Evidence map›Paper›PMID 27930392›Full record

ArticleThe Clinical journal of pain2017

Pain Catastrophizing is Not Associated With Spinal Nociceptive Processing in People With Chronic Widespread Pain.

David A Rice, Rosalind S Parker, Gwyn N Lewis, Michal T Kluger, Peter J McNair

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Article in The Clinical journal of pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

David A Rice*Health and Rehabilitation Research Institute, Auckland University of Technology Departments of †Anaesthesiology and Perioperative Medicine, Waitemata Pain Services ‡Physiotherapy, Waitemata District Health Board, Auckland, New Zealand.
Rosalind S Parker
Gwyn N Lewis
Michal T Kluger
Peter J McNair

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPain catastrophizing has been associated with higher pain intensity, increased risk of developing chronic pain and poorer outcomes after treatment. Despite this, the mechanisms by which pain catastrophizing influences pain remain poorly understood. It has been hypothesized that pain catastrophizing may impair descending inhibition of spinal level nociception. The aims of this study were to compare spinal nociceptive processing in people with chronic widespread pain and pain-free controls and examine potential relationships between measures of pain catastrophizing and spinal nociception. MATERIALS AND

methodsTwenty-six patients with chronic widespread pain and 22 pain-free individuals participated in this study. Spinal nociception was measured using the nociceptive flexion reflex (NFR) threshold and NFR inhibition, measured as the change in NFR area during exposure to a second, painful conditioning stimulus (cold water immersion). Pain catastrophizing was assessed using the Pain Catastrophizing Scale and a situational pain catastrophizing scale.

resultsCompared with pain-free controls, patients with chronic widespread pain had higher pain catastrophizing scores and lower NFR thresholds. Although NFR area was reduced by a painful conditioning stimulus in controls, this was not apparent in individuals with chronic widespread pain. No significant correlations were observed between measures of pain catastrophizing and spinal nociception. DISCUSSION: Despite increased excitability and decreased inhibition of spinal nociception in patients with chronic widespread pain, we could find no evidence of a significant relationship between pain catastrophizing and measures of spinal nociceptive processing.

Indexed as

CatastrophizationChronic PainCold TemperatureFemaleHumansMaleMiddle AgedNeural InhibitionNociceptionReflexSelf ReportSpinal Cord

Identifiers

PMID27930392
PMCPMC5638430

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.