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The Case of Chronic Pain
Published in Joel Michael Reynolds, Christine Wieseler, The Disability Bioethics Reader, 2022
Responsibilization and wellness also act to position pain as something to be feared and avoided – and something which can be entirely prevented, rather than a part of human experience. In this way, the prospect of pain, and the prospect of pain continuing, becomes much greater – and the pressure to end pain increases as a life with pain becomes seen as not just one of suffering, but as not liveable. Avoiding disability and illness – including pain – becomes a central concern of engaging in wellness. This concern can lead to pain being regarded as catastrophic – but also underpins the response to pain labeled as “pain catastrophizing.”
Psychological Intervention
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
Samantha Rafie, Sarah Rispinto, Sarah Martin
Cognitions play a vital role in the way a person experiences chronic pain. Cognitive distortions are negatively biased errors in thinking41 that increase vulnerability to emotional and behavioral responses. There are common cognitive distortions, or thinking errors, that influence how an individual responds to pain, including the following: mindreading, catastrophizing, all-or-nothing thinking, emotional reasoning, labeling, mental filtering, overgeneralization, personalization, should statements, and minimizing.42–44 Pain catastrophizing is commonly presented due to the high correlation between catastrophizing and adjustment to pain.45
Orofacial Pain
Published in Andrea Kohn Maikovich-Fong, Handbook of Psychosocial Interventions for Chronic Pain, 2019
John E. Schmidt, James M. Hawkins
In patients with a chronic OFP condition, the subjective experience of pain itself is often the source of anxiety. Anticipating an increase in pain will exacerbate fear and increase pain-related anxiety. Specifically, pain catastrophizing is a maladaptive cognitive processing style in which the individual magnifies the impact of a pain stimulus or potential pain stimulus, feels helpless in the context of ongoing pain severity, and has difficulty inhibiting pain-related thoughts before, during, and following an event that may have increased pain severity (Quartana, Campbell, & Edwards, 2009). This pattern of catastrophizing may result in avoiding activities that previously were normal day-to-day events for the patient.
A feasibility study of home-based preoperative multimodal physiotherapy for patients scheduled for a total knee arthroplasty who catastrophize about their pain
Published in Physiotherapy Theory and Practice, 2023
Marc Terradas-Monllor, Mirari Ochandorena-Acha, Hector Beltran-Alacreu, Ester Garcia Oltra, Fernando Collado Saenz, Jose Hernandez Hermoso
The therapeutic patient education group (TPE) received three home-based, one-on-one sessions of preoperative therapeutic education, composed of pain neuroscience education (PNE) and coping skills training (CST), in addition to the usual care. The purpose of PNE was to enhance the participants’ understanding of pain by bringing them closer to the biological processes that underlie the pain construct and to shape their cognitions about it. At the same time, CST aimed to provide coping strategies such as exercise training, self-mobilizations, and relaxation techniques to deal with their symptoms. Exercise training was an essential part of the CST and was composed of strengthening, balance, and stability exercises, and they were divided into core, hip, knee, and global exercises. Both strategies aimed to improve patients’ pain and function and reduce their maladaptive cognitions such as pain catastrophizing. The intervention started after the outpatient preoperative consultation (i.e. 2–3 months before surgery), lasted for three weeks, and the duration of each session was approximately 45 minutes. The patients were encouraged to follow the recommendations during the waiting period for the TKA intervention, and compliance was assessed at post-treatment follow-up, 8 weeks after the intervention started.
Quality of life in children and adolescents with eosinophilic esophagitis
Published in Children's Health Care, 2023
Laura M. Bennett Murphy, Molly O’Gorman, Susan Fitzgerald, Kathryn Peterson, Jacob Robson
These findings provide support for the conceptual model proposed by Lynch and colleagues (2015) suggesting that while EoE symptoms and treatment may have a direct effect on HRQoL, pain and internalizing symptoms may act as mediators. Chronic pain may lead to heightened visceral sensitivity and vigilance to pain cues creating cognitive and emotional responses that interfere with well-being (Fischer et al., 2014). Pain catastrophizing, or a negative cognitive orientation toward painful stimuli, has been linked to lower HRQoL in youth with fibromyalgia (Libby & Glenwick, 2010) and youth with other gastrointestinal diseases (Warschburger et al., 2014), and the effect of pain catastrophizing was greater than the effect of pain intensity alone. Pain catastrophizing consistently has been linked to functional disability and poor outcomes in school children and children with chronic pain (Asmundson, 1999; Simons & Kaczynski, 2012), and has been delineated as a distinct construct from anxiety (Tran et al., 2015). This study marks that maladaptive thinking about one’s EoE experience contributes directly to reduced HRQoL. Patterns of pain catastrophizing can serve as targets for psychological interventions.
Role of self-efficacy for pain management and pain catastrophizing in the relationship between pain severity and depressive symptoms in women with breast cancer and pain
Published in Journal of Psychosocial Oncology, 2023
Hannah M. Fisher, Juliann Stalls, Joseph G. Winger, Shannon N. Miller, Jennifer C. Plumb Vilardaga, Catherine Majestic, Sarah A. Kelleher, Tamara J. Somers
The psychological variables of self-efficacy for pain management and pain catastrophizing have garnered much attention within the pain literature.16,17 Pain self-efficacy is defined as one’s confidence in their ability to control pain on their own (i.e., without medication or other medical intervention).17 Pain catastrophizing is the tendency to fixate on and magnify pain sensations, and to feel helpless when faced with pain.18 Both pain self-efficacy and pain catastrophizing are key constructs within the symptom experience for individuals coping with medical conditions wherein pain is common (e.g., arthritis, cancer).19–21 These pain-related cognitions have been linked to increased pain severity, stiffness, sleep disturbance, fatigue, and psychological disability.18–21 In breast cancer samples specifically, research has shown that lower pain self-efficacy and higher pain catastrophizing are separately associated with higher pain severity.6,22 Additionally, individuals who endorse low pain self-efficacy and/or high pain catastrophizing are more likely to also report more depressive symptoms.6,22–24