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Factors associated with increased risk for pain catastrophizing in patients with chronic neck pain: A retrospective cross-sectional study

 Sang Jun Park  ;  Rippy Lee  ;  Duck Mi Yoon  ;  Kyung Bong Yoon  ;  Kiwook Kim  ;  Shin Hyung Kim 
 MEDICINE, Vol.95(37) : 4698, 2016 
Journal Title
Issue Date
Adult ; Aged ; Aged, 80 and over ; Anxiety/complications ; Catastrophization/etiology* ; Chronic Pain/complications ; Chronic Pain/psychology* ; Cross-Sectional Studies ; Depression/complications ; Female ; Humans ; Male ; Middle Aged ; Neck Pain/complications ; Neck Pain/psychology* ; Retrospective Studies ; Risk Factors ; Sleep Initiation and Maintenance Disorders/complications ; Young Adult
anxiety ; catastrophizing ; chronic neck pain ; depression ; insomnia
Pain catastrophizing is becoming increasingly recognized as a clinically important psychological factor in chronic musculoskeletal pain. In this retrospective cross-sectional study, we have identified factors associated with an increased risk for pain catastrophizing in chronic neck pain (CNP) patients. We obtained data from our medical database on 331 patients who were treated for neck pain as their chief complaint at our clinic. The Pain Catastrophizing Scale (PCS) was used to define a high pain catastrophizing state (PCS score ≥21) in this study. Patient demographics, pain-related factors, and psychological factors were evaluated with logistic regression analysis to identify risk factors of high pain catastrophizing among patients with CNP. A total of 256 patients with CNP satisfied the study inclusion criteria and were included in the analyses. The median PCS score was 16 (range, 0-45), and 86 of 256 patients (33.5%) reported a PCS score ≥21. In multivariate analysis, high pain intensity, clinical insomnia, and a high level of depression/anxiety were strongly associated with high pain catastrophizing in patients with CNP. Depression was the strongest predictor of high pain catastrophizing, with an odds ratio of 7.35 (95% confidence interval 2.23-24.22). High pain catastrophizing was not significantly related to age, gender, comorbidities, or neck pain-related physical symptoms. In conclusion, poor psychological states should be addressed as an important part of pain management in CNP patients who are susceptible to high pain catastrophizing.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Shin Hyung(김신형) ORCID logo https://orcid.org/0000-0003-4058-7697
Park, Sang Jun(박상준) ORCID logo https://orcid.org/0000-0002-2496-7764
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)
Lee, Rippy(이립)
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