Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Quality of Life Research
Gepubliceerd in: Quality of Life Research 8/2014

01-10-2014

The effects of anxiety sensitivity, pain hypervigilance, and pain catastrophizing on quality of life outcomes of patients with chronic pain: a preliminary, cross-sectional analysis

Auteurs: W. S. Wong, H. M. J. Lam, Y. F. Chow, P. P. Chen, H. S. Lim, Steven Wong, R. Fielding

Gepubliceerd in: Quality of Life Research | Uitgave 8/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Purpose

In the fear-avoidance model (FAM) of chronic pain, pain-related fear is one of the most prominent predictors of negative adjustment outcomes. While existing data point to the effects of anxiety sensitivity, pain hypervigilance, and pain catastrophizing on pain-related fear, the nature of their multivariate relationships remains unclear. This study explored the possible mediating role of pain hypervigilance in the relationship of anxiety sensitivity and pain catastrophizing with pain-related fear, and their effects on quality of life (QoL) outcomes within the FAM framework.

Methods

A sample of 401 Chinese patients with chronic musculoskeletal pain completed the standardized measures assessing the FAM components and QoL. Structural equation modeling (SEM) was used to evaluate six hypothesized models.

Results

Results of SEM showed adequate data-model fit [comparative fit indexes (CFIs) ranging from 0.92 to 0.94] on models which specified pain hypervigilance as mediator of anxiety sensitivity and pain catastrophizing with pain-related fear on two QoL outcomes (QoL-Physical and QoL-Mental). Results consistent with net suppression effects of pain catastrophizing on anxiety sensitivity were found in SEM when both anxiety sensitivity and pain catastrophizing were included in the same full model to predict QoL-Physical (CFI = 0.95; Sobel z = 8.06, p < 0.001) and QoL-Mental (CFI = 0.93; Sobel z = 8.31, p < 0.001).

Conclusions

These cross-sectional analyses gave results consistent with pain hypervigilance, mediating the relationship of pain catastrophic cognition and anxiety sensitivity with pain-related fear. The net suppression effects of pain catastrophizing point to anxiety sensitivity, enhancing the effect of pain catastrophic cognition on pain hypervigilance. These findings elucidate how the interdependence of dispositional factors might influence pain adjustment and functioning.
vorige artikel Patient education, upper-limb symptom perception, and quality of life among Japanese breast cancer survivors
volgende artikel Improving the mapping of condition-specific health-related quality of life onto SF-6D score
Literatuur
1.
Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85(3), 317–332.PubMedCrossRef
2.
Leeuw, M., Houben, R. M. A., Severeijns, R., Picavet, H. S. J., Schouten, E. G. W., & Vlaeyen, J. W. S. (2007). Pain-related fear in low back pain: A prospective study in the general population. European Journal of Pain, 11(3), 256–266.PubMedCrossRef
3.
Geisser, M. E., Haig, A. J., Wallbom, A. S., & Wiggert, E. A. (2004). Pain-related fear, lumbar flexion, and dynamic EMG among persons with chronic musculoskeletal low back pain. The Clinical journal of pain, 20(2), 61–69.PubMedCrossRef
4.
Asmundson, G. J., Wright, K. D., & Hadjistavropoulos, H. D. (2000). Anxiety sensitivity and disabling chronic health conditions: State of the art and future directions. Scandinavian Journal of Behavioral Therapy, 29, 100–117.CrossRef
5.
Asmundson, G. J., & Norton, G. R. (1995). Anxiety sensitivity in patients with physically unexplained chronic back pain: A preliminary report. Behavior Research and Therapy, 33, 771–777.CrossRef
6.
Asmundson, G. J., & Taylor, G. J. (1996). Role of anxiety sensitivity in pain-related fear and avoidance. Journal of Behavioral Medicine, 19(6), 577–586.PubMedCrossRef
7.
Waddell, G., Newton, M., Henderson, I., Somerville, D., & Main, C. J. (1993). A fear–avoidance beliefs questionnaire (FABQ) and the role of fear–avoidance beliefs in chronic low back pain and disability. Pain, 52, 157–168.PubMedCrossRef
8.
Asmundson, G. J. G., & Hadjistavropoulos, H. D. (2007). Is high fear of pain associated with attentional biases for pain-related or general threat? A categorical reanalysis. The Journal of Pain: Official Journal of the American Pain Society, 8(1), 11–18.CrossRef
9.
Greenberg, J., & Burns, J. W. (2003). Pain anxiety among chronic pain patients: Specific phobia or manifestation of anxiety sensitivity? Behaviour Research and Therapy, 41(2), 223–240.PubMedCrossRef
10.
Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy. San Diego: Academic Press.
11.
Asmundson, G. J., Kuperos, J. L., & Norton, G. R. (1997). Do patients with chronic pain selectively attend to pain-related information: Preliminary evidence for the mediating role of fear. Pain, 72, 27–32.PubMedCrossRef
12.
McCracken, L. (1997). Attention to pain in persons with chronic pain: A behavioral approach. Behavior Therapy, 28, 271–284.CrossRef
13.
Crombez, G., Vervaet, L., Lysens, R., Baeyens, F., & Eelen, P. (1998). Avoidance and confrontation of painful, back straining movements in chronic back pain patients. Behavioral Modification, 22, 62–77.CrossRef
14.
Van Damme, S., Crombez, G., & Eccleston, C. (2004). The anticipation of pain modulates spatial attention: Evidence for pain-specificity in high-pain catastrophizers. Pain, 111, 392–399.PubMedCrossRef
15.
Vancleef, L. M. G., & Peters, M. L. (2006). Pain catastrophizing, but not injury/illness sensitivity or anxiety sensitivity, enhances attentional interference by pain. Journal of Pain, 7, 23–30.PubMedCrossRef
16.
Van Damme, S., Crombez, G., & Eccleston, C. (2002). Retarded disengagement from pain cues: The effects of pain catastrophizing and pain expectancy. Pain, 100, 111–118.PubMedCrossRef
17.
Von Korff, M., Dworkin, S. F., & Le Resche, L. (1990). Graded chronic pain status: An epidemiologic evaluation. Pain, 40(3), 279–291.CrossRef
18.
Fielding, R., & Wong, W. S. (2008). The prevalence of chronic pain, fatigue, and insomnia in the general population of Hong Kong. Final report to the Health, Welfare and Food Bureau, Government of the Hong Kong Special Administrative Region, China Hong Kong: School of Public Health, the University of Hong Kong.
19.
Ware, J. J., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMedCrossRef
20.
Lam, C. L., Tse, E. Y., & Gandek, B. (2005). Is the standard SF-12 health survey valid and equivalent for a Chinese population? Quality of Life Research, 14(2), 539–547.PubMedCrossRef
21.
Peterson, R. A., & Reiss, S. (1992). Anxiety sensitivity index manual (2nd ed.). Worthington, OH: International Diagnostic Systems.
22.
Li, Q.-Q., Guo, L.-T., & Feng, Z.-Z. (2006). Reliability and validity of Chinese revision of the anxiety sensitivity index-revised. Chinese Mental Health Journal, 20(10), 675–678.
23.
Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1995). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behavior Research and Therapy, 24, 1–8.CrossRef
24.
Wong, W. S., McCracken, L., & Fielding, R. (2011). Confirmatory factor analysis of the Chinese version of the Pain Vigilance and Awareness Questionnaire (ChPVAQ) among Chinese patients with chronic pain. Pain Medicine, 12, 1018–1025.PubMedCrossRef
25.
Roelofs, J., Peters, M. L., McCracken, L., & Vlaeyen, J. W. S. (2003). The pain vigilance and awareness questionnaire (PVAQ): Further psychometric evaluation in fibromyalgia and other chronic pain syndromes. Pain, 101(3), 299–306.PubMedCrossRef
26.
Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7(4), 524–532.CrossRef
27.
Yap, J. C., Lau, J., Chen, P. P., Gin, T., Wong, T., Chan, I., et al. (2008). Validation of the Chinese Pain Catastrophizing Scale (HK-PCS) in patients with chronic pain. Pain Medicine, 9(2), 186–195.PubMedCrossRef
28.
Kori, S. H., Miller, R. P., & Todd, D. D. (1990). Kinesiophobia: A new view of chronic pain behavior. Pain Management, Jan/Feb, 35–43.
29.
Wong, W. S., Kwok, H. Y., Luk, K. D. K., Chow, Y. F., Mak, K. H., Tam, B. K. H., et al. (2010). Fear of movement/(re)injury in Chinese chronic pain patients: Factorial validity of the Chinese version of the Tampa Scale for Kinesiophobia. Journal of Rehabilitation Medicine, 42, 620–629.PubMedCrossRef
30.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models Newbury Park. CA: Sage.
31.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef
32.
Muthen, L. K., & Muthen, B. O. (1998). Mplus User’s Guide (6th Ed). Los Angeles, CA: Muthén & Muthén.
33.
Paulhus, D. L., Robins, R. W., Trzesniewski, K. H., & Tracy, J. L. (2004). Two replicable suppressor situations in personality research. Multivariate Behavioral Research, 39, 303–328.CrossRef
34.
Burton, A. K., Tillotson, K. M., Main, C. J., & Hollis, S. (1995). Psychosocial predictors of outcome in acute and subchronic low back trouble. Spine, 20, 722–728.PubMedCrossRef
35.
Affleck, G., Tennen, H., Urrows, S., & Higgins, P. (1992). Neuroticism and the pain-mood relation in rheumatoid arthritis: Insights from a prospective daily study. Journal of Consulting and Clinical Psychology, 60(1), 119–126.PubMedCrossRef
36.
Hirsh, A. T., George, S., Riley, J., & Robinson, M. (2005). Sex differences and construct redundancy of the Coping Strategies Questionnaire—Catastrophizing Subscale. Journal of Pain, 6(3, Suppl. 1), S60.
37.
Hirsh, A. T., George, S. Z., Riley, J. L, I. I. I., & Robinson, M. E. (2007). An evaluation of the measurement of pain catastrophizing by the coping strategies questionnaire. European Journal of Pain, 11(1), 75–81.PubMedCrossRef
38.
Sullivan, M. J., & D’Eon, J. L. (1990). Relation between catastrophizing and depression in chronic pain patients. Journal of Abnormal Psychology, 99(3), 260–263.PubMedCrossRef
39.
Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2009). Pain catastrophizing: A critical review. Expert Review in Neurotherapy, 9, 745–758.CrossRef
40.
Wideman, T. H., Asmundson, G. J., Smeets, R. J. E. M., Zautra, A., Simmonds, M. J., Sullivan, J. L., et al. (2013). Rethinking the fear avoidance model: Toward a multidimensional framework of pain-related disability. Pain, 154, 2262–2265.PubMedCentralPubMedCrossRef
41.
Pincus, T., Smeets, R. J. E. M., Simmonds, M. J., & Sullivan, J. L. (2010). The fear avoidance model disentangled: Improving the clinical utility of the fear avoidance model. Clinical Journal of Pain, 26, 739–746.PubMedCrossRef
Metagegevens
Titel
The effects of anxiety sensitivity, pain hypervigilance, and pain catastrophizing on quality of life outcomes of patients with chronic pain: a preliminary, cross-sectional analysis
Auteurs
W. S. Wong
H. M. J. Lam
Y. F. Chow
P. P. Chen
H. S. Lim
Steven Wong
R. Fielding
Publicatiedatum
01-10-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0683-y

Andere artikelen Uitgave 8/2014

Quality of Life Research 8/2014 Naar de uitgave

OriginalPaper

Exploring psychometric properties of the SF-6D, a preference-based health-related quality of life measure, in the context of spinal cord injury

OriginalPaper

Health-related quality of life following radical prostatectomy: long-term outcomes

OriginalPaper

Using WOMAC Index scores and personal characteristics to estimate Assessment of Quality of Life utility scores in people with hip and knee joint disease

OriginalPaper

Conceptualizing global health-related quality of life in bladder cancer

OriginalPaper

Assessing quality of life in young adult cancer survivors: development of the Survivorship-Related Quality of Life scale

OriginalPaper

Using Rasch analysis to examine the distress thermometer’s cut-off scores among a mixed group of patients with cancer