The relationship between negative metacognitive thoughts, pain catastrophizing and adjustment to chronic pain

作者：Maisa S. Ziadni, John Andrew Sturgeon, Beth D. Darnall · 发表于：European Journal of Pain · 年份：2017 · DOI：10.1002/ejp.1160 · 被引用次数：55 · 研究领域：Musculoskeletal pain and rehabilitation、Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes、Pain Management and Placebo Effect

BACKGROUND: Cognitive appraisals, most notably pain catastrophizing, play an important role in chronic pain. The role of metacognition and its impact on the relationship between pain catastrophizing and health are understudied. The identification of metacognition as a moderator of psychological constructs may have clinical and empirical implications. We hypothesized that negative metacognitive beliefs would moderate the relationships between pain catastrophizing and emotional functioning and physical activity. METHOD: Participants (N = 211) with mixed aetiology chronic pain were primarily Caucasian females with severe average pain intensity. Over the course of 2 weeks, participants completed online daily-diary measures of pain catastrophizing, pain intensity, mood, physical activity and metacognition. RESULTS: Participants with higher average levels of daily pain intensity and negative metacognitive beliefs about worry reported higher levels of daily pain catastrophizing, as well as daily depression, and anxiety. Some aspects of metacognitive beliefs (i.e. dangerousness and uncontrollability of thoughts) were also negatively associated with average daily levels of positive affect. However, these effects were not interactive; metacognitive beliefs did not moderate the relationships of pain catastrophizing with other daily variables. CONCLUSIONS: From a daily coping perspective, findings reveal that people with stronger negative metacognitive beliefs report greater emotional di...