Catastrophizing Mediates Associations Between Pain Severity, Psychological Distress, and Functional Disability Among Persons With Spinal Cord Injury


    loading  Checking for direct PDF access through Ovid

Abstract

ObjectiveTo examine associations between pain severity, psychological distress, catastrophizing, and indices of functional disability in a sample of persons with spinal cord injury (SCI). Catastrophizing was examined as a potential mediator of associations between pain severity, psychological distress, and functional disability.Design and ParticipantsQuestionnaires assessing pain severity, psychological distress, catastrophizing, pain interference, and community integration were completed by 237 persons with SCI.ResultsPsychological distress and pain severity were associated significantly with greater functional disability. Moreover, the association between pain severity and functional disability was strongest among persons with high psychological distress. Catastrophizing appeared to mediate the associations between pain severity, psychological distress, and functional disability.ConclusionsPain severity and psychological distress have the potential for both direct and interactive effects on functional disability, possibly through the mediating effects of catastrophizing.

    loading  Loading Related Articles