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Pain catastrophizing in rheumatic diseases: prevalence, origin, and implications
Mateusz Wilk1, Olena Zimba1,2,3, Glenn Haugeberg4,5
1Division of Rheumatology, Immunology and Internal Medicine, University Hospital in Krakow, Krakow, Poland.
Rheumatology International
|April 12, 2024
Summary
Pain catastrophizing significantly impacts rheumatic disorders, worsening patient well-being. Addressing this maladaptive coping strategy is crucial for improving treatment outcomes in conditions like rheumatoid arthritis and osteoarthritis.
Area of Science:
- Rheumatology
- Pain Management
- Psychology
Background:
- Pain is a central issue in rheumatic diseases, with coping strategies significantly influencing patient outcomes.
- Maladaptive pain coping, specifically pain catastrophizing, is linked to poorer well-being in patients with rheumatic conditions.
Purpose of the Study:
- To review current knowledge on pain catastrophizing in prevalent rheumatic disorders.
- To understand the phenomenon's implications and identify future research directions.
Main Methods:
- A narrative review of literature from MEDLINE/PubMed, SCOPUS, and DOAJ databases.
- Searches focused on pain catastrophizing in rheumatoid arthritis, psoriatic arthritis, axial spondylarthritis, systemic sclerosis, systemic lupus erythematosus, Sjögren's syndrome, juvenile idiopathic arthritis, and osteoarthritis (non-surgical).
- Included 156 records after screening and full-text analysis of relevance, prevalence, pathogenesis, and impact.
Main Results:
- Pain catastrophizing amplifies pain perception and negatively affects multiple aspects of patient well-being.
- The review summarized potential treatment approaches for pain catastrophizing across various rheumatic disorders.
Conclusions:
- Pain catastrophizing is a significant factor in rheumatic disorders, affecting patient outcomes.
- Further prospective controlled trials are needed to explore its impact and improve patient care.
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