{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:41:22Z","timestamp":1790624482688,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the clinical and psychosocial characteristics of chronic pain in cancer survivors referred to one Australian hospital's ambulatory pain clinic over a 7\u2010year period (2013\u201019), and to compare cancer treatment\u2010related pain with comorbid non\u2010malignant pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Retrospective chart review including responses to standardized self\u2010report questionnaires (Brief Pain Inventory, Depression Anxiety Stress Scale, Pain Self\u2010Efficacy Questionnaire, Pain Catastrophizing Scale), routinely collected in all patients referred to pain clinics at Australian and New Zealand hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 3510 new referrals during the study period, 267 (7.5%) had a history of cancer and 176 (5.0%) met the study's eligibility criteria. Their average age was 63\u00a0\u00b1\u00a013\u00a0years, with 55% female. Breast cancer survivors were commonest, followed by hematological, prostate, melanoma, and colorectal, a median of 3\u00a0years post\u2010diagnosis. Pain was attributed to cancer treatment in 87 (49%), surgery being the commonest modality. Multimodal treatment (<jats:italic>n<\/jats:italic>\u00a0=\u00a089, 58%) was significantly commoner in the treatment\u2010related pain group (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Average pain severity was moderate, as was pain\u2010related disability and distress. Pain cognitions were often maladaptive (low pain self\u2010efficacy, high pain catastrophizing), predicted by pre\u2010existing anxiety and depression. Associations between pain cognitions and outcomes were medium\u2010to\u2010large. Differences between treatment pain and comorbid pain were small\u2010to\u2010medium. Their scores were similar to Australian pain clinic norms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cancer treatment causes tissue damage, but pain\u2010related distress and disability in survivors is associated with maladaptive pain cognitions. Survivors with poor pain outcomes should be evaluated for unhelpful thoughts and beliefs especially when they have pre\u2010existing depression or anxiety.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5975","type":"journal-article","created":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T10:08:04Z","timestamp":1654337284000},"page":"1895-1903","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Psychosocial characteristics of chronic pain in cancer survivors referred to an Australian multidisciplinary pain clinic"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6850-7025","authenticated-orcid":false,"given":"Paul A.","family":"Glare","sequence":"first","affiliation":[{"name":"Faculty of Medicine &amp; Health University of Sydney  Sydney New South Wales Australia"},{"name":"Pain Management Research Institute Kolling Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6111-0620","authenticated-orcid":false,"given":"Daniel J.","family":"Costa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine &amp; Health University of Sydney  Sydney New South Wales Australia"},{"name":"Pain Management Research Institute Kolling Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9364-8652","authenticated-orcid":false,"given":"Michael K.","family":"Nicholas","sequence":"additional","affiliation":[{"name":"Faculty of Medicine &amp; Health University of Sydney  Sydney New South Wales Australia"},{"name":"Pain Management Research Institute Kolling Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2019.1439"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1712502"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000456"},{"key":"e_1_2_10_5_1","first-page":"43","volume-title":"Symptom control in far advanced cancer: pain relief","author":"Twycross RG","year":"1983"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdm056"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/m14\u20102559"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.1464"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2016.68.5206"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h444"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(91)90216\u2010k"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0885\u20103924(02)00497\u20109"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002508\u2010199812000\u201000006"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5474"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001496"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.04.007"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000160"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(94)00178\u2010h"},{"key":"e_1_2_10_19_1","volume-title":"Manual for the Depression Anxiety Stress Scales","author":"Lovibond SH","year":"1995"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.12.008"},{"key":"e_1_2_10_21_1","volume-title":"The Pain Catastrophizing Scale User Manual","author":"Sullivan MJL","year":"2009"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10926\u2010008\u20109140\u20105"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0304\u20103959(01)00344\u2010x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1470\u20102045(11)70008\u20100"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2019.2585"},{"key":"e_1_2_10_26_1","volume-title":"Chapter 5. 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