Pain intensity and self-perceived burden mediate the relationship between family functioning and pain catastrophizing in patients with neuropathic pain.

Publisher: Blackwell Science Asia Country of Publication: Australia NLM ID: 100891857 Publication Model: Print Cited Medium: Internet ISSN: 1442-2018 (Electronic) Linking ISSN: 14410745 NLM ISO Abbreviation: Nurs Health Sci Subsets: MEDLINE

Original Publication: Carlton, Vic. : Blackwell Science Asia, c1999-

Catastrophization* ; Chronic Pain*/complications ; Chronic Pain*/psychology ; East Asian People*/psychology ; Neuralgia*/complications ; Neuralgia*/psychology ; Family Relations*/psychology; Humans ; Cross-Sectional Studies ; Depression ; Pain Measurement/methods ; Surveys and Questionnaires ; Symptom Burden

This cross-sectional study aimed to investigate the relationship between family functioning, pain intensity, self-perceived burden, and pain catastrophizing. Moreover, we also wanted to explore the multiple mediating roles of pain intensity and self-perceived burden. From October 2022 to March 2023, 252 Chinese people with neuropathic pain completed face-to-face questionnaires to assess family functioning, pain intensity, self-perceived burden, and pain catastrophizing. Data analysis was done using descriptive statistics and a structural equation model. The results showed better family functioning was significantly associated with more intense pain, less self-perceived burden, and less pain catastrophizing. Mediation analysis showed that family functioning could indirectly affect pain catastrophizing through pain intensity and self-perceived burden in addition to a direct effect on pain catastrophizing. Moreover, the mediating variable of pain intensity played a masking role. These findings suggest that good family functioning can effectively reduce the self-perceived burden and pain catastrophizing in patients with neuropathic pain. However, family functioning cannot show its maximum effectiveness, and it may be necessary to construct a model of family functioning suitable for patients with neuropathic pain in the future.
(© 2024 John Wiley & Sons Australia, Ltd.)

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HLYC202219 Graduate Research Innovation Program of School of Nursing, Xuzhou Medical University

Keywords: family functioning; neuropathic pain; pain catastrophizing; pain intensity; self-perceived burden

Date Created: 20240218 Date Completed: 20240220 Latest Revision: 20240312

20240312

10.1111/nhs.13097

38369318