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

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 prospective...

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Autores principales: Carty, Jessica, O'Donnell, Meaghan, Evans, Lynette, Kazantzis, Nikolaos, Creamer, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402105/
https://www.ncbi.nlm.nih.gov/pubmed/22893804
http://dx.doi.org/10.3402/ejpt.v2i0.5652
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author Carty, Jessica
O'Donnell, Meaghan
Evans, Lynette
Kazantzis, Nikolaos
Creamer, Mark
author_facet Carty, Jessica
O'Donnell, Meaghan
Evans, Lynette
Kazantzis, Nikolaos
Creamer, Mark
author_sort Carty, Jessica
collection PubMed
description 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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spelling pubmed-34021052012-08-14 Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing Carty, Jessica O'Donnell, Meaghan Evans, Lynette Kazantzis, Nikolaos Creamer, Mark Eur J Psychotraumatol Basic Research Article 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. Co-Action Publishing 2011-04-29 /pmc/articles/PMC3402105/ /pubmed/22893804 http://dx.doi.org/10.3402/ejpt.v2i0.5652 Text en © 2011 Jessica Carty et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Basic Research Article
Carty, Jessica
O'Donnell, Meaghan
Evans, Lynette
Kazantzis, Nikolaos
Creamer, Mark
Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
title Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
title_full Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
title_fullStr Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
title_full_unstemmed Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
title_short Predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
title_sort predicting posttraumatic stress disorder symptoms and pain intensity following severe injury: the role of catastrophizing
topic Basic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402105/
https://www.ncbi.nlm.nih.gov/pubmed/22893804
http://dx.doi.org/10.3402/ejpt.v2i0.5652
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