Abstract

BACKGROUND AND OBJECTIVES: Catastrophization and social support influence health outcomes in people with chronic pain. However, there is still no consensus regarding the relationship between these factors, and the information available in what relates to chronic pain in the knee joint is even scarcer. The objective of this study was to describe and understand the relationship between the perceived social support and pain catastrophization in adults with chronic knee pain. METHODS: Sociodemographic data were collected, and the West Haven-Yale Multidimensional Pain Inventory and Pain Catastrophizing Scale were completed by the participants. The sample included 28 participants attending daycare institutions in Aveiro, Braga and Leiria districts (Portugal). RESULTS: Seventy-five percent of the participants presented clinically significant catastrophization, and 64.3% reported high perceived social support. There is a direct relationship between high catastrophization and frequent solicitations and distraction responses. Conversely, an inverse association between high catastrophization levels and infrequent negative responses was observed in the collected sample. CONCLUSION: Useful social support contributes to a maladaptive response to pain by increasing catastrophization levels, and the catastrophic response may be a way to ask for support. There is a direct association between the perceived social support and the catastrophization of chronic knee pain in the participants. However, the association between these variables was poor/low evidencing the need to consider other factors in the catastrophization study.

Highlights

  • Chronic pain (CP) is a world public health problem[1,2]

  • Other studies have shown that, when provided by individuals who do not belong to the marital relationship, higher levels of social support result in lower frequency and intensity of pain[11,14,15]

  • Part B, which is subdivided into negative responses, solicitous responses and distractive responses, allowed to obtain data related to the perceived social support

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Summary

Introduction

Chronic pain (CP) is a world public health problem[1,2]. Currently, CP is defined by lasting longer than three months, not considering other aspects[2]. According to the Communal Coping Model, catastrophization arises as a way of the individual to request assistance and empathic responses from people of their social environment. These responses, especially when given by the spouse, can maintain or reinforce the expression of pain. The objective of this study was to describe and understand the relationship between the perceived social support and pain catastrophization in adults with chronic knee pain. There is a direct association between the perceived social support and the catastrophization of chronic knee pain in the participants.

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