsumed under the higher-order construct of Pain Catastrophizing. This three factor structure is invariant across age groups and gender. Study 2 revealed in a clinical sample of children with chronic or recurrent Pain (23 girls, 20 boys; age range between 8 years 3 months and 16 years 6 months) that Catastrophizing about Pain had a unique contribution in predicting Pain intensity beyond gender and age, and in predicting disability, beyond gender, age and Pain intensity. The function of Pain Catastrophizing is discussed in terms of the facilitation of escape from Pain, and of the communication of distress to significant others.
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a confirmatory factor analysis of the Pain Catastrophizing scale invariant factor structure across clinical and non clinical populations
Pain, 2002Co-Authors: Stefaan Van Damme, Liesbet Goubert, Geert Crombez, Patricia Bijttebier, Boudewijn Van HoudenhoveAbstract:This study examined the factor structure of the Pain Catastrophizing Scale in three different Dutch-speaking samples: 550 Pain-free students, 162 chronic low back Pain patients, and 100 fibromyalgia patients. Confirmatory factor analyses were used to compare three different models of Pain Catastrophizing (one factor, two oblique factors, three oblique factors), and to investigate the invariance of the factor structure across the three different samples. The results indicated that a three-factor oblique model with a four-item rumination factor, a three-item magnification factor, and a six-item helplessness factor provided the best fit to the data in the three samples. Furthermore, it was found that this model could be considered as invariant across three samples (Pain-free students, chronic low back Pain patients, and fibromyalgia patients) and across gender, indicating that the same processes are measured in different subgroups.
Liesbet Goubert - One of the best experts on this subject based on the ideXlab platform.
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parental Catastrophizing about their child s Pain the parent version of the Pain Catastrophizing scale pcs p a preliminary validation
Pain, 2006Co-Authors: Liesbet Goubert, Christopher Eccleston, Tine Vervoort, Abbie Jordan, Geert CrombezAbstract:Numerous studies have found evidence for the role of Catastrophizing about Pain in adjustment to Pain in both adults and children. However, the social context influencing Pain and Pain behaviour has been largely ignored. Especially in understanding the complexities of childhood Pain, family processes may be of major importance. In line with the crucial role of Pain Catastrophizing in explaining adjustment and disability in adults and children, this study investigates the role of parental catastrophic thinking about their child’s Pain in explaining child disability and parental distress. To study parental Catastrophizing, a parent version of the Pain Catastrophizing Scale (PCS-P) was developed. An oblique three-factor structure emerged to best fit the data in both a sample of parents of schoolchildren (N = 205) and in a sample of parents of children with chronic Pain (N = 107). Moreover, this three-factor structure was found to be invariant across both parent samples. Further, in the clinical sample, parents’ catastrophic thinking about their child’s Pain had a significant contribution in explaining (a) childhood illness-related parenting stress, parental depression and anxiety, and (b) the child’s disability and school attendance, beyond the child’s Pain intensity.
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the role of neuroticism Pain Catastrophizing and Pain related fear in vigilance to Pain a structural equations approach
Pain, 2004Co-Authors: Liesbet Goubert, Geert Crombez, Stefaan Van DammeAbstract:The present study aimed at clarifying the precise role of Pain Catastrophizing, Pain-related fear and personality dimensions in vigilance to Pain and Pain severity by means of structural equation modelling. A questionnaire survey was conducted in 122 patients with chronic or recurrent low back Pain. Results revealed that Pain Catastrophizing and Pain-related fear mediated the relationship between neuroticism and vigilance to Pain. Furthermore, vigilance to Pain was found to be associated with heightened Pain severity. Finally, we found that neuroticism moderated the relationship between Pain severity and catastrophic thinking about Pain. The results strongly support the idea that vigilance to Pain is dependent upon catastrophic thinking and Pain-related fear. Neuroticism is best conceived of as a vulnerability factor; it lowers the threshold at which Pain is perceived as threatening, and at which catastrophic thoughts about Pain emerge.
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the child version of the Pain Catastrophizing scale pcs c a preliminary validation
Pain, 2003Co-Authors: Geert Crombez, Liesbet Goubert, Christopher Eccleston, Patricia Bijttebier, T Mascagni, Gustaaf Mertens, Katrien VerstraetenAbstract:Catastrophizing about Pain has emerged as a critical variable in how we understand adjustment to Pain in both adults and children. In children, however, current methods of measuring Catastrophizing about Pain rely on brief subscales of larger coping inventories. Therefore, we adapted the Pain Catastrophizing Scale (Sullivan et al., 1995) for use in children, and investigated its construct and predictive validity in two studies. Study 1 revealed that in a community sample (400 boys, 414 girls; age range between 8 years 9 months and 16 years 5 months) the Pain Catastrophizing Scale for Children (PCS-C) assesses the independent but strongly related dimensions of rumination, magnification and helplessness that are subsumed under the higher-order construct of Pain Catastrophizing. This three factor structure is invariant across age groups and gender. Study 2 revealed in a clinical sample of children with chronic or recurrent Pain (23 girls, 20 boys; age range between 8 years 3 months and 16 years 6 months) that Catastrophizing about Pain had a unique contribution in predicting Pain intensity beyond gender and age, and in predicting disability, beyond gender, age and Pain intensity. The function of Pain Catastrophizing is discussed in terms of the facilitation of escape from Pain, and of the communication of distress to significant others.
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a confirmatory factor analysis of the Pain Catastrophizing scale invariant factor structure across clinical and non clinical populations
Pain, 2002Co-Authors: Stefaan Van Damme, Liesbet Goubert, Geert Crombez, Patricia Bijttebier, Boudewijn Van HoudenhoveAbstract:This study examined the factor structure of the Pain Catastrophizing Scale in three different Dutch-speaking samples: 550 Pain-free students, 162 chronic low back Pain patients, and 100 fibromyalgia patients. Confirmatory factor analyses were used to compare three different models of Pain Catastrophizing (one factor, two oblique factors, three oblique factors), and to investigate the invariance of the factor structure across the three different samples. The results indicated that a three-factor oblique model with a four-item rumination factor, a three-item magnification factor, and a six-item helplessness factor provided the best fit to the data in the three samples. Furthermore, it was found that this model could be considered as invariant across three samples (Pain-free students, chronic low back Pain patients, and fibromyalgia patients) and across gender, indicating that the same processes are measured in different subgroups.
Christopher Eccleston - One of the best experts on this subject based on the ideXlab platform.
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let s talk about Pain Catastrophizing measures an item content analysis
PeerJ, 2020Co-Authors: Geert Crombez, Annick De Paepe, Elke Veirman, Christopher Eccleston, Gregory Verleysen, Dimitri M L Van RyckeghemAbstract:Background. Concerns have been raised about whether self-report measures of Pain Catastrophizing reflect the construct as defined in the cognitive-behavioral literature. We investigated the content of these self-report measures; that is, whether items assess the construct 'Pain Catastrophizing' and not other theoretical constructs (i.e., related constructs or Pain outcomes) using the discriminant content validity method. Method. Items (n = 58) of six Pain Catastrophizing measures were complemented with items (n = 34) from questionnaires measuring Pain-related worrying, vigilance, Pain severity, distress, and disability. Via an online survey, 94 participants rated to what extent each item was relevant for assessing Pain Catastrophizing, defined as "to view or present Pain or Pain-related problems as considerably worse than they actually are" and other relevant constructs (Pain-related worrying, vigilance, Pain severity, distress, and disability). Results. Data were analyzed using Bayesian hierarchical models. The results revealed that the items from Pain-related worrying, vigilance, Pain severity, distress, and disability questionnaires were distinctively related to their respective constructs. This was not observed for the items from the Pain Catastrophizing questionnaires. The content of the Pain Catastrophizing measures was equally well, or even better, captured by Pain-related worrying or Pain-related distress. Conclusion. Based upon current findings, a recommendation may be to develop a novel Pain Catastrophizing questionnaire. However, we argue that Pain Catastrophizing cannot be assessed by self-report questionnaires. Pain Catastrophizing requires contextual information, and expert judgment, which cannot be provided by self-report questionnaires. We argue for a person-centered approach, and propose to rename 'Pain Catastrophizing' measures in line with what is better measured: 'Pain-related worrying'.
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assessment of Pain anxiety Pain Catastrophizing and fear of Pain in children and adolescents with chronic Pain a systematic review and meta analysis
Journal of Pediatric Psychology, 2018Co-Authors: Emma Fisher, Christopher Eccleston, Laura E Simons, Lauren C Heathcote, Tonya M PalermoAbstract:Objective To conduct a systematic review of Pain anxiety, Pain Catastrophizing, and fear of Pain measures psychometrically established in youth with chronic Pain. The review addresses three specific aims: (1) to identify measures used in youth with chronic Pain, summarizing their content, psychometric properties, and use; (2) to use evidence-based assessment criteria to rate each measure according to the Society of Pediatric Psychology (SPP) guidelines; (3) to pool data across studies for meta-analysis of shared variance in psychometric performance in relation to the primary outcomes of Pain intensity, disability, generalized anxiety, and depression. Methods We searched Medline, Embase, PsycINFO, and relevant literature for possible studies to include. We identified measures studied in youth with chronic Pain that assessed Pain anxiety, Pain Catastrophizing, or fear of Pain and extracted the item-level content. Study and participant characteristics, and correlation data were extracted for summary and meta-analysis, and measures were rated using the SPP evidence-based assessment criteria. Results Fifty-four studies (84 papers) met the inclusion criteria, including seven relevant measures: one assessed Pain anxiety, three Pain Catastrophizing, and three fear of Pain. Overall, five measures were rated as "well established." We conducted meta-analyses on four measures with available data. We found significant positive correlations with the variables Pain intensity, disability, generalized anxiety, and depression. Conclusion Seven measures are available to assess Pain anxiety, Pain Catastrophizing, and fear of Pain in young people with chronic Pain, and most are well established. We present implications for practice and directions for future research.
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the relationship between adolescents Pain Catastrophizing and attention bias to Pain faces is moderated by attention control
Pain, 2015Co-Authors: Lauren C Heathcote, Christopher Eccleston, Dimitri M L Van Ryckeghem, Tine Vervoort, Elaine Fox, Konrad Jacobs, Jennifer Y F LauAbstract:This study considered the attentional functioning of adolescents with varying levels of Pain Catastrophizing. Specifically, we investigated the relationship between Pain Catastrophizing and attention bias to Pain facial expressions. Furthermore, drawing on dual process models in the context of Pain, we investigated the moderating role of attention control on this relationship. Adolescents (N = 73; age, 16-18 years) performed a dot-probe task in which facial expressions of Pain and neutral expressions were presented for 100 milliseconds and 1250 milliseconds. Participants also completed self-report Pain Catastrophizing and attention control measures. We found that although there was no main effect of Pain Catastrophizing on attention bias towards Pain faces, attention control did significantly moderate this relationship. Further analysis revealed that lower levels of attention control were significantly associated with increasing attentional vigilance towards Pain faces only within high Catastrophizing adolescents. In addition, we found that poorer attention control was related to increased attention bias for Pain faces (regardless of Pain Catastrophizing level) when these faces were presented for relatively longer durations (ie, 1250 milliseconds) but not for short durations (ie, 100 milliseconds). This study supports a dual process model of attentional processes in Pain, thus replicating previous findings within the psychopathology literature but extending them to the study of Pain. Theoretical and clinical implications of our findings are discussed.
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parental Catastrophizing about their child s Pain the parent version of the Pain Catastrophizing scale pcs p a preliminary validation
Pain, 2006Co-Authors: Liesbet Goubert, Christopher Eccleston, Tine Vervoort, Abbie Jordan, Geert CrombezAbstract:Numerous studies have found evidence for the role of Catastrophizing about Pain in adjustment to Pain in both adults and children. However, the social context influencing Pain and Pain behaviour has been largely ignored. Especially in understanding the complexities of childhood Pain, family processes may be of major importance. In line with the crucial role of Pain Catastrophizing in explaining adjustment and disability in adults and children, this study investigates the role of parental catastrophic thinking about their child’s Pain in explaining child disability and parental distress. To study parental Catastrophizing, a parent version of the Pain Catastrophizing Scale (PCS-P) was developed. An oblique three-factor structure emerged to best fit the data in both a sample of parents of schoolchildren (N = 205) and in a sample of parents of children with chronic Pain (N = 107). Moreover, this three-factor structure was found to be invariant across both parent samples. Further, in the clinical sample, parents’ catastrophic thinking about their child’s Pain had a significant contribution in explaining (a) childhood illness-related parenting stress, parental depression and anxiety, and (b) the child’s disability and school attendance, beyond the child’s Pain intensity.
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the child version of the Pain Catastrophizing scale pcs c a preliminary validation
Pain, 2003Co-Authors: Geert Crombez, Liesbet Goubert, Christopher Eccleston, Patricia Bijttebier, T Mascagni, Gustaaf Mertens, Katrien VerstraetenAbstract:Catastrophizing about Pain has emerged as a critical variable in how we understand adjustment to Pain in both adults and children. In children, however, current methods of measuring Catastrophizing about Pain rely on brief subscales of larger coping inventories. Therefore, we adapted the Pain Catastrophizing Scale (Sullivan et al., 1995) for use in children, and investigated its construct and predictive validity in two studies. Study 1 revealed that in a community sample (400 boys, 414 girls; age range between 8 years 9 months and 16 years 5 months) the Pain Catastrophizing Scale for Children (PCS-C) assesses the independent but strongly related dimensions of rumination, magnification and helplessness that are subsumed under the higher-order construct of Pain Catastrophizing. This three factor structure is invariant across age groups and gender. Study 2 revealed in a clinical sample of children with chronic or recurrent Pain (23 girls, 20 boys; age range between 8 years 3 months and 16 years 6 months) that Catastrophizing about Pain had a unique contribution in predicting Pain intensity beyond gender and age, and in predicting disability, beyond gender, age and Pain intensity. The function of Pain Catastrophizing is discussed in terms of the facilitation of escape from Pain, and of the communication of distress to significant others.
