Fear of Pain, Pain Catastrophizing, and Acute Pain Perception: Relative Prediction and Timing of Assessment (original) (raw)
Related papers
European Journal of Pain, 2006
Three fundamental fears -anxiety sensitivity (AS), injury/illness sensitivity (IS) and fear of negative evaluation (FNE) -have been proposed to underlie common fears and psychopathological conditions. In pain research, the relation between AS and (chronic) pain processes was the subject of several studies, whereas the possible role of IS has been ignored. The current research examines the role of IS with respect to various pain-related variables in two studies. In the first study, 192 healthy college students completed the Sensitivity Index (SI; a composite measure assessing the three fundamental fears) and various pain-related questionnaires. In a second study, 60 students out of the original sample took part in a pain induction procedure and completed the SI as well. We first examined the properties of the SI. Factor analysis on the SI replicated the proposed factor structure [Taylor S. The structure of fundamental fears, J Behav Ther Exp Psychiat 1993;24:289-99]. However, some items of the ASI did show problematic loadings and were therefore excluded in subsequent analyses. The main hypothesis of the current study states that IS is a stronger predictor than AS of pain catastrophizing and fear of pain as assessed by self-report measures, and of pain tolerance and anticipatory fear of pain as assessed in a pain induction study. This hypothesis could be confirmed for all variables, except for pain tolerance, which was not predicted by any of the three fundamental fears. The current study can be considered as an impetus for devoting attention to IS in future pain research.
Development of the Fear of Pain Questionnaire-III
Journal of Behavioral Medicine, 1998
Fear and/or anxiety about pain is a useful construct, in both theoretical and clinical terms. This article describes the development and refinement of the Fear of Pain Questionnaire (FPQ), which exists in its most current form as the FPQ-III. Factor analytic refinement resulted in a 30-item FPQ-III which consists of Severe Pain, Minor Pain, and Medical Pain subscales. Internal consistency and test-retest reliability of the FPQ-III were found to be good. Four studies are presented, including normative data for samples of inpatient chronic pain patients, general medical outpatients, and unselected undergraduates. High fear of pain individuals had greater avoidance/escape from a pain-relevant Behavioral Avoidance Test with Video, relative to their low fear counterparts, suggesting predictive validity. Chronic pain patients reported the greatest fear of severe pain. Directions for future research with the FPQ-III are discussed, along with general comments about the relation of fear and anxiety to pain.
The journal of pain : official journal of the American Pain Society, 2015
The present study examined whether pain catastrophizing and pain-related fear predict the experience of pain in body regions that are not targeted by an experimental muscle injury protocol. A delayed-onset muscle soreness (DOMS)-protocol was used to induce pain unilaterally in the pectoralis, serratus, trapezius, latisimus dorsi, and deltoid muscles. The day following the DOMS-protocol, participants were asked to rate their pain as they lifted weighted canisters with their targeted arm (i.e. injured) and their not-targeted arm. The lifting task is a non-noxious stimulus unless participants are already experiencing musculoskeletal pain. Therefore, reports of pain on the not-targeted arm were operationalized as pain in response to a non-noxious stimulus. Eighty-two (54 females, 28 males) healthy university students completed pain catastrophizing and fear of pain questionnaires and went through the DOMS-protocol. The analyses revealed that catastrophizing and pain-related fear prospect...
An Explorative Study of Pain Catastrophizing : Is Catastrophic Worry an Overlooked Aspect ?
2018
Purpose: Chronic pain is a burden for many people in Western Society (Breivik et al., 2006, p. 309f). Reviewing the functions influencing chronic pain, hereunder pain catastrophizing, is therefore pivotal. Pain catastrophizing is considered to be an important psychological factor in relation to chronic pain, and there is a notable quantity of empirical research that supports this notion (Keefe et al., 2004; Sullivan et al 2001). Conversely, the theoretical underpinnings of the construct have been less disputed. Recently, there has been renewed interest in exploring the concept in the light of contemporary psychological literature. Leading to Flink and colleagues (2013) introducing the term catastrophic worry, which they argued is an integrated aspect of a pain catastrophizing process. However, to my knowledge, there has been no empirical exploration of this concept in the pain area. The central aim of this study became to investigate if pain catastrophizing and catastrophic worry ar...
Pain-related fear: a critical review of the related measures
Pain research and treatment, 2011
In regards to pain-related fear, this study aimed to: (1) identify existing measures and review their measurement properties, and (2) identify the optimum measure for specific constructs of fear-avoidance, pain-related fear, fear of movement, and kinesiophobia. Systematic literature search for instruments designed to measure fear of pain in patients with persistent musculoskeletal pain. Psychometric properties were evaluated by adjusted Wind criteria. Five questionnaires (Fear-Avoidance Beliefs Questionnaire (FABQ), Fear-Avoidance of Pain Scale (FAPS), Fear of Pain Questionnaire (FPQ), Pain and Anxiety Symptoms Scale (PASS), and the Tampa Scale for Kinesiophobia (TSK)) were included in the review. The main findings were that for most questionnaires, there was no underlying conceptual model to support the questionnaire's construct. Psychometric properties were evaluated by diverse methods, which complicated comparisons of different versions of the same questionnaires. Construct v...
The Moderator Role of Pain Duration in Relation between Pain Catastrophizing and Pain Intensity
Journal of basic and clinical health sciences, 2023
prevalence and duration of action of CMPS remain unclear (2,3). Pain catastrophizing, defined as an emotional response to anticipated or actual pain, has attracted much more attention in the last two decades (4-6). Pain catastrophizing has a multidimensional structure that consists of three aspects (magnification, rumination, and helplessness) (7). Magnification is defined as exaggeration of pain ABSTRACT Purpose: Pain catastrophizing is one of the most important factors contributing to pain experience and duration of action. This study aimed to explore the moderator role of pain duration in the hypothetical relation between pain catastrophizing and pain intensity in patients with chronic musculoskeletal pain syndrome (CMPS). Material and Methods: Seven hundred and eight patients with CMPS (mean age: 28.52 ± 7.75 years) participated in this cross-sectional and descriptive study. The pain intensity and catastrophizing of the patients was assessed with the Visual Analog Scale (VAS) and Pain Catastrophizing Scale (PCS), respectively. The time elapsed since the participants' first experience of pain (number of days) was recorded as pain duration. Results: There was a positive correlation between pain duration (r=0.181, p<0.001), pain intensity (r=0.432, p<0.001) and total score of pain catastrophizing. According to univariate and multivariate regression analysis, pain duration adjusting for pain catastrophizing maintained its predictor effect on pain intensity (p<0.001). According to hierarchical model, the effect of pain catastrophizing on pain intensity was 44.7%, its effect increases to 48.5% adding pain duration. Conclusion: The results of this study supports that pain duration has no critical effect on the relation between pain catastrophization to pain intensity in patients with CMPS.
Manipulation of pain catastrophizing: An experimental study of healthy participants
Journal of Pain Research, 2008
Pain catastrophizing is associated with the pain experience; however, causation has not been established. Studies which specifi cally manipulate catastrophizing are necessary to establish causation. The present study enrolled 100 healthy individuals. Participants were randomly assigned to repeat a positive, neutral, or one of three catastrophizing statements during a cold pressor task (CPT). Outcome measures of pain tolerance and pain intensity were recorded. No change was noted in catastrophizing immediately following the CPT (F (1,84) = 0.10, p = 0.75, partial η 2 Ͻ 0.01) independent of group assignment (F (4,84) = 0.78, p = 0.54, partial η 2 = 0.04). Pain tolerance (F (4) = 0.67, p = 0.62, partial η 2 = 0.03) and pain intensity (F (4) = 0.73, p = 0.58, partial η 2 = 0.03) did not differ by group. This study suggests catastrophizing may be diffi cult to manipulate through experimental pain procedures and repetition of specifi c catastrophizing statements was not suffi cient to change levels of catastrophizing. Additionally, pain tolerance and pain intensity did not differ by group assignment. This study has implications for future studies attempting to experimentally manipulate pain catastrophizing.
PAIN, 1997
Preliminary evidence from a study using a modified Stroop paradigm suggests that individuals with chronic pain selectively attend to pain-related information. The current study was conducted in an attempt to replicate and extend this finding. Nineteen patients with chronic pain stemming from musculoskeletal injury and 22 healthy control subjects participated. All participants completed a computerised task designed to evaluate attentional allocation to cues thematically related to pain and injury via measurement of detection latencies for dotprobes that followed their presentation. Results indicated that patients did not differ from control subjects in their pattern of responses to dot-probes that were presented following either the pain-or injury-related cues. This pattern of results continued to hold true after including level of depression as a covariate in the analysis. However, when patients were divided on the basis of scores on the Anxiety Sensitivity Index (Peterson, R.A. and Reiss, S., Anxiety Sensitivity Index Manual, 2nd edn., International Diagnostic Systems, Worthington, OH, 1992), a measure related to fear of pain (Asmundson, G.J.G. and Norton, G.R., Behav. Res. Ther., 34 (1996) 545-554), those with low anxiety sensitivity shifted attention away from stimuli related to pain whereas those with high anxiety sensitivity responded similarly to dotprobes regardless of the parameters of presentation. These results suggest that the operation of the information processing system in patients with chronic pain may be dependent on a patient's trait predisposition to fear pain. Theoretical and ecological implications are discussed. © 1997 International Association for the Study of Pain. Published by Elsevier Science B.V.