The Impact of Pain Catastrophizing on Mental and Physical Health among Patients with Chronic Pain: The Moderating Role of Pain Self-Efficacy
Keywords:
Pain Catastrophizing, Mental Health, Physical Health, Pain Self-EfficacyAbstract
Chronic pain is a multifaceted condition influenced by psychological as well as physiological factors, significantly impairing individuals’ mental and physical health. The present study aimed to examine the impact of pain catastrophizing on mental and physical health among patients with chronic pain, and to investigate the moderating role of pain self-efficacy. A cross-sectional research design was employed, with a sample of 200 chronic pain patients recruited from public and private healthcare settings in Sargodha, Pakistan, using purposive sampling. Standardized instruments, including the Pain Catastrophizing Scale (PCS), Physical Health Questionnaire (PHQ), Mental Well-Being Scale, and Pain Self-Efficacy Questionnaire (PSEQ), were administered. The findings revealed that pain catastrophizing significantly predicted poorer mental and physical health outcomes. Moreover, pain self-efficacy was found to significantly moderate this relationship, such that higher levels of self-efficacy weakened the negative effects of catastrophizing on health outcomes. These results underscore the importance of targeting maladaptive cognitive patterns and enhancing self-efficacy in psychological interventions for chronic pain management. The study highlights the need for integrated biopsychosocial approaches to improve overall well-being in individuals suffering from chronic pain.
References
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
Cheng, J. O. Y., Ng, E. M. L., Ko, J. S. S., & Kwan, R. L. C. (2018). The role of pain self-efficacy in the relationship between pain intensity and disability in patients with chronic pain. Journal of Pain Research, 11, 1887–1896. https://doi.org/10.2147/JPR.S168849
Costa, L. D. C. M., Maher, C. G., McAuley, J. H., Hancock, M. J., Herbert, R. D., & Costa, L. O. P. (2011). Self-efficacy is more important than fear of movement in mediating the relationship between pain and disability in chronic low back pain. European Journal of Pain, 15(2), 213–219. https://doi.org/10.1016/j.ejpain.2010.06.014
Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage.
Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–4.
Lee, D. M., Pendleton, N., Tajar, A., O’Neill, T. W., O’Connor, D. B., Bartfai, G., Boonen, S., Casanueva, F. F., Finn, J. D., Forti, G., Giwercman, A., Han, T. S., Huhtaniemi, I. T., Kula, K., Lean, M. E. J., Punab, M., Silman, A. J., Vanderschueren, D., & Wu, F. C. W. (2015). Chronic widespread pain is associated with slower cognitive processing speed in middle-aged and older European men. Pain, 156(10), 1996–2003. https://doi.org/10.1097/j.pain.0000000000000257
Nicholas, M. K. (2007). The Pain Self-Efficacy Questionnaire: Taking pain into account. European Journal of Pain, 11(2), 153–163.
Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2014). Pain catastrophizing: A critical review. Expert Review of Neurotherapeutics, 9(5), 745–758. https://doi.org/10.1586/ern.09.34
Schat, A. C. H., Kelloway, E. K., & Desmarais, S. (2005). The Physical Health Questionnaire (PHQ): Construct validation of a self-report scale of somatic symptoms. Journal of Occupational Health Psychology, 10(4), 363–381.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7(4), 524–532.
Tse, M. M. Y., Vong, S. K. S., & Tang, S. K. (2013). Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: A randomized controlled study. Journal of Clinical Nursing, 22(13–14), 1843–1856. https://doi.org/10.1111/jocn.12194
Veehof, M. M., Oskam, M. J., Schreurs, K. M. G., & Bohlmeijer, E. T. (2011). Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain, 152(3), 533–542. https://doi.org/10.1016/j.pain.2010.11.002
World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194.
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