The level and determinants of pain catastrophizing in patients with chronic pain
Objective To identify the level and determinants of pain catastrophizing in patients with chronic pain,and to provide re-ference for targeted interventions.Methods A total of 303 patients with chronic pain attending outpatient clinics of a tertiary hospi-tal in Wuhan city were surveyed by using a sociodemographic questionnaire and the Pain Catastrophizing Scale.Results The median(IQR)score of pain catastrophizing was 28.00(17.00,39.00).The subscale of rumination scored the highest and helplessness scored the lowest.Ninety-three(30.7％)of the participants had pain catastrophizing.Multiple linear regression showed that,average pain intensity,type of pain,the number of body parts involved,personal monthly income,and education level were factors affecting pain catastrophizing(all P＜0.05),explaining 34.0％of the total variance.Conclusion Patients with chronic pain repor-ted severe pain catastrophizing.Nursing staff should pay more attention to those with severe pain intensity,more body parts in-volved,lower monthly income and education level,and take individualized interventions,thus to alleviate pain level and lessen pain catastrophizing of patients.
chronic painpain catastrophizingpain intensityruminationhelplessnesssite of painrheumatic painsurvey and analysis
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