High Pain Catastrophizing Scale Predicts Lower Patient-Reported Outcome Measures in the Foot and Ankle Patient

Overview

Journal Foot Ankle Spec

Publisher Sage Publications

Specialty Orthopedics

Date 2022 May 24

PMID 35607813

Authors

Andrea Veljkovic

Oliver Gagne

Monther Abuhantash

Alastair S E Younger

Michael Symes

Murray J Penner

Kevin J Wing

Khalid A Syed

Johnny Lau

Affiliations

Soon will be listed here.

Abstract

Background: Postoperative outcomes may be affected by the patient's preoperative morbidity. It is hypothesized that patient's pain catastrophization prior to foot and ankle surgery may affect their patient-reported outcomes. Methods: This study prospectively assessed a consecutive cohort of 46 patients undergoing foot and ankle reconstruction to describe the relationship between Pain Catastrophizing Scale (PCS) and patient-reported outcomes measured by 12-item Short Form Health Survey and Foot and Ankle Outcome Score (FAOS).

Results: The 1-year postoperative FAOS pain, activities of daily living, and quality of life scores correlated significantly with all baseline PCS subcategories. We found that the mental domain of the SF-12 had a statistically significant correlation with the rumination and helplessness PCS subcategories.

Conclusion: This study showed a significant association between a high preoperative PCS and a worse 1-year FAOS. As such, catastrophization could be screened for and potentially treated preoperatively to improve patient-reported outcomes in elective foot and ankle surgery.

Level Of Evidence: Therapeutic, Level III Evidence.

Citing Articles

A prospective study of the association between pain and catastrophizing after selective nerve root blockade.

Tabatabaei Shafiei P, Akerstedt J, Awad A, Sjoberg R, Wanman J Pain Pract. 2025; 25(3):e70017.

PMID: 40035355 PMC: 11877626. DOI: 10.1111/papr.70017.

References

Jensen M, Turner J, Romano J . Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. J Consult Clin Psychol. 2001; 69(4):655-62. DOI: 10.1037//0022-006x.69.4.655. View

Sullivan M, Stanish W, Sullivan M, Tripp D . Differential predictors of pain and disability in patients with whiplash injuries. Pain Res Manag. 2002; 7(2):68-74. DOI: 10.1155/2002/176378. View

Pavlin D, Sullivan M, Freund P, Roesen K . Catastrophizing: a risk factor for postsurgical pain. Clin J Pain. 2004; 21(1):83-90. DOI: 10.1097/00002508-200501000-00010. View

Glazebrook M, Daniels T, Younger A, Foote C, Penner M, Wing K . Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis. J Bone Joint Surg Am. 2008; 90(3):499-505. DOI: 10.2106/JBJS.F.01299. View

Domsic R, Saltzman C . Ankle osteoarthritis scale. Foot Ankle Int. 1998; 19(7):466-71. DOI: 10.1177/107110079801900708. View

Wideman T, Sullivan M . Reducing catastrophic thinking associated with pain. Pain Manag. 2014; 1(3):249-56. DOI: 10.2217/pmt.11.14. View

Dunn L, Durieux M, Fernandez L, Tsang S, Smith-Straesser E, Jhaveri H . Influence of catastrophizing, anxiety, and depression on in-hospital opioid consumption, pain, and quality of recovery after adult spine surgery. J Neurosurg Spine. 2017; 28(1):119-126. PMC: 5772650. DOI: 10.3171/2017.5.SPINE1734. View

Keefe F, Abernethy A, Campbell L . Psychological approaches to understanding and treating disease-related pain. Annu Rev Psychol. 2005; 56:601-30. DOI: 10.1146/annurev.psych.56.091103.070302. View

Li C, Shun S . Understanding self care coping styles in patients with chronic heart failure: A systematic review. Eur J Cardiovasc Nurs. 2015; 15(1):12-9. DOI: 10.1177/1474515115572046. View

10.

Ho B, Houck J, Flemister A, Ketz J, Oh I, DiGiovanni B . Preoperative PROMIS Scores Predict Postoperative Success in Foot and Ankle Patients. Foot Ankle Int. 2016; 37(9):911-8. DOI: 10.1177/1071100716665113. View

11.

Sullivan M, Stanish W, Waite H, Sullivan M, Tripp D . Catastrophizing, pain, and disability in patients with soft-tissue injuries. Pain. 1998; 77(3):253-260. DOI: 10.1016/S0304-3959(98)00097-9. View

12.

Ware Jr J, Kosinski M, Keller S . A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996; 34(3):220-33. DOI: 10.1097/00005650-199603000-00003. View

13.

Roos E, Brandsson S, Karlsson J . Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int. 2001; 22(10):788-94. DOI: 10.1177/107110070102201004. View

14.

Bierke S, Petersen W . Influence of anxiety and pain catastrophizing on the course of pain within the first year after uncomplicated total knee replacement: a prospective study. Arch Orthop Trauma Surg. 2017; 137(12):1735-1742. DOI: 10.1007/s00402-017-2797-5. View

15.

Desai S, Peterson A, Wing K, Younger A, Crump T, Liu G . Minimally Important Difference in the Foot and Ankle Outcome Score Among Patients Undergoing Hallux Valgus Surgery. Foot Ankle Int. 2019; 40(6):694-701. DOI: 10.1177/1071100719831392. View

16.

Goh G, Thever Y, Tay A, Singh Rikhraj I, Koo K . Can patients with psychological distress achieve comparable functional outcomes and satisfaction after hallux valgus surgery? A 2-year follow-up study. Foot Ankle Surg. 2020; 27(6):660-664. DOI: 10.1016/j.fas.2020.08.011. View

17.

Yakobov E, Stanish W, Tanzer M, Dunbar M, Richardson G, Sullivan M . The prognostic value of pain catastrophizing in health-related quality of life judgments after Total knee arthroplasty. Health Qual Life Outcomes. 2018; 16(1):126. PMC: 6006578. DOI: 10.1186/s12955-018-0955-2. View

18.

Broderick J, Keefe F, Bruckenthal P, Junghaenel D, Schneider S, Schwartz J . Nurse practitioners can effectively deliver pain coping skills training to osteoarthritis patients with chronic pain: A randomized, controlled trial. Pain. 2014; 155(9):1743-1754. PMC: 4171086. DOI: 10.1016/j.pain.2014.05.024. View

19.

Wright D, Hoang M, Sofine A, Silva J, Schwarzkopf R . Pain catastrophizing as a predictor for postoperative pain and opiate consumption in total joint arthroplasty patients. Arch Orthop Trauma Surg. 2017; 137(12):1623-1629. DOI: 10.1007/s00402-017-2812-x. View

20.

Wright A, Hensley C, Gilbertson J, Leland 3rd J, Jackson S . Defining patient acceptable symptom state thresholds for commonly used patient reported outcomes measures in general orthopedic practice. Man Ther. 2015; 20(6):814-9. DOI: 10.1016/j.math.2015.03.011. View