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The Relationship Between Level of Catastrophizing and Mental Health Comorbidity in Individuals With Whiplash Injuries.
Clin J Pain 2019; 35(11):880-886CJ

Abstract

OBJECTIVES

Pain catastrophizing has been shown to be correlated with measures of mental health problems such as depression and post-traumatic stress disorder (PTSD). However, the clinical implications of findings reported to date remain unclear. To date, no study has been conducted to determine meaningful cut-scores on measures of catastrophizing indicative of the heightened risk of mental health comorbidity. One objective of the present study was to identify the cut-score on the Pain Catastrophizing Scale (PCS) indicative of the heightened risk of the comorbidity of depression and PTSD. A second objective was to determine whether mental health comorbidity mediated the relationship between catastrophizing and occupational disability.

MATERIALS AND METHODS

The sample consisted of 143 individuals with whiplash injuries. Pain severity, pain catastrophizing, depression, and post-traumatic stress symptoms were assessed after admission to a rehabilitation program. Mental health comorbidity was operationally defined as obtaining a score above the clinical threshold on measures of depressive and/or post-traumatic stress symptom severity.

RESULTS

A receiver operating characteristic curve analysis revealed that a PCS score of 22 best distinguished between participants with and without mental health comorbidity. Results also revealed that mental health comorbidity mediated the relationship between catastrophizing and occupational disability.

DISCUSSION

The findings suggest that a score of ≥22 on the PCS should alert clinicians to the possibility that patients might also be experiencing clinically significant symptoms of depression or PTSD. Greater attention to the detection and treatment of mental health conditions associated with whiplash injury might contribute to more positive recovery outcomes.

Authors+Show Affiliations

Department of Psychology, McGill University, Montreal, QC.Department of Psychology, McGill University, Montreal, QC.Faculty of Health Sciences, University of Ontario Institute of Technology (UOIT), Toronto, ON, Canada.Department of Psychology, McGill University, Montreal, QC.Department of Psychology, McGill University, Montreal, QC.Department of Psychology, McGill University, Montreal, QC.Department of Psychology, McGill University, Montreal, QC.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31433319

Citation

Paré, Catherine, et al. "The Relationship Between Level of Catastrophizing and Mental Health Comorbidity in Individuals With Whiplash Injuries." The Clinical Journal of Pain, vol. 35, no. 11, 2019, pp. 880-886.
Paré C, Thibault P, Côté P, et al. The Relationship Between Level of Catastrophizing and Mental Health Comorbidity in Individuals With Whiplash Injuries. Clin J Pain. 2019;35(11):880-886.
Paré, C., Thibault, P., Côté, P., Pimentel, S. D., Shen, S., Yakobov, E., & Sullivan, M. J. L. (2019). The Relationship Between Level of Catastrophizing and Mental Health Comorbidity in Individuals With Whiplash Injuries. The Clinical Journal of Pain, 35(11), pp. 880-886. doi:10.1097/AJP.0000000000000749.
Paré C, et al. The Relationship Between Level of Catastrophizing and Mental Health Comorbidity in Individuals With Whiplash Injuries. Clin J Pain. 2019;35(11):880-886. PubMed PMID: 31433319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Relationship Between Level of Catastrophizing and Mental Health Comorbidity in Individuals With Whiplash Injuries. AU - Paré,Catherine, AU - Thibault,Pascal, AU - Côté,Pierre, AU - Pimentel,Stephania D, AU - Shen,Shiyang, AU - Yakobov,Esther, AU - Sullivan,Michael J L, PY - 2019/8/23/pubmed PY - 2019/8/23/medline PY - 2019/8/22/entrez SP - 880 EP - 886 JF - The Clinical journal of pain JO - Clin J Pain VL - 35 IS - 11 N2 - OBJECTIVES: Pain catastrophizing has been shown to be correlated with measures of mental health problems such as depression and post-traumatic stress disorder (PTSD). However, the clinical implications of findings reported to date remain unclear. To date, no study has been conducted to determine meaningful cut-scores on measures of catastrophizing indicative of the heightened risk of mental health comorbidity. One objective of the present study was to identify the cut-score on the Pain Catastrophizing Scale (PCS) indicative of the heightened risk of the comorbidity of depression and PTSD. A second objective was to determine whether mental health comorbidity mediated the relationship between catastrophizing and occupational disability. MATERIALS AND METHODS: The sample consisted of 143 individuals with whiplash injuries. Pain severity, pain catastrophizing, depression, and post-traumatic stress symptoms were assessed after admission to a rehabilitation program. Mental health comorbidity was operationally defined as obtaining a score above the clinical threshold on measures of depressive and/or post-traumatic stress symptom severity. RESULTS: A receiver operating characteristic curve analysis revealed that a PCS score of 22 best distinguished between participants with and without mental health comorbidity. Results also revealed that mental health comorbidity mediated the relationship between catastrophizing and occupational disability. DISCUSSION: The findings suggest that a score of ≥22 on the PCS should alert clinicians to the possibility that patients might also be experiencing clinically significant symptoms of depression or PTSD. Greater attention to the detection and treatment of mental health conditions associated with whiplash injury might contribute to more positive recovery outcomes. SN - 1536-5409 UR - https://www.unboundmedicine.com/medline/citation/31433319/The_Relation_Between_Level_of_Catastrophizing_and_Mental_Health_Comorbidity_in_Individuals_with_Whiplash_Injuries L2 - http://dx.doi.org/10.1097/AJP.0000000000000749 DB - PRIME DP - Unbound Medicine ER -