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Journal of Pediatric Psychology Advance Access published online on August 10, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj059
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received April 27, 2004
Revised April 19, 2005
Accepted April 22, 2005

Article

Catastrophic Thinking About Pain is Independently Associated with Pain Severity, Disability, and Somatic Complaints in School Children and Children with Chronic Pain

Tine Vervoort MSc1*, Liesbet Goubert PhD1, Christopher Eccleston PhD2, Patricia Bijttebier PhD3, and Geert Crombez PhD1

1 Department of Experimental-Clinical and Health Psychology, Ghent University
2 Pain Management Unit, University of Bath
3 Department of Psychology, University of Leuven

* To whom correspondence should be addressed.
Tine Vervoort, E-mail: tine.vervoort{at}ugent.be


  Abstract

Objective To investigate the value of pain catastrophizing in explaining pain, disability, and somatic complaints, beyond negative affectivity (NA). Method Two cross-sectional studies, one in a sample of school children (n = 193) and a second in a clinical sample of children with recurrent or chronic pain (n = 43), were conducted. In both studies, measures of pain catastrophizing and NA were examined for their ability to explain pain, disability, and somatic complaints. Results In both studies, pain catastrophizing significantly accounted for the variance of pain, disability, and somatic complaints, beyond the effects of age, sex, and NA. Furthermore, pain catastrophizing significantly mediated the relationship between NA and somatic complaints in both studies and between NA and functional disability in study 1. Conclusions Results suggest the importance of assessing for pain catastrophizing in children. Pain catastrophizing is further discussed in terms of communicating distress to significant others.

Keywords: children; functional disability; negative affectivity; pain catastrophizing; pain severity; somatic complaints.
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