Relation of cognitive coping and catastrophizing to acute pain and analgesic use following breast cancer surgery Journal Article


Authors: Jacobsen, P. B.; Butler, R. W.
Article Title: Relation of cognitive coping and catastrophizing to acute pain and analgesic use following breast cancer surgery
Abstract: This study investigated the relation of cognitive coping and catastrophizing to acute postoperative pain and analgesic use. Fifty-nine women who had just undergone breast cancer surgery rated their pain on 3 consecutive days and completed a self-report measure of cognitive coping and catastrophizing prior to hospital discharge. Analgesic use over the 3-day period was tabulated from pharmacy records. Based on prior research, it was hypothesized that increased catastrophizing and decreased use of cognitive coping strategies would be associated with greater pain and analgesic use. Results partially confirmed these hypotheses. Catastrophizing but not cognitive coping was associated with individual differences in pain intensity and analgesic use. Additional analyses indicated that age was a significant predictor of both catastrophizing and postoperative pain. Specifically, younger patients were more likely to catastrophize and to report increased postoperative pain. Theoretical and clinical implications of these findings are discussed.
Keywords: adult; aged; middle aged; cancer surgery; major clinical study; cancer patient; breast cancer; mastectomy; breast neoplasms; self report; adaptive behavior; adaptation, psychological; narcotic analgesic agent; pethidine; cognition; surgery; coping behavior; morphine; analgesics; analgesia; pain assessment; postoperative pain; pain, postoperative; drug use; intravenous drug administration; oxycodone; oral drug administration; intramuscular drug administration; codeine; dextropropoxyphene; catastrophizing; acute pain; imagination; humans; human; female; article; cognitive coping
Journal Title: Journal of Behavioral Medicine
Volume: 19
Issue: 1
ISSN: 0160-7715
Publisher: Springer  
Date Published: 1996-02-01
Start Page: 17
End Page: 29
Language: English
DOI: 10.1007/bf01858172
PUBMED: 8932659
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 22 November 2017 -- Source: Scopus
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  1. Robert W. Butler
    11 Butler