Pain Catastrophizing and Fear of Pain Predict the Experience of Pain in Body Parts Not Targeted by a Delayed-Onset Muscle Soreness Procedure

JOURNAL OF PAIN

卷:16

Article

Niederstrasser, Nils Georg^1,2,3  Meulders, Ann^1,2  Meulders, Michel^4,5  Slepian, P. Maxwell⁶  Vlaeyen, Johan W. S.^1,2,7  Sullivan, Michael J. L.³ 

[1] Katholieke Univ Leuven, Res Grp Hlth Psychol, Leuven, Belgium

[2] Univ Leuven, Ctr Excellence Generalizat Res Hlth & Psychopatho, B-3000 Louvain, Belgium

[3] McGill Univ, Dept Psychol, Montreal, PQ, Canada

[4] Univ Leuven, Dept Informat Simulat & Modeling, B-3000 Louvain, Belgium

[5] Univ Leuven, Res Grp Quantitat Psychol & Individual Difference, B-3000 Louvain, Belgium

[6] Ohio Univ, Dept Psychol, Athens, OH 45701 USA

[7] Maastricht Univ, Dept Clin Psychol Sci, NL-6200 MD Maastricht, Netherlands

关键词: Generalization;    multisite pain;    delayed-onset muscle soreness;    pain catastrophizing;    fear of pain;   

DOI  :  10.1016/j.jpain.2015.07.008

来源: Elsevier

【 摘 要 】

The present study examined whether pain catastrophizing and pain-related fear predict the experience of pain in body regions that are not targeted by an experimental muscle injury protocol. A delayed-onset muscle soreness (DOMS) protocol was used to induce pain unilaterally in the pectoralis, serratus, trapezius, latissimus dorsi, and deltoid muscles. The day after the DOMS protocol, participants were asked to rate their pain as they lifted weighted canisters with their targeted (ie, injured) arm and their nontargeted arm. The lifting task is a nonnoxious stimulus unless participants are already experiencing musculoskeletal pain. Therefore, reports of pain on the nontargeted arm were operationalized as pain in response to a nonnoxious stimulus. Eighty-two healthy university students (54 men, 28 women) completed questionnaires on pain catastrophizing and fear of pain and went through the DOMS protocol. The analyses revealed that catastrophizing and pain-related fear prospectively predicted pain experience in response to a nonnoxious stimulus. The possible mechanisms underlying this effect and clinical implications are discussed. Perspective: Pain catastrophizing and fear of pain prospectively predict the pain experience in response to a nonnoxious stimulus. The pattern of findings is consistent with the predictions of current models of generalization of pain-related fear. (C) 2015 by the American Pain Society

【 授权许可】

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