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Catastrophizing, depression and pain-related disability
Bruce A Arnow1, Christine M Blasey, Michael J Constantino
1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA. arnow@stanford.edu
General Hospital Psychiatry
|May 21, 2011
Summary
Catastrophic thinking and depression significantly predict disability in chronic pain patients. Addressing these psychological factors may improve daily functioning and reduce pain-related limitations.
Area of Science:
- Psychology
- Pain Medicine
- Primary Care
Background:
- Chronic pain affects a significant portion of the population.
- Psychological factors like catastrophizing and depression are known to influence pain perception and disability.
- Understanding the interplay of these factors is crucial for effective pain management.
Purpose of the Study:
- To investigate the predictive roles of catastrophizing and depression on disability in chronic pain patients.
- To examine the interactive effects of catastrophizing and depression in this population.
Main Methods:
- A cohort of 2618 primary care patients with chronic pain was surveyed.
- Validated questionnaires assessed major depression (Patient Health Questionnaire) and catastrophizing (Coping Strategies Questionnaire).
- Pain intensity and disability (pain interference, missed activities) were measured using the Graded Chronic Pain Scale; medical records provided illness severity data.
Main Results:
- Both catastrophizing and depression were significant predictors of pain-related disability.
- Catastrophizing demonstrated a larger effect size than depression in predicting disability.
- These findings held true for both measures of disability assessed.
Conclusions:
- Routine screening for catastrophizing and depression is recommended for chronic pain patients.
- Interventions targeting catastrophic thinking and depression may reduce disability.
- Modifying these psychological factors can enhance patients' ability to engage in daily activities.
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