Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain
This study examined the relationships of self-reported pain intensity with vital signs, pain catastrophizing, and state anxiety in patients presenting to the emergency department (ED) for acute pain, exacerbations of chronic pain, or acute pain with concurrent chronic (combined) pain, comparing the...
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| Veröffentlicht in: | Pain management nursing 2017-04, Vol.18 (2), p.102-109 |
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| creator | Block, Phoebe R. Thorn, Beverly E. Kapoor, Shweta White, Jessica |
| description | This study examined the relationships of self-reported pain intensity with vital signs, pain catastrophizing, and state anxiety in patients presenting to the emergency department (ED) for acute pain, exacerbations of chronic pain, or acute pain with concurrent chronic (combined) pain, comparing the pattern of relationships among these three pain groups. One hundred fifty-eight patients presenting to the ED for pain were recruited. Vital signs and self-reported pain intensity were obtained at triage, then participants completed self-report measures of pain catastrophizing, state anxiety, and demographic information. No significant associations were found between vital signs and pain intensity at triage in any of the pain groups. Pain catastrophizing was significantly associated with self-reported pain intensity in the acute pain group (r = .34, p |
| doi_str_mv | 10.1016/j.pmn.2016.12.001 |
| format | Article |
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One hundred fifty-eight patients presenting to the ED for pain were recruited. Vital signs and self-reported pain intensity were obtained at triage, then participants completed self-report measures of pain catastrophizing, state anxiety, and demographic information. No significant associations were found between vital signs and pain intensity at triage in any of the pain groups. Pain catastrophizing was significantly associated with self-reported pain intensity in the acute pain group (r = .34, p < .05) and combined pain group (r = .30, p < .05), and state anxiety was significantly associated with self-reported pain intensity in with the acute pain group (r = .27, p < .05). When pain catastrophizing and state anxiety were used in a stepwise multiple regression analysis to predict self-reported pain intensity in the acute pain group, only pain catastrophizing emerged as a unique predictor (β = .405, p < .01). Consistent with previous research, vital signs were not associated with self-reported pain intensity in patients presenting to the ED for pain, including those with chronic pain. Given the significant association of pain catastrophizing and pain intensity among patients presenting to the ED for acute pain, brief measurement of pain catastrophizing may inform pain treatment in the ED.</description><identifier>ISSN: 1524-9042</identifier><identifier>EISSN: 1532-8635</identifier><identifier>DOI: 10.1016/j.pmn.2016.12.001</identifier><identifier>PMID: 28259637</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Pain - diagnosis ; Adaptation, Psychological ; Anxiety - psychology ; Catastrophization - psychology ; Emergency Service, Hospital ; Female ; Humans ; Male ; Nursing ; Pain Threshold - psychology ; Surveys and Questionnaires ; Triage - methods ; Vital Signs</subject><ispartof>Pain management nursing, 2017-04, Vol.18 (2), p.102-109</ispartof><rights>2016 American Society for Pain Management Nursing</rights><rights>Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-4c9eca1cf0f9ca29d9de4e4d009440e25eb506eace44bbf052c8532b86a918253</citedby><cites>FETCH-LOGICAL-c353t-4c9eca1cf0f9ca29d9de4e4d009440e25eb506eace44bbf052c8532b86a918253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pmn.2016.12.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28259637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Block, Phoebe R.</creatorcontrib><creatorcontrib>Thorn, Beverly E.</creatorcontrib><creatorcontrib>Kapoor, Shweta</creatorcontrib><creatorcontrib>White, Jessica</creatorcontrib><title>Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain</title><title>Pain management nursing</title><addtitle>Pain Manag Nurs</addtitle><description>This study examined the relationships of self-reported pain intensity with vital signs, pain catastrophizing, and state anxiety in patients presenting to the emergency department (ED) for acute pain, exacerbations of chronic pain, or acute pain with concurrent chronic (combined) pain, comparing the pattern of relationships among these three pain groups. One hundred fifty-eight patients presenting to the ED for pain were recruited. Vital signs and self-reported pain intensity were obtained at triage, then participants completed self-report measures of pain catastrophizing, state anxiety, and demographic information. No significant associations were found between vital signs and pain intensity at triage in any of the pain groups. Pain catastrophizing was significantly associated with self-reported pain intensity in the acute pain group (r = .34, p < .05) and combined pain group (r = .30, p < .05), and state anxiety was significantly associated with self-reported pain intensity in with the acute pain group (r = .27, p < .05). When pain catastrophizing and state anxiety were used in a stepwise multiple regression analysis to predict self-reported pain intensity in the acute pain group, only pain catastrophizing emerged as a unique predictor (β = .405, p < .01). Consistent with previous research, vital signs were not associated with self-reported pain intensity in patients presenting to the ED for pain, including those with chronic pain. Given the significant association of pain catastrophizing and pain intensity among patients presenting to the ED for acute pain, brief measurement of pain catastrophizing may inform pain treatment in the ED.</description><subject>Acute Pain - diagnosis</subject><subject>Adaptation, Psychological</subject><subject>Anxiety - psychology</subject><subject>Catastrophization - psychology</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Nursing</subject><subject>Pain Threshold - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Triage - methods</subject><subject>Vital Signs</subject><issn>1524-9042</issn><issn>1532-8635</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctOwzAQRS0EglL4ADbISxYk2I6TJmKFyqtSJSrx2FqOM2ldNU6wXVD5A_4a9wFLVr7W3DnS3IvQGSUxJTS7msddY2IWZExZTAjdQz2aJizKsyTdX2vGo4JwdoSOnZsHA80IO0RHLGdpkSWDHvqeSG3wUHrpvG27mf7SZnqJrfQzsNjPpMFv2ssFftZT4y7xjXOt0tJDhT-1n-HN-sh4ME77FQ6fifQajHd4YsEFEXjYtwEF-K4BOwWjVvgWOml9E8a4bu2GcoIOarlwcLp7--j1_u5l-BiNnx5Gw5txpJI08RFXBShJVU3qQklWVEUFHHhFSME5AZZCmZIMpALOy7ImKVN5iKTMM1nQcHbSRxdbbmfb9yU4LxrtFCwW0kC7dILmAz7Ik4wkwUq3VmVb5yzUorO6kXYlKBHrBsRchAbEugFBmQgBh53zHX5ZNlD9bfxGHgzXWwOEIz80WOFUCExBpS0oL6pW_4P_AUmomMc</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Block, Phoebe R.</creator><creator>Thorn, Beverly E.</creator><creator>Kapoor, Shweta</creator><creator>White, Jessica</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain</title><author>Block, Phoebe R. ; Thorn, Beverly E. ; Kapoor, Shweta ; White, Jessica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-4c9eca1cf0f9ca29d9de4e4d009440e25eb506eace44bbf052c8532b86a918253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute Pain - diagnosis</topic><topic>Adaptation, Psychological</topic><topic>Anxiety - psychology</topic><topic>Catastrophization - psychology</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Nursing</topic><topic>Pain Threshold - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Triage - methods</topic><topic>Vital Signs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Block, Phoebe R.</creatorcontrib><creatorcontrib>Thorn, Beverly E.</creatorcontrib><creatorcontrib>Kapoor, Shweta</creatorcontrib><creatorcontrib>White, Jessica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain management nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Block, Phoebe R.</au><au>Thorn, Beverly E.</au><au>Kapoor, Shweta</au><au>White, Jessica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain</atitle><jtitle>Pain management nursing</jtitle><addtitle>Pain Manag Nurs</addtitle><date>2017-04</date><risdate>2017</risdate><volume>18</volume><issue>2</issue><spage>102</spage><epage>109</epage><pages>102-109</pages><issn>1524-9042</issn><eissn>1532-8635</eissn><abstract>This study examined the relationships of self-reported pain intensity with vital signs, pain catastrophizing, and state anxiety in patients presenting to the emergency department (ED) for acute pain, exacerbations of chronic pain, or acute pain with concurrent chronic (combined) pain, comparing the pattern of relationships among these three pain groups. One hundred fifty-eight patients presenting to the ED for pain were recruited. Vital signs and self-reported pain intensity were obtained at triage, then participants completed self-report measures of pain catastrophizing, state anxiety, and demographic information. No significant associations were found between vital signs and pain intensity at triage in any of the pain groups. Pain catastrophizing was significantly associated with self-reported pain intensity in the acute pain group (r = .34, p < .05) and combined pain group (r = .30, p < .05), and state anxiety was significantly associated with self-reported pain intensity in with the acute pain group (r = .27, p < .05). When pain catastrophizing and state anxiety were used in a stepwise multiple regression analysis to predict self-reported pain intensity in the acute pain group, only pain catastrophizing emerged as a unique predictor (β = .405, p < .01). Consistent with previous research, vital signs were not associated with self-reported pain intensity in patients presenting to the ED for pain, including those with chronic pain. Given the significant association of pain catastrophizing and pain intensity among patients presenting to the ED for acute pain, brief measurement of pain catastrophizing may inform pain treatment in the ED.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28259637</pmid><doi>10.1016/j.pmn.2016.12.001</doi><tpages>8</tpages></addata></record> |
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| ispartof | Pain management nursing, 2017-04, Vol.18 (2), p.102-109 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Acute Pain - diagnosis Adaptation, Psychological Anxiety - psychology Catastrophization - psychology Emergency Service, Hospital Female Humans Male Nursing Pain Threshold - psychology Surveys and Questionnaires Triage - methods Vital Signs |
| title | Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain |
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