TitleDaily and bidirectional linkages between pain catastrophizing and spouse responses.
Publication TypeJournal Article
Year of Publication2019
AuthorsMartire, LM, Zhaoyang, R, Marini, CM, Nah, S, Darnall, BD
Date Published2019 Dec
KeywordsAdaptation, Psychological, Affect, Aged, Catastrophization, Empathy, Female, Humans, Interpersonal Relations, Male, Middle Aged, Osteoarthritis, Knee, Spouses

<p>Pain catastrophizing has been shown to predict greater pain and less physical function in daily life for chronic pain sufferers, but its effects on close social partners have received much less attention. The overall purpose of this study was to examine the extent to which pain catastrophizing is an interpersonal coping strategy that is maladaptive for patients and their spouses. A total of 144 older knee osteoarthritis patients and their spouses completed baseline interviews and a 22-day diary assessment. Multilevel lagged models indicated that, on days when patients reported greater catastrophizing in the morning, their spouses experienced more negative affect throughout the day. In addition, a higher level of punishing responses from the spouse predicted greater pain catastrophizing the next morning, independent of patient pain and negative affect. Multilevel mediation models showed that patients' morning pain catastrophizing indirectly impacted spouses' negative affect and punishing responses through patients' own greater negative affect throughout the day. There was no evidence that spouses' empathic or solicitous responses either followed or preceded patients' catastrophizing. These findings suggest that cognitive-behavioral interventions that reduce pain catastrophizing should be modified for partnered patients to address dyadic interactions and the spouse's role in pain catastrophizing.</p>

Alternate JournalPain
PubMed ID31408052
PubMed Central IDPMC6856428
Grant ListR01 AG026010 / AG / NIA NIH HHS / United States
R01 AT008561 / AT / NCCIH NIH HHS / United States
T32 AG049676 / AG / NIA NIH HHS / United States
T32 DA035165 / DA / NIDA NIH HHS / United States