PMID- 38339319
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240212
IS  - 2072-6694 (Print)
IS  - 2072-6694 (Electronic)
IS  - 2072-6694 (Linking)
VI  - 16
IP  - 3
DP  - 2024 Jan 29
TI  - Pain Catastrophizing in Cancer Patients.
LID - 10.3390/cancers16030568 [doi]
LID - 568
AB  - BACKGROUND: Pain catastrophizing is a group of negative irrational cognitions in 
      the context of anticipated or actual pain. The aim of this study was to decipher 
      the possible role of catastrophism on pain expression and outcomes after a 
      comprehensive palliative care treatment. METHODS: A consecutive sample of 
      patients with uncontrolled pain was assessed. Demographic characteristics, 
      symptom intensity included in the Edmonton symptom assessment system (ESAS), and 
      opioid drugs used were recorded at admission (T0). The Pain Catastrophizing Scale 
      (PCS) was measured for patients. Patients were also asked about their 
      personalized symptom goal (PSG) for each symptom of ESAS. One week after a 
      comprehensive palliative care treatment (T7), ESAS and opioid doses used were 
      recorded again, and the number of patients who achieved their PSG (PSGR) were 
      calculated. At the same interval (T7), Minimal Clinically Important Difference 
      (MCID) was calculated using patient global impression (PGI). RESULTS: Ninety-five 
      patients were eligible. A significant decrease in symptom intensity was reported 
      for all ESAS items. PGI was positive for all symptoms, with higher values for 
      pain, poor well-being, and poor sleep. Only the rumination subscale of 
      catastrophism was significantly associated with pain at T0 (B = 0.540; p = 
      0.034). CONCLUSIONS: Catastrophism was not associated with the levels of pain 
      intensity, PSG, PSGR, and PGI for pain, except the rumination subscale that was 
      associated with pain intensity at T0. A comprehensive palliative care management 
      provided the relevant changes in symptom burden, undoing the pain expression 
      associated with rumination.
FAU - Mercadante, Sebastiano
AU  - Mercadante S
AUID- ORCID: 0000-0001-9859-6487
AD  - Main Regional Center of Pain Relief and Supportive/Palliative Care, La Maddalena 
      Cancer Center, Via San Lorenzo 312, 90146 Palermo, Italy.
FAU - Ferrera, Patrizia
AU  - Ferrera P
AD  - Main Regional Center of Pain Relief and Supportive/Palliative Care, La Maddalena 
      Cancer Center, Via San Lorenzo 312, 90146 Palermo, Italy.
FAU - Lo Cascio, Alessio
AU  - Lo Cascio A
AD  - Main Regional Center of Pain Relief and Supportive/Palliative Care, La Maddalena 
      Cancer Center, Via San Lorenzo 312, 90146 Palermo, Italy.
FAU - Casuccio, Alessandra
AU  - Casuccio A
AUID- ORCID: 0000-0002-5676-9535
AD  - Department of Health Promotion, Maternal and Infant Care, Internal Medicine and 
      Medical Specialties, University of Palermo, 90127 Palermo, Italy.
LA  - eng
PT  - Journal Article
DEP - 20240129
PL  - Switzerland
TA  - Cancers (Basel)
JT  - Cancers
JID - 101526829
PMC - PMC10854960
OTO - NOTNLM
OT  - cancer pain
OT  - catastrophism
OT  - palliative care
COIS- The authors declare no conflicts of interest.
EDAT- 2024/02/10 10:42
MHDA- 2024/02/10 10:43
PMCR- 2024/01/29
CRDT- 2024/02/10 01:14
PHST- 2023/12/11 00:00 [received]
PHST- 2024/01/24 00:00 [revised]
PHST- 2024/01/25 00:00 [accepted]
PHST- 2024/02/10 10:43 [medline]
PHST- 2024/02/10 10:42 [pubmed]
PHST- 2024/02/10 01:14 [entrez]
PHST- 2024/01/29 00:00 [pmc-release]
AID - cancers16030568 [pii]
AID - cancers-16-00568 [pii]
AID - 10.3390/cancers16030568 [doi]
PST - epublish
SO  - Cancers (Basel). 2024 Jan 29;16(3):568. doi: 10.3390/cancers16030568.