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There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients

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Abstract

Among the potential range of irrational beliefs that could be used as predictors of physical and mental health, catastrophizing is the process that has received most attention in chronic pain research. Other irrational processes such as demandingness, low frustration tolerance, and self-downing have rarely been studied. The goal of this study was to explore whether this wider range of beliefs is associated with health in chronic pain patients beyond catastrophizing. A total of 492 chronic pain patients completed a measure of irrational beliefs, a measure of physical and mental health, and a numerical rating scale designed to assess pain intensity and interference. Irrational processes were more strongly associated with mental than with physical health. Low frustration tolerance and self-downing were found to be significantly related to mental health even after controlling for the effect of catastrophizing. Processes other than catastrophizing appear to have potentially important relationships with the mental health of people with chronic pain. These results may offer new intervention targets for practitioners.

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Acknowledgments

Funding for this study was provided by Ministerio de Educación y Cultura (Spanish Government, FPU-AP2010-5585), Ministerio de Economía y Competitividad (Spanish Government, PSI2012-33601), AGAUR (Catalan Government, 2009-SGR-74), Fundació Pedro i Pons (University of Barcelona, Spain), and Society of Multivariate Experimental Psychology.

Author contributions

Carlos Suso-Ribera, Montsant Jornet-Gibert, Maria Victoria Ribera-Canudas, David Gallardo-Pujol and Alberto Maydeu-Olivares designed the project. Carlos Suso-Ribera gathered the data and conducted the analysis. Lance M. McCracken helped with the interpretation of data. Carlos Suso-Ribera wrote the first draft and all the authors then critically revised it. The final manuscript was read and approved by all named authors.

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Authors and Affiliations

  1. Department of Personality, Faculty of Psychology, University of Barcelona, Barcelona, Spain

    Montsant Jornet-Gibert, Alberto Maydeu-Olivares & David Gallardo-Pujol

  2. Pain Unit, Department of Traumatology, Vall d’Hebron Hospital, Barcelona, Spain

    Carlos Suso-Ribera & Maria Victoria Ribera Canudas

  3. Health Psychology Section, Psychology Department, King’s College London & INPUT Pain Management Centre, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Lance M. McCracken

  4. Brain, Cognition and Behaviour Research Institute (IR3C), University of Barcelona, Barcelona, Spain

    Alberto Maydeu-Olivares & David Gallardo-Pujol

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  1. Carlos Suso-Ribera
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  3. Maria Victoria Ribera Canudas
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  4. Lance M. McCracken
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  5. Alberto Maydeu-Olivares
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  6. David Gallardo-Pujol
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Correspondence to Carlos Suso-Ribera.

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Conflict of Interest

Carlos Suso-Ribera, Montsant Jornet-Gibert, Maria Victoria Ribera Canudas, Lance M. McCracken, Alberto Maydeu-Olivares, and David Gallardo-Pujol declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Suso-Ribera, C., Jornet-Gibert, M., Ribera Canudas, M.V. et al. There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients. J Clin Psychol Med Settings 23, 192–206 (2016). https://doi.org/10.1007/s10880-016-9454-y

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