Key result
Catastrophizing was associated with decreased functional status, increased psychological distress, and depression, while reinterpreting pain sensations was associated with decreased depression.
Why the study?
Do pain coping strategies correlate with functional status and psychological distress in patients with chronic angina?
Cross-Sectional (n=72)
Do pain coping strategies correlate with functional status and psychological distress in patients with chronic angina?
Pain coping strategies, particularly catastrophizing, are significantly associated with functional status and psychological distress in patients with chronic angina.
May inform coping assessment in chronic angina; leaves open whether targeting catastrophizing improves outcomes.
Purpose This study was conducted to investigate the relationship of pain coping strategies to functional status, pain, psychological distress, and depression in 72 chronic angina patients referred for diagnostic coronary angiography. Methods Each subject completed the Coping Strategies Questionnaire (CSQ), the Duke Activity Status Inventory (DASI), chest pain ratings, the Hopkins Symptom Checklist (HSCL), and the Center for Epidemiological Studies—Depression Scale (CES-D). Results Women reported lower functional status and greater frequency of pain interfering with activity. Regression analyses revealed that after controlling for demographic variables (age and gender) and disease status (coronary artery occlusion), catastrophizing (i.e., assuming the worst possible outcome when experiencing pain) was associated with decreased functional status, increased psychological distress, depression, and avoidance of activity for fear of pain. Reinterpretating pain sensations was associated with decreased depression. Conclusions These findings suggest that pain coping may be an important aspect of adjustment in angina patients.
No takes yet. Share an insight, caveat, or question.
Beckham et al. (1994) conducted a cross-sectional in Chronic angina (n=72). Pain coping strategies (catastrophizing and reinterpreting pain sensations) was evaluated on Functional status, pain, psychological distress, and depression. Catastrophizing was associated with decreased functional status, increased psychological distress, and depression, while reinterpreting pain sensations was associated with decreased depression.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: