Evidence map›Paper›PMID 40247919›Full record

ArticleFrontiers in pain research (Lausanne, Switzerland)2025

Perceived injustice and its relation to chronic pain outcome in complex regional pain syndrome and chronic musculoskeletal pain.

Corinna Baum, Cora Rebhorn, Anne Martinelli, Dorothee Heining, Sabine Weimert, Sandra Bücher, Livia Steenken, Sebastian Steinmetz, Frank Birklein, Violeta Dimova

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Article in Frontiers in pain research (Lausanne, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Corinna BaumDepartment of Psychology, Fresenius University of Applied Sciences, Frankfurt, Germany.
Cora RebhornDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Anne MartinelliDepartment of Psychology, Fresenius University of Applied Sciences, Frankfurt, Germany.
Dorothee HeiningDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Sabine WeimertDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Sandra BücherDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Livia SteenkenDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Sebastian SteinmetzDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Frank BirkleinDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Violeta DimovaDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Clinical observations indicate that patients with complex regional pain syndrome (CRPS) tend to ruminate about their illness. Perceived injustice is a negative cognitive-emotional appraisal regarding the severity of loss associated with blame, unfairness, and pain. We investigated injustice beliefs in CRPS compared with chronic musculoskeletal pain (CMP), where previous evidence indicates clinical relevance for pain-related outcome in this patients' group. The role of perceived injustice in relation to pain intensity and disability was tested through a mediation model including catastrophizing thoughts of pain. Methods: Patients with CRPS (mean age Results: CRPS patients displayed higher levels of perceived injustice than the CPM patients. Higher pain intensity in both cohorts was indirectly associated with more feelings and beliefs of injustice through a higher tendency to catastrophize about pain and pain-related information. In contrast, only in the CMP group higher pain-related disability was related to higher catastrophizing, which mediated the effect of perceived injustice. Conclusions: Perceived injustice influences especially pain intensity through pain catastrophizing. This interaction appears to be common for both pain syndromes.

Indexed as

chronic paincomplex regional pain syndromelow back painpain catastrophizingperceived injustice

Identifiers

PMID40247919
PMCPMC12003365

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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.