Brazilian Journal of Pain
Brazilian Journal of Pain
Original Article

Relationship between the perceived social support and catastrophization in individuals with chronic knee pain

Relação entre suporte social percebido e catastrofização em indivíduos com dor crônica do joelho

Bruna Almeida; Adriana Capela; Joana Pinto; Vânia Santos; Cândida G. Silva; Marlene Cristina Neves Rosa

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BACKGROUND AND OBJECTIVES: Catastrophization and social support influence health outcomes in people with chronic pain. However, there is still no consensus regarding the relationship between these factors, and the information available in what relates to chronic pain in the knee joint is even scarcer. The objective of this study was to describe and understand the relationship between the perceived social support and pain catastrophization in adults with chronic knee pain.

METHODS: Sociodemographic data were collected, and the West Haven-Yale Multidimensional Pain Inventory and Pain Catastrophizing Scale were completed by the participants. The sample included 28 participants attending daycare institutions in Aveiro, Braga and Leiria districts (Portugal).

RESULTS: Seventy-five percent of the participants presented clinically significant catastrophization, and 64.3% reported high perceived social support. There is a direct relationship between high catastrophization and frequent solicitations and distraction responses. Conversely, an inverse association between high catastrophization levels and infrequent negative responses was observed in the collected sample.

CONCLUSION: Useful social support contributes to a maladaptive response to pain by increasing catastrophization levels, and the catastrophic response may be a way to ask for support. There is a direct association between the perceived social support and the catastrophization of chronic knee pain in the participants. However, the association between these variables was poor/low evidencing the need to consider other factors in the catastrophization study.


Catastrophization, Chronic pain, Perceived social support


JUSTIFICATIVA E OBJETIVOS: Tanto a catastrofização como o suporte social influenciam os resultados na saúde de indivíduos com dor crônica. Porém, não há consenso sobre a relação entre esses fatores, sendo escassa a informação direcionada à articulação do joelho. O objetivo deste estudo foi descrever e compreender a relação entre o suporte social percebido e a catastrofização da dor em idosos com dor crônica do joelho.

MÉTODOS: Foi feita a coleta de dados sociodemográficos, em conjunto com o preenchimento dos instrumentos West Haven-Yale Multidimensional Pain Inventory e Pain Catastrophizing Scale pelos participantes. A amostra foi constituída por 28 participantes, institucionalizados em regime de centro de dia dos distritos de Aveiro, Braga e Leiria (Portugal).

RESULTADOS: Setenta e cinco por cento dos participantes apresentaram catastrofização clinicamente significativa e 64,3% referiram alto suporte social percebido. Verificou-se uma relação diretamente proporcional entre a elevada catastrofização e as respostas solícitas e de distração frequentes. Contrariamente, existe uma associação inversamente proporcional entre o elevado nível de catastrofização e as respostas negativas pouco frequentes na amostra recolhida.

CONCLUSÃO: O suporte social útil contribui para uma resposta desadaptativa à dor, pelo aumento dos níveis de catastrofização, podendo a resposta catastrófica constituir um meio para solicitar apoio. Denota-se uma associação diretamente proporcional entre o suporte social percebido e a catastrofização da dor crônica do joelho nos participantes. Contudo, a relação demonstrou ser pobre/baixa, evidenciando a necessidade de considerar outros fatores no estudo da catastrofização.


Catastrofização, Dor crônica, Suporte social percebido


How Prevalent Its Chronic Pain?. Pain Clin Update. 2003;XI(2):1-4.

Azevedo LF, Costa-Pereira A, Mendonça L, Dias C, Castro-Lopes JM. Epidemiology of chronic pain: a population-based nationwide study on its prevalence, characteristics and associated disability in Portugal. J Pain. 2012;13(8):773-83.

Ilori T, Ladipo MM, Ogunbode AM, Obimakinde AM. Knee osteoarthritis and perceived social support amongst patients in a family medicine clinic. S Afr Fam Pract. 2016;1(1):1-5.

McDougall JJ. Arthritis and pain: Neurogenic origin of joint pain. Arthritis Res Ther. 2006;8(6):220.

Quicke JG, Foster NE, Thomas MJ, Holden MA. Is long-term physical activity safe for older adults with knee pain? A systematic review. Osteoarthritis Cartilage. 2015;23(9):1445-56.

Adams LM, Turk DC. Psychosocial factors and central sensitivity syndromes. Curr Rheumatol Rev. 2015;11(2):96-108.

Edwards RR, Cahalan C, Mensing G, Smith M, Haythornthwaite JA. Pain, catastrophizing, and depression in the rheumatic diseases. Nat Rev Rheumatol. 2011;7(4):216-24.

Gatchel RJ. The biopsychosocial model of chronic pain. The biopsychosocial model of chronic pain. 2013:5-17.

Azevedo LF, Pereira AC, Dias C, Agualusa L, Lemos L, Romão J. Questionários sobre dor crónica. tradução, adaptação cultural e estudo multicêntrico de validação de instrumentos para rastreio e avaliação do impacto da dor crónica. Dor. 2007;15:6-37.

Leung L. Pain catastrophizing: an updated review. Indian J Psychol Med. 2012;34(3):204-17.

López-Martínez AE, Esteve-Zarazaga R, Ramírez-Maestre C. Perceived social support and coping responses are independent variables explaining pain adjustment among chronic pain patients. J Pain. 2008;9(4):373-9.

Bogossian FE. Social support: proposing a conceptual model for application to midwifery practice. Women Birth. 2007;20(4):169-73.

Cramer D, Henderson S, Scott R. Mental health and adequacy of social support: a four-wave panel study. Br J Soc Psychol. 1997;35:285-95.

Che X, Cash R, Fitzgerald P, Fitzgibbon BM. The social regulation of pain: autonomic and neurophysiological changes associated with perceived threat. J Pain. 2018;19(5):496-505.

Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain. 2001;17(1):52-64.

Sullivan MJ, Adams H, Sullivan ME. Communicative dimensions of pain catastrophizing: social cueing effects on pain behaviour and coping. Pain. 2004;107(3):220-6.

Sullivan MJ. The Pain Catastrophizing Scale. 2009:3-22.

Broekmans T, Gijbels D, Eijnde BO, Alders G, Lamers I, Roelants M. The relationship between upper leg muscle strength and walking capacity in persons with multiple sclerosis. Mult Scler. 2013;19(1):112-9.

Adachi T, Nakae A, Maruo T, Shi K, Maeda L, Saitoh Y. The relationships between pain catastrophizing subcomponents and multiple pain-related outcomes in Japanese outpatients with chronic pain: a cross-sectional study. Pain Pract. 2018;17.

Gauthier LR, Rodin G, Zimmermann C, Warr D, Librach SL, Moore M. The communal coping model and cancer pain: the roles of catastrophizing and attachment style. J Pain. 2012;13(12):1258-68.

Krahé C, Springer A, Weinman JA, Fotopoulou A. The social modulation of pain: others as predictive signals of salience - a systematic review. Fornt Hum Neurosci. 2013;7:386.

Suso-Ribera C, García-Palacios A, Botella C, Ribera-Canudas MV. Pain catastrophizing and its relationship with health outcomes: does pain intensity matter?. Pain Res Manag. 2017;2017.

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