Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing.

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  • Additional Information
    • Source:
      Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101559025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2000-8066 (Electronic) Linking ISSN: 20008066 NLM ISO Abbreviation: Eur J Psychotraumatol Subsets: PubMed not MEDLINE
    • Publication Information:
      Publication: 2016- : Philadelphia, PA : Taylor & Francis
      Original Publication: [Järfälla] : [Amsterdam] : Co-action Pub. ; The European Society for Traumatic Stress Studies, [2010]-
    • Abstract:
      Background: A number of theories have proposed possible mechanisms that may explain the high rates of comorbidity between posttraumatic stress disorder (PTSD) and persistent pain; however, there has been limited research investigating these factors.
      Objective: The present study sought to prospectively examine whether catastrophizing predicted the development of PTSD symptoms and persistent pain following physical injury.
      Design: Participants (N=208) completed measures of PTSD symptomatology, pain intensity and catastrophizing during hospitalization following severe injury, and 3 and 12 months postinjury. Cross-lagged path analysis explored the longitudinal relationship between these variables.
      Results: Acute catastrophizing significantly predicted PTSD symptoms but not pain intensity 3 months postinjury. In turn, 3-month catastrophizing predicted pain intensity, but not PTSD symptoms 12 months postinjury. Indirect relations were also found between acute catastrophizing and 12-month PTSD symptoms and pain intensity. Relations were mediated via 3-month PTSD symptoms and 3-month catastrophizing, respectively. Acute symptoms did not predict 3-month catastrophizing and catastrophizing did not fully account for the relationship between PTSD symptoms and pain intensity.
      Conclusions: Findings partially support theories that propose a role for catastrophizing processes in understanding vulnerability to pain and posttrauma symptomatology and, thus, a possible mechanism for comorbidity between these conditions.
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    • Contributed Indexing:
      Keywords: Posttraumatic stress; catastrophizing; comorbidity; injury; pain; path analysis; prospective
    • Publication Date:
      Date Created: 20120816 Date Completed: 20120823 Latest Revision: 20220316
    • Publication Date:
      20240104
    • Accession Number:
      PMC3402105
    • Accession Number:
      10.3402/ejpt.v2i0.5652
    • Accession Number:
      22893804