Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR)
Objective Little is known about how changes in psychosocial factors impact changes in pain outcomes among patients with cancer and chronic pain. This longitudinal cohort study of cancer patients investigated the relationships between changes in psychosocial factors and changes in pain severity and i...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2022-10, Vol.31 (10), p.1753-1761 |
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| container_title | Psycho-oncology (Chichester, England) |
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| creator | Wilson, Jenna M. Schreiber, Kristin L. Mackey, Sean Flowers, K. Mikayla Darnall, Beth D. Edwards, Robert R. Azizoddin, Desiree R. |
| description | Objective
Little is known about how changes in psychosocial factors impact changes in pain outcomes among patients with cancer and chronic pain. This longitudinal cohort study of cancer patients investigated the relationships between changes in psychosocial factors and changes in pain severity and interference over time.
Methods
Data from patients with cancer and chronic pain (n = 316) treated at a tertiary pain clinic were prospectively collected. At their baseline visit (Time 1), patients provided demographic and clinical information, and completed validated psychosocial and pain assessments. Psychosocial and pain assessments were repeated at a follow‐up visit (Time 2), on average 4.9 months later. Change scores (Time 2‐Time 1) were computed for psychosocial and pain variables. Multivariable hierarchical linear regressions assessed the associations between changes in psychosocial factors with changes in pain outcomes over time.
Results
Participants were an average age of 59 years, were 61% female, and 69% White. Overall, a decrease in pain severity (p ≤ 0.001), but not pain interference, was observed among the group over time. In multivariable analyses, increased pain catastrophizing was significantly associated with increased pain severity over time (β = 0.24, p ≤ 0.001). Similarly, increased pain catastrophizing (β = 0.21, p ≤ 0.001) and increased depression (β = 0.20, p ≤ 0.003) were significantly associated with increased pain interference over time. Demographic and clinical characteristics were not significantly related to changes in pain outcomes.
Conclusions
Increased pain catastrophizing was uniquely associated with increased chronic pain severity and interference. Our findings indicate that cancer patients with chronic pain would likely benefit from the incorporation of nonpharmacological interventions, simultaneously addressing pain and psychological symptoms. |
| doi_str_mv | 10.1002/pon.6020 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9910323</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2704873186</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4380-4172957855e73e2e12e6fe69ad39332da4e5b00b11499cbe551e8f6a2f5793313</originalsourceid><addsrcrecordid>eNp1kl-L1DAUxYso7roKfgIJ-LI-dM2fpm18EJZB3YHFEdHnkKa30yydpCbpLPUr-qVMd2YXFXxKwv2dw7nkZNlLgi8IxvTt6OxFiSl-lJ0SLEROSkIeL3de5YIW4iR7FsINxgkW5dPshHFR1wk6zX6trfagArRoVMYiraIK0buxNz-N3aLB2a2JU2usGoYZjR5ao2NAt84HsPeqAHvwJs5I2RYZG8F34MFqSI9ERAN20ZjYI917Z40-6BZcq8T5d-gSaTcMqnE-8XtAPagh8W6K2u0gJKfO-V2aOYs8bE1KOaOQos3ofHW1WX998zx70qkhwIvjeZZ9__jh2-oqv958Wq8ur3NdsBrnBamo4FXNOVQMKBAKZQelUC0TjNFWFcAbjBtCCiF0A5wTqLtS0Y5XCSDsLHt_8B2nZgetTst5NcjRm53ys3TKyL8n1vRy6_ZSCIIZZcng_Gjg3Y8JQpQ7EzSk7S24KUha4aKuGKnLhL7-B71xk0-fsVC0xITXd4mOhtq7EDx0D2EIlktDZGqIXBqS0Fd_hn8A7yuRgPwA3JoB5v8ayS-bz3eGvwGu18qZ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2726015831</pqid></control><display><type>article</type><title>Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR)</title><source>MEDLINE</source><source>Wiley Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Wilson, Jenna M. ; Schreiber, Kristin L. ; Mackey, Sean ; Flowers, K. Mikayla ; Darnall, Beth D. ; Edwards, Robert R. ; Azizoddin, Desiree R.</creator><creatorcontrib>Wilson, Jenna M. ; Schreiber, Kristin L. ; Mackey, Sean ; Flowers, K. Mikayla ; Darnall, Beth D. ; Edwards, Robert R. ; Azizoddin, Desiree R.</creatorcontrib><description>Objective
Little is known about how changes in psychosocial factors impact changes in pain outcomes among patients with cancer and chronic pain. This longitudinal cohort study of cancer patients investigated the relationships between changes in psychosocial factors and changes in pain severity and interference over time.
Methods
Data from patients with cancer and chronic pain (n = 316) treated at a tertiary pain clinic were prospectively collected. At their baseline visit (Time 1), patients provided demographic and clinical information, and completed validated psychosocial and pain assessments. Psychosocial and pain assessments were repeated at a follow‐up visit (Time 2), on average 4.9 months later. Change scores (Time 2‐Time 1) were computed for psychosocial and pain variables. Multivariable hierarchical linear regressions assessed the associations between changes in psychosocial factors with changes in pain outcomes over time.
Results
Participants were an average age of 59 years, were 61% female, and 69% White. Overall, a decrease in pain severity (p ≤ 0.001), but not pain interference, was observed among the group over time. In multivariable analyses, increased pain catastrophizing was significantly associated with increased pain severity over time (β = 0.24, p ≤ 0.001). Similarly, increased pain catastrophizing (β = 0.21, p ≤ 0.001) and increased depression (β = 0.20, p ≤ 0.003) were significantly associated with increased pain interference over time. Demographic and clinical characteristics were not significantly related to changes in pain outcomes.
Conclusions
Increased pain catastrophizing was uniquely associated with increased chronic pain severity and interference. Our findings indicate that cancer patients with chronic pain would likely benefit from the incorporation of nonpharmacological interventions, simultaneously addressing pain and psychological symptoms.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.6020</identifier><identifier>PMID: 35988161</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Cancer ; cancer pain ; Catastrophic reactions ; Catastrophization - psychology ; Change agents ; Chronic pain ; Chronic Pain - diagnosis ; Chronic Pain - psychology ; Clinical information ; Cohort analysis ; Collaborative health outcomes information registry (CHOIR) ; Demography ; depression ; Female ; Health psychology ; Health status ; Humans ; Longitudinal Studies ; Male ; Mental depression ; Middle Aged ; Neoplasms ; Oncology ; Outcome Assessment, Health Care ; pain catastrophizing ; Pain Measurement ; Psychological aspects ; Psychological problems ; psychosocial ; Psychosocial factors ; Registries ; Severity ; Surveys and Questionnaires</subject><ispartof>Psycho-oncology (Chichester, England), 2022-10, Vol.31 (10), p.1753-1761</ispartof><rights>2022 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4380-4172957855e73e2e12e6fe69ad39332da4e5b00b11499cbe551e8f6a2f5793313</citedby><cites>FETCH-LOGICAL-c4380-4172957855e73e2e12e6fe69ad39332da4e5b00b11499cbe551e8f6a2f5793313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.6020$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.6020$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35988161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, Jenna M.</creatorcontrib><creatorcontrib>Schreiber, Kristin L.</creatorcontrib><creatorcontrib>Mackey, Sean</creatorcontrib><creatorcontrib>Flowers, K. Mikayla</creatorcontrib><creatorcontrib>Darnall, Beth D.</creatorcontrib><creatorcontrib>Edwards, Robert R.</creatorcontrib><creatorcontrib>Azizoddin, Desiree R.</creatorcontrib><title>Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR)</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Objective
Little is known about how changes in psychosocial factors impact changes in pain outcomes among patients with cancer and chronic pain. This longitudinal cohort study of cancer patients investigated the relationships between changes in psychosocial factors and changes in pain severity and interference over time.
Methods
Data from patients with cancer and chronic pain (n = 316) treated at a tertiary pain clinic were prospectively collected. At their baseline visit (Time 1), patients provided demographic and clinical information, and completed validated psychosocial and pain assessments. Psychosocial and pain assessments were repeated at a follow‐up visit (Time 2), on average 4.9 months later. Change scores (Time 2‐Time 1) were computed for psychosocial and pain variables. Multivariable hierarchical linear regressions assessed the associations between changes in psychosocial factors with changes in pain outcomes over time.
Results
Participants were an average age of 59 years, were 61% female, and 69% White. Overall, a decrease in pain severity (p ≤ 0.001), but not pain interference, was observed among the group over time. In multivariable analyses, increased pain catastrophizing was significantly associated with increased pain severity over time (β = 0.24, p ≤ 0.001). Similarly, increased pain catastrophizing (β = 0.21, p ≤ 0.001) and increased depression (β = 0.20, p ≤ 0.003) were significantly associated with increased pain interference over time. Demographic and clinical characteristics were not significantly related to changes in pain outcomes.
Conclusions
Increased pain catastrophizing was uniquely associated with increased chronic pain severity and interference. Our findings indicate that cancer patients with chronic pain would likely benefit from the incorporation of nonpharmacological interventions, simultaneously addressing pain and psychological symptoms.</description><subject>Cancer</subject><subject>cancer pain</subject><subject>Catastrophic reactions</subject><subject>Catastrophization - psychology</subject><subject>Change agents</subject><subject>Chronic pain</subject><subject>Chronic Pain - diagnosis</subject><subject>Chronic Pain - psychology</subject><subject>Clinical information</subject><subject>Cohort analysis</subject><subject>Collaborative health outcomes information registry (CHOIR)</subject><subject>Demography</subject><subject>depression</subject><subject>Female</subject><subject>Health psychology</subject><subject>Health status</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Neoplasms</subject><subject>Oncology</subject><subject>Outcome Assessment, Health Care</subject><subject>pain catastrophizing</subject><subject>Pain Measurement</subject><subject>Psychological aspects</subject><subject>Psychological problems</subject><subject>psychosocial</subject><subject>Psychosocial factors</subject><subject>Registries</subject><subject>Severity</subject><subject>Surveys and Questionnaires</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kl-L1DAUxYso7roKfgIJ-LI-dM2fpm18EJZB3YHFEdHnkKa30yydpCbpLPUr-qVMd2YXFXxKwv2dw7nkZNlLgi8IxvTt6OxFiSl-lJ0SLEROSkIeL3de5YIW4iR7FsINxgkW5dPshHFR1wk6zX6trfagArRoVMYiraIK0buxNz-N3aLB2a2JU2usGoYZjR5ao2NAt84HsPeqAHvwJs5I2RYZG8F34MFqSI9ERAN20ZjYI917Z40-6BZcq8T5d-gSaTcMqnE-8XtAPagh8W6K2u0gJKfO-V2aOYs8bE1KOaOQos3ofHW1WX998zx70qkhwIvjeZZ9__jh2-oqv958Wq8ur3NdsBrnBamo4FXNOVQMKBAKZQelUC0TjNFWFcAbjBtCCiF0A5wTqLtS0Y5XCSDsLHt_8B2nZgetTst5NcjRm53ys3TKyL8n1vRy6_ZSCIIZZcng_Gjg3Y8JQpQ7EzSk7S24KUha4aKuGKnLhL7-B71xk0-fsVC0xITXd4mOhtq7EDx0D2EIlktDZGqIXBqS0Fd_hn8A7yuRgPwA3JoB5v8ayS-bz3eGvwGu18qZ</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Wilson, Jenna M.</creator><creator>Schreiber, Kristin L.</creator><creator>Mackey, Sean</creator><creator>Flowers, K. Mikayla</creator><creator>Darnall, Beth D.</creator><creator>Edwards, Robert R.</creator><creator>Azizoddin, Desiree R.</creator><general>Wiley Subscription Services, 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>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202210</creationdate><title>Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR)</title><author>Wilson, Jenna M. ; Schreiber, Kristin L. ; Mackey, Sean ; Flowers, K. Mikayla ; Darnall, Beth D. ; Edwards, Robert R. ; Azizoddin, Desiree R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4380-4172957855e73e2e12e6fe69ad39332da4e5b00b11499cbe551e8f6a2f5793313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cancer</topic><topic>cancer pain</topic><topic>Catastrophic reactions</topic><topic>Catastrophization - psychology</topic><topic>Change agents</topic><topic>Chronic pain</topic><topic>Chronic Pain - diagnosis</topic><topic>Chronic Pain - psychology</topic><topic>Clinical information</topic><topic>Cohort analysis</topic><topic>Collaborative health outcomes information registry (CHOIR)</topic><topic>Demography</topic><topic>depression</topic><topic>Female</topic><topic>Health psychology</topic><topic>Health status</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Neoplasms</topic><topic>Oncology</topic><topic>Outcome Assessment, Health Care</topic><topic>pain catastrophizing</topic><topic>Pain Measurement</topic><topic>Psychological aspects</topic><topic>Psychological problems</topic><topic>psychosocial</topic><topic>Psychosocial factors</topic><topic>Registries</topic><topic>Severity</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilson, Jenna M.</creatorcontrib><creatorcontrib>Schreiber, Kristin L.</creatorcontrib><creatorcontrib>Mackey, Sean</creatorcontrib><creatorcontrib>Flowers, K. Mikayla</creatorcontrib><creatorcontrib>Darnall, Beth D.</creatorcontrib><creatorcontrib>Edwards, Robert R.</creatorcontrib><creatorcontrib>Azizoddin, Desiree R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, Jenna M.</au><au>Schreiber, Kristin L.</au><au>Mackey, Sean</au><au>Flowers, K. Mikayla</au><au>Darnall, Beth D.</au><au>Edwards, Robert R.</au><au>Azizoddin, Desiree R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR)</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2022-10</date><risdate>2022</risdate><volume>31</volume><issue>10</issue><spage>1753</spage><epage>1761</epage><pages>1753-1761</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Objective
Little is known about how changes in psychosocial factors impact changes in pain outcomes among patients with cancer and chronic pain. This longitudinal cohort study of cancer patients investigated the relationships between changes in psychosocial factors and changes in pain severity and interference over time.
Methods
Data from patients with cancer and chronic pain (n = 316) treated at a tertiary pain clinic were prospectively collected. At their baseline visit (Time 1), patients provided demographic and clinical information, and completed validated psychosocial and pain assessments. Psychosocial and pain assessments were repeated at a follow‐up visit (Time 2), on average 4.9 months later. Change scores (Time 2‐Time 1) were computed for psychosocial and pain variables. Multivariable hierarchical linear regressions assessed the associations between changes in psychosocial factors with changes in pain outcomes over time.
Results
Participants were an average age of 59 years, were 61% female, and 69% White. Overall, a decrease in pain severity (p ≤ 0.001), but not pain interference, was observed among the group over time. In multivariable analyses, increased pain catastrophizing was significantly associated with increased pain severity over time (β = 0.24, p ≤ 0.001). Similarly, increased pain catastrophizing (β = 0.21, p ≤ 0.001) and increased depression (β = 0.20, p ≤ 0.003) were significantly associated with increased pain interference over time. Demographic and clinical characteristics were not significantly related to changes in pain outcomes.
Conclusions
Increased pain catastrophizing was uniquely associated with increased chronic pain severity and interference. Our findings indicate that cancer patients with chronic pain would likely benefit from the incorporation of nonpharmacological interventions, simultaneously addressing pain and psychological symptoms.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35988161</pmid><doi>10.1002/pon.6020</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Psycho-oncology (Chichester, England), 2022-10, Vol.31 (10), p.1753-1761 |
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| source | MEDLINE; Wiley Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Cancer cancer pain Catastrophic reactions Catastrophization - psychology Change agents Chronic pain Chronic Pain - diagnosis Chronic Pain - psychology Clinical information Cohort analysis Collaborative health outcomes information registry (CHOIR) Demography depression Female Health psychology Health status Humans Longitudinal Studies Male Mental depression Middle Aged Neoplasms Oncology Outcome Assessment, Health Care pain catastrophizing Pain Measurement Psychological aspects Psychological problems psychosocial Psychosocial factors Registries Severity Surveys and Questionnaires |
| title | Increased pain catastrophizing longitudinally predicts worsened pain severity and interference in patients with chronic pain and cancer: A collaborative health outcomes information registry study (CHOIR) |
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