N E Van Loey1,2, I Klein-König3, A E E de Jong4, H W C Hofland5, E Vandermeulen6, I M Engelhard2. 1. Behavioural Research, Association of Dutch Burn Centers, Beverwijk, The Netherlands. 2. Clinical Psychology, Utrecht University, The Netherlands. 3. OCRN Child and Youth Mental Health Care, Groningen, The Netherlands. 4. Burn Center, Red Cross Hospital, Beverwijk, The Netherlands. 5. Burn Center, Maasstad Hospital, Rotterdam, The Netherlands. 6. Burn Center, Queen Astrid Military Hospital, Brussels, Belgium.
Abstract
BACKGROUND: Pain and posttraumatic stress disorder (PTSD) symptoms are significant problems in the aftermath of a burn injury and they often co-occur. Catastrophizing has been linked to both phenomena. The aim of this study was to investigate the underlying role of catastrophizing in PTSD symptoms and pain following burns. METHODS: This prospective study included 216 patients with burns. PTSD symptoms and pain were measured during hospitalization (T1) and 6 (T2) and 12 months (T3) postburn. The Impact of Event Scale-Revised (IES-R) indexed PTSD symptoms. Acute pain (T1) was the mean pain during the first two weeks of hospitalization measured using an 11-point graphic numeric rating scale. Chronic pain was indexed using the single item 'average' pain from the Brief Pain Inventory (BPI). Catastrophizing was measured at T1 and T2 using the Cognitive Emotion Regulation Questionnaire (CERQ). Data were analysed using structural equation modelling (SEM). RESULTS: The results showed that T2 catastrophizing mediated between acute and chronic PTSD symptoms, and T3 pain. Furthermore, the study revealed significant associations between catastrophizing, PTSD symptoms and pain at the respective measurements, and significant longitudinal associations between the constructs. CONCLUSION: A negative cognitive-affective response to a burn event, such as catastrophizing, mediated the relationship between acute and chronic PTSD symptoms and later chronic pain. Screening for catastrophizing and acute PTSD symptoms is recommended to identify persons at risk for chronic PTSD symptoms and pain. SIGNIFICANCE: The identification of individuals who have the tendency to catastrophize may assist in finding those at risk for development of both chronic PTSD symptoms and chronic pain. Individuals may benefit from early psychological therapy focussing on catastrophizing and acute PTSD symptoms that may ameliorate both chronic PTSD symptoms and pain.
BACKGROUND:Pain and posttraumatic stress disorder (PTSD) symptoms are significant problems in the aftermath of a burn injury and they often co-occur. Catastrophizing has been linked to both phenomena. The aim of this study was to investigate the underlying role of catastrophizing in PTSD symptoms and pain following burns. METHODS: This prospective study included 216 patients with burns. PTSD symptoms and pain were measured during hospitalization (T1) and 6 (T2) and 12 months (T3) postburn. The Impact of Event Scale-Revised (IES-R) indexed PTSD symptoms. Acute pain (T1) was the mean pain during the first two weeks of hospitalization measured using an 11-point graphic numeric rating scale. Chronic pain was indexed using the single item 'average' pain from the Brief Pain Inventory (BPI). Catastrophizing was measured at T1 and T2 using the Cognitive Emotion Regulation Questionnaire (CERQ). Data were analysed using structural equation modelling (SEM). RESULTS: The results showed that T2 catastrophizing mediated between acute and chronic PTSD symptoms, and T3 pain. Furthermore, the study revealed significant associations between catastrophizing, PTSD symptoms and pain at the respective measurements, and significant longitudinal associations between the constructs. CONCLUSION: A negative cognitive-affective response to a burn event, such as catastrophizing, mediated the relationship between acute and chronic PTSD symptoms and later chronic pain. Screening for catastrophizing and acute PTSD symptoms is recommended to identify persons at risk for chronic PTSD symptoms and pain. SIGNIFICANCE: The identification of individuals who have the tendency to catastrophize may assist in finding those at risk for development of both chronic PTSD symptoms and chronic pain. Individuals may benefit from early psychological therapy focussing on catastrophizing and acute PTSD symptoms that may ameliorate both chronic PTSD symptoms and pain.
Authors: Howard S Kim; Kayla M Muschong; Ivy L Fishman; Jacob M Schauer; Amee L Seitz; Kyle J Strickland; Bruce L Lambert; Danielle M McCarthy; My H Vu; Jody D Ciolino Journal: BMJ Open Date: 2022-05-24 Impact factor: 3.006
Authors: I Spronk; G J Bonsel; S Polinder; M E van Baar; M F Janssen; J A Haagsma Journal: Health Qual Life Outcomes Date: 2020-05-19 Impact factor: 3.186
Authors: Hunter G Hoffman; Robert A Rodriguez; Miriam Gonzalez; Mary Bernardy; Raquel Peña; Wanda Beck; David R Patterson; Walter J Meyer Journal: Front Hum Neurosci Date: 2019-08-08 Impact factor: 3.169
Authors: Inge Spronk; Nancy E E Van Loey; Charlie Sewalt; Daan Nieboer; Babette Renneberg; Asgjerd Litleré Moi; Caisa Oster; Lotti Orwelius; Margriet E van Baar; Suzanne Polinder Journal: PLoS One Date: 2020-01-10 Impact factor: 3.240
Authors: Elise Boersma-van Dam; Rens van de Schoot; Helma W C Hofland; Iris M Engelhard; Nancy E E Van Loey Journal: Qual Life Res Date: 2020-10-22 Impact factor: 4.147
Authors: Inge Spronk; Anniek Stortelers; Cornelis H van der Vlies; Paul P M van Zuijlen; Anouk Pijpe Journal: Wound Repair Regen Date: 2021-06-16 Impact factor: 3.617