Relation between catastrophizing and depression in chronic pain patients.

The relation between catastrophizing, depression, and pain was examined in 125 chronic pain patients. The Coping Strategies Questionnaire (CSQ; Rosenstiel & Keefe, 1983) assessed patients' use of cognitive and behavioral strategies to cope with chronic pain. A significant association between catastrophizing and depression was found. In order to address questions of measurement redundancy, 6 clinical psychologists rated the degree to which items on the CSQ reflected depressive symptomatology. All items contained in the Catastrophizing subscale were rated by all psychologists as being reflective of symptoms of depression and were removed from the CSQ. When this subscale was excluded, none of the remaining CSQ subscales were significantly related to depression. The discussion addresses the interpretive difficulties that arise from hypothesizing mediating relations between variables that are conceptually and operationally confounded.

[1]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[2]  P. Thoits.  Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress. , 1982, Journal of health and social behavior.

[3]  A. Beck.  Cognitive Therapy and the Emotional Disorders , 1975 .

[4]  G. Devins,et al.  Emotional impact of multiple sclerosis: recent findings and suggestions for future research. , 1987, Psychological bulletin.

[5]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[6]  S. Monroe,et al.  Social support and psychopathology: interrelations with preexisting disorder, stress, and personality. , 1986, Journal of abnormal psychology.

[7]  R. Lazarus,et al.  Depression and coping in stressful episodes. , 1981, Journal of abnormal psychology.

[8]  Francis J. Keefe,et al.  Coping with rheumatoid arthritis pain: catastrophizing as a maladaptive strategy , 1989, Pain.

[9]  Patrick E. Shrout,et al.  "Hassles" in the conceptualization and measurement of life stress variables. , 1985 .

[10]  J. Nunley,et al.  Pain coping strategies in osteoarthritis patients. , 1987, Journal of consulting and clinical psychology.

[11]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[12]  K. Raphael,et al.  Self-disclosure and mental health: a problem of confounded measurement. , 1987, Journal of Abnormal Psychology.

[13]  Life stress and health: Personality, coping, and family support in stress resistance. , 1985 .

[14]  Francis J. Keefe,et al.  The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment , 1983, Pain.

[15]  L. Pearlin,et al.  The structure of coping. , 1978, Journal of health and social behavior.

[16]  J. Turner,et al.  Strategies for coping with chronic low back pain: Relationship to pain and disability , 1986, Pain.

[17]  J. S. Tanaka,et al.  Confirmatory hierarchical factor analyses of psychological distress measures. , 1984 .

[18]  R. Melzack.  The McGill Pain Questionnaire: Major properties and scoring methods , 1975, PAIN.

[19]  A. Gross.  The effect of coping strategies on the relief of pain following surgical intervention for lower back pain. , 1986, Psychosomatic medicine.

[20]  N. Spanos,et al.  The effects of hypnotic susceptibility, suggestions for analgesia, and the utilization of cognitive strategies on the reduction of pain. , 1979, Journal of abnormal psychology.