Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction through differential patterns of physical and psychological disruption

Scandinavian Journal of Pain
John A SturgeonSean C Mackey

Abstract

Previous research has highlighted the importance of cognitive appraisal processes in determining the nature and effectiveness of coping with chronic pain. Two of the key variables implicated in appraisal of pain are catastrophizing and perceived injustice, which exacerbate the severity of pain-related distress and increase the risk of long-term disability through maladaptive behavioural responses. However, to date, the influences of these phenomena have not been examined concurrently, nor have they been related specifically to quality of life measures, such as life satisfaction. Using data from an online survey of 330 individuals with chronic pain, structural path modelling techniques were used to examine the independent effects of pain catastrophizing, perceived injustice, and average pain intensity on life satisfaction. Two potential mediators of these relationships were examined: depressive symptoms and pain-related interference. Results indicated that depressive symptoms fully mediated the relationship between pain catastrophizing and life satisfaction, and pain interference fully mediated the relationship between pain intensity and life satisfaction. Both depressive symptoms and pain interference were found to significantl...Continue Reading

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Citations

Aug 4, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Moona KuronenMerja Kokki
May 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Junie S CarriereRobert R Edwards
Dec 2, 2020·European Journal of Pain : EJP·John SturgeonZina Trost
Jan 20, 2021·The Journal of Pain : Official Journal of the American Pain Society·Julie LynchKeith Gaynor
May 20, 2021·The Clinical Journal of Pain·Eleanor A J BattisonAmy L Holley
Nov 6, 2021·Psychological Medicine·Alicja TimmBettina Studer
Dec 16, 2021·Scandinavian Journal of Pain·Tomonori AdachiMasahiko Shibata

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