The catastrophizing of chronic pain in Amazonian elderly people
DOI:
https://doi.org/10.36517/2175-6783.20262796647Keywords:
Chronic Pain; Catastrophization; Aged; Social Support; Primary Health Care.Abstract
Objective: to analyze the relationship between sociodemographic and clinical factors and the catastrophizing of chronic pain in older adults in the Amazon region. Methods: a cross-sectional study was conducted with 60 older adults with chronic pain who were treated at a primary care clinic. Sociodemographic and clinical data were collected; the Short Physical Performance Battery was used to assess physical performance; and the Pain Catastrophizing Scale was administered. The analysis included descriptive statistics, the “t-test” for independent samples, and “Pearson’s correlation,” with a significance level of 5%. Results: higher levels of pain catastrophizing were observed among women, with differences in the magnification and rumination domains and in the total score. Age showed a negative correlation with the magnification domain. Having a partner was associated with higher rumination scores, whereas the presence of a support network was associated with higher scores in the magnification domain and the total catastrophizing score. Conclusion: pain catastrophizing was associated with sociodemographic factors, particularly gender, age, having a partner, and a support network. Contributions to practice: these findings can guide the planning of nursing care and individualized interventions in the management of chronic pain in older adults, contributing to aging with quality of life.
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1. Kaye AD, Kweon J, Hashim A, Elwaraky MM, Shehata IM, Luther PM, et al. Evolving concepts of pain management in elderly patients. Curr Pain Headache Rep. 2024;28(10):999-1005. doi: http://doi.org/10.1007/s11916-024-01291-x
2. Singh SP, Guindon J, Mody PH, Ashworth G, Kopel J, Chilakapati S, et al. Pain and aging: a unique challenge in neuroinflammation and behavior. Mol Pain. 2023;19:17448069231203090. doi: https://doi.org/10.1177/17448069231203090
3. Toledo AO, Fontenele TMO, Rela MOV, Rodrigues CEM, Gomes JMA, Abdon APV. Characteristics of pain and interference in aspects of life in adults with chronic neck pain. BrJP. 2025;8:e20250015. doi: http://doi.org/10.63231/2595-0118.20250015-en
4. Ministério da Saúde (BR). Pesquisa aponta que quase 37% dos brasileiros acima de 50 anos têm dores crônicas [Internet]. 2023 [cited Jan 2, 2026]. Available from: https://www.gov.br/saude/pt-br/assuntos/noticias/2023/dezembro/pesquisa-aponta-que-quase-37-dos-brasileiros-acima-de-50-anos-tem-dores-cronicas
5. Luo X, Li H, Hou X, Li L, Mao Y. The gender difference in the comorbidity of chronic pain and depression: a longitudinal study. J Affect Disord. 2026;392:120109. doi: http://doi.org/10.1016/j.jad.2025.120109
6. Aguiar DP, Souza CPQ, Barbosa WJM, Santos-Júnior FFU, Oliveira AS. Prevalence of chronic pain in Brazil: systematic review. BrJP. 2021;4(3):257-67. doi: https://doi.org/10.5935/2595-0118.20210041
7. Instituto Brasileiro de Geografia e Estatística (BR). Projeções da população do Brasil e unidades da federação: revisão 2024 [Internet]. 2025 [cited Mar 3, 2026]. Available from: https://www.ibge.gov.br/estatisticas/sociais/populacao/9109-projecao-da-populacao.html
8. Zhi Y, Zhang Y, Zhang Y, Zhang M, Kong Y. Age-associated changes in multimodal pain perception. Age Ageing. 2024;53:afae107. doi: https://dx.doi.org/10.1093/ageing/afae107
9. Petrini L, Arendt-Nielsen L. Pain catastrophizing in the elderly: an experimental pain study. Scand J Pain. 2024;24(1):20230035. doi: https://dx.doi.org/10.1515/sjpain-2023-0035
10. Fernández-Palacios FG, Tejera-Alonso A, Pacho-Hernández JC, Naeimi A, Llave-Rincón AI, Ambite-Quesada S, et al. Effects of aging on experimentally induced pain perception during a distraction task. Sci Rep. 2025;15:10574. doi: http://doi.org/10.1038/s41598-025-94849-7
11. Santiago BVM, Oliveira ABG, Silva GMR, Silva MF, Bergamo PE, Parise M, et al. Prevalence of chronic pain in Brazil: a systematic review and meta-analysis. Clinics (Sao Paulo). 2023;78:100209. doi: https://doi.org/10.1016/j.clinsp.2023.100209
12. Ferretti FK, Andrin G, Zanini SC, Silva MR. Dor crônica e nível de atividade física de idosos moradores do ambiente rural de um pequeno município do oeste catarinense. Estud Interdiscip Envelhec. 2024;29(1):e139507. doi: https://doi.org/10.22456/2316-2171.139507
13. Kamonseki DH, Haik MN, Ribeiro LP, Almeida RF, Camargo PR. Measurement properties of pain catastrophizing scale in individuals with chronic shoulder pain. Braz J Phys Ther. 2025;29(3):101206. doi: https://doi.org/10.1016/j.bjpt.2025.101206
14. Liegl G, Brinker AY, Müller-Werdan U, Heissel A, Buttgereit F, Köllner V, et al. Bridging patient-reported outcomes and performance assessments in older adults: linking the short physical performance battery to the standardised PROMIS physical function scale. Age Ageing. 2026;55(1):afaf375. doi: https://doi.org/10.1093/ageing/afaf375
15. Currado D, Kun L, Saracino F, Frascà L, Trunfio F, Berardicurti O, et al. Pain catastrophizing and its domains significantly impact rheumatoid arthritis disease activity. Sci Rep. 2025;15:37805. doi: https://doi.org/10.1038/s41598-025-21749-1
16. Le LHL, Brown VAV, Mol S, Azijli K, Kuijper MM, Becker L, et al. Sex differences in pain catastrophizing and its relation to the transition from acute pain to chronic pain. BMC Anesthesiol. 2024;24(1):127. doi: https://dx.doi.org/10.1186/s12871-024-02496-8
17. Athnaiel O, Davidson N, Mangat J, Nasr NF, Knezevic NN. Gonadal hormone changes with aging and their impact on chronic pain. Cells. 2025;14(2):123. doi: https://dx.doi.org/10.3390/cells14020123
18. Sirbu E, Onofrei RR, Szasz S, Susan M. Predictors of disability in patients with chronic low back pain. Arch Med Sci. 2023;19(1):94-100. doi: https://doi.org/10.5114/aoms.2020.97057
19. Noguchi T, Ikeda T, Kanai T, Saito M, Kondo K, Saito T. Association of social isolation and loneliness with chronic low back pain among older adults: a cross-sectional study from Japan Gerontological Evaluation Study (JAGES). J Epidemiol. 2024;34(6):270-7. doi: https://doi.org/10.2188/jea.JE20230127
20. Knox PJ, Simon CB, Pohlig RT, Pugliese JM, Coyle PC, Sions JM, et al. Examining psychological factors as contributors to pain, disability, and physical function in geriatric chronic low back pain: a prospective analysis of the Delaware Spine Studies cohort. J Pain. 2024;25:e646. doi: https://doi.org/10.1016/j.jpain.2023.12.005
21. Calvo E, Córdova C, Shura R, Allel K, Alvaro CC, Keyes KM, et al. Global pain and aging: a cross-sectional study on age differences in the intensity of chronic pain among middle-aged and older adults in 20 countries. J Gerontol B Psychol Sci Soc Sci. 2023;78(6):1098-108. doi: https://dx.doi.org/10.1093/geronb/gbac199
22. Borthwick C, Penlington C, Robinson L. Associations between adult attachment, pain catastrophizing, psychological inflexibility and disability in adults with chronic pain. J Clin Psychol Med Settings. 2024;31(3):571-84. doi: https://dx.doi.org/10.1007/s10880-023-09989-7
23. Eshkevar-Faraji Z, Fotokian Z, Alipour ZJ, Pourhabib A. The effect of pain coping strategies on perceived social support and acceptance of pain in elderly individuals with chronic pain. Pain Res Manag. 2025;2025:6417337. doi: http://doi.org/10.1155/prm/6417337
24. Li S. The relationships among self-efficacy, social support, and self-care behavior in elderly patients with chronic pain (a STROBE-compliant article). Medicine (Baltimore). 2021;100(9):e24554. doi: http://doi.org/10.1097/MD.0000000000024554
25. Rojas-Espinoza JB, Martínez-Talavera BE, Mejía-Medina MD, Ponce-Michua MA, Méndez-Garduño DE, Rico-González ML. Nursing interventions in the physical-functional and psychosocial sphere of older women: a comprehensive and humanized educational approach. Rev Rene. 2025;26:e95562. doi:https://dx.doi.org/10.36517/2175-6783.20252695562
26. Matthias MS, Hirsh AT, Ofner S, Daggy J. Exploring the relationships among social support, patient activation, and pain-related outcomes. Pain Med. 2022;23(4):676-85. doi: http://doi.org/10.1093/pm/pnab306
27. Teichmüller K, Galstyan H, Bas LM, Kindl G, Kanske P, Rittner HL, et al. Empathy and validation in chronic pain couples: a systematic review. Pain Rep. 2025;10(6):e1343. doi: https://dx.doi.org/10.1097/PR9.0000000000001343
28. Goubert L, Bernardes SF. Interpersonal dynamics in chronic pain: the role of partner behaviors and interactions in chronic pain adjustment. Curr Opin Psychol. 2025;62:101997. doi: https://doi.org/10.1016/j.copsyc.2025.101997
29. Donohue GF, Meredith PJ, Strong J, Page L, Andrews NE. The association between partner reactions to chronic pain and pain-related outcomes: a systematic review. Eur J Pain. 2026;30(3):e70236. doi: https://doi.org/10.1002/ejp.70236
30. Markovics D, Virág A, Gadó K. Management of chronic pain in elderly patients: the central role of nurses in multidisciplinary care. Geriatrics (Basel). 2025;10(4):110. doi: http://doi.org/10.3390/geriatrics10040110
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Data Availability Statement
The entire dataset is available upon request from the corresponding author.
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Copyright (c) 2026 Isabelle Cristine Cardoso do Rosário, Cinthia Costa de Castro, Viviane Ferraz Ferreira de Aguiar, Andrea Ribeiro da Costa, Wenderson Melo Martins, Anderson Ferreira da Rocha, Daiane de Souza Fernandes
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