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Pain Catastrophizing and Negative Mood States After Spinal Cord Injury: Transitioning From Inpatient Rehabilitation Into the Community.
- Source :
-
The journal of pain [J Pain] 2017 Jul; Vol. 18 (7), pp. 800-810. Date of Electronic Publication: 2017 Mar 06. - Publication Year :
- 2017
-
Abstract
- Chronic pain is prevalent in people with spinal cord injury (SCI). We investigated how chronic pain intensity and catastrophizing varies in adults with SCI during inpatient rehabilitation up to 12 months postinjury after transitioning into the community. Eighty-eight participants with SCI were assessed for pain intensity and catastrophizing, depressive mood states, and cognitive performance. Participants were divided into subgroups of clinically elevated depressive mood and anxiety versus those with normal mood state levels. The rate of clinically elevated pain catastrophizing was 22.5% at 12 months postinjury. Participants with elevated anxiety reported significantly higher pain intensity 12 months postinjury. Participants with clinically elevated depressive mood and anxiety reported significantly elevated pain catastrophizing 12 month postinjury. Findings indicate those with elevated depressive mood states will be more likely to have high levels of pain and engage in cognitive appraisals involving pain-related catastrophizing. Importantly, however, risk of increased pain intensity and catastrophizing occurred only after transitioning into the community, when personal resources will be severely challenged. Implications of these results for models of pain catastrophizing are discussed and it is concluded there is a need for ongoing support in the community to develop self-management skills and strategies that strengthen social support networks.<br />Perspective: We studied pain catastrophizing and negative mood states in adults with SCI. Catastrophizing was higher in those with depression, but only after discharge from hospital into the community. Results provide direction for improving treatment of pain catastrophizing in adults with SCI who are depressive and anxious.<br /> (Copyright © 2017 American Pain Society. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Female
Humans
Inpatients
Male
Middle Aged
Young Adult
Catastrophization psychology
Chronic Pain psychology
Depression psychology
Independent Living psychology
Neurological Rehabilitation psychology
Spinal Cord Injuries psychology
Spinal Cord Injuries rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1528-8447
- Volume :
- 18
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- The journal of pain
- Publication Type :
- Academic Journal
- Accession number :
- 28274697
- Full Text :
- https://doi.org/10.1016/j.jpain.2017.02.431