Patients Presenting to the Emergency Department with Acute Pain: The Significant Role of Pain Catastrophizing and State Anxiety

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Shweta KapoorPhoebe Block

Abstract

Pain is one of the most common reasons for emergency department (ED) visits. Given the significant association of psychological variables and pain experience, it is critical to examine the relation of such factors with ED pain reports. This study sought to analyze the association of reported pain intensity in ED with pain catastrophizing and state anxiety. One hundred participants presenting with a primary complaint of acute pain in an urban ED completed the study. The measures included a demographic survey with questions pertaining to pain intensity, type and duration of present pain, the Pain Catastrophizing Scale (PCS), and the State-Trait Anxiety Inventory-State Subscale (STAI-S). Pain intensity was significantly and positively associated with pain catastrophizing and state anxiety. Follow-up PROCESS mediation analysis revealed a significant indirect effect of pain catastrophizing on the relationship between state anxiety and pain intensity. The results suggest that it is important to assess the psychological distress due to anxiety and pain catastrophizing of patients presenting to EDs with acute pain. Setting-appropriate brief behavioral interventions in conjunction with pharmacological interventions could improve outcomes.

References

Nov 1, 1983·The British Journal of Clinical Psychology·R G KnightG F Spears
Jan 16, 1998·Journal of Behavioral Medicine·A OsmanE O'Neill
Oct 29, 1998·Community Dentistry and Oral Epidemiology·M J Sullivan, N R Neish
Jan 20, 2000·Patient Education and Counseling·M GustafssonM Merboth
Apr 6, 2001·The Clinical Journal of Pain·M J SullivanJ C Lefebvre
Apr 6, 2001·The Clinical Journal of Pain·J A Turner, L A Aaron
Oct 11, 2001·The American Journal of Emergency Medicine·R T GerhardtR S Wiegert
Apr 3, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Polly E BijurE John Gallagher
Feb 6, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Rudy SevereijnsH Susan J Picavet
Oct 27, 2004·The Journal of Pain : Official Journal of the American Pain Society·Leighann Litcher-KellyJoseph E Schwartz
Dec 16, 2004·The Clinical Journal of Pain·D Janet PavlinKristine Roesen
Apr 19, 2005·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Fidela S J BlankAnn M Maynard
Jul 8, 2005·Journal of Clinical Nursing·Amelia Williamson, Barbara Hoggart
Sep 6, 2005·The Journal of Pain : Official Journal of the American Pain Society·Judy Tang, Stephen J Gibson
Feb 20, 2007·The Journal of Pain : Official Journal of the American Pain Society·Knox H ToddUNKNOWN PEMI Study Group
Aug 11, 2007·The Journal of Pain : Official Journal of the American Pain Society·Beverly E ThornPatricia W Tsui
Apr 16, 2008·The American Journal of Emergency Medicine·Jordan B BonomoArvind Venkat
Aug 14, 2008·Behavior Research Methods·Kristopher J Preacher, Andrew F Hayes
May 1, 2009·Expert Review of Neurotherapeutics·Phillip J QuartanaRobert R Edwards
May 27, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Erik WitvrouwR Verdonk
May 5, 2010·The Journal of Pain : Official Journal of the American Pain Society·Claudia M CampbellRobert R Edwards
Jul 29, 2010·The Clinical Journal of Pain·Martin Schiavenato, Kenneth D Craig
Sep 18, 2012·The American Journal of Emergency Medicine·Philip CravenTroy Madsen
Apr 2, 2013·The Journal of Pain : Official Journal of the American Pain Society·Patrícia R PintoVera Araújo-Soares
Jul 31, 2013·Pain·Javeria A Hashmi, Karen D Davis
Nov 19, 2013·The Journal of Pain : Official Journal of the American Pain Society·Joseph L RileyRoger B Fillingim
Dec 30, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jorien G J PierikCarine J M Doggen
Mar 24, 2015·The Journal of Emergency Medicine·Erin QuattromaniPreeti Dalawari

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Citations

Jan 21, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Naveendran RajendranAndrew Coggins
Apr 2, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Corey HeitzWilliam K Milne

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