{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:53:46Z","timestamp":1792108426890,"version":"4.4.0"},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Chronic lower limb wounds are frequently accompanied by persistent wound\u2010related pain (WRP), which can impair physical functioning, emotional well\u2010being and coping capacity. Despite its prevalence, the multidimensional impact of WRP remains under\u2010recognised in routine wound care. This study examined the relationship of WRP on quality of life (QoL), physical health, psychosocial well\u2010being and pain\u2010related beliefs. A cross\u2010sectional survey of 105 patients attending an outpatient wound clinic was conducted. Participants were stratified by the presence or absence of WRP. Validated self\u2010report instruments assessed pain severity, physical function, emotional distress, depressive symptoms and coping strategies. Participants with WRP completed additional measures of psychological distress and pain catastrophising. Data were analysed using\n                    <jats:italic>t<\/jats:italic>\n                    \u2010tests, ANOVA and Spearman's correlations. Patients with WRP reported significantly higher pain severity (SF\u2010MPQ: 17.2 vs. 3.8,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), greater physical disability (M\u2010RMDQ: 11.1 vs. 5.3,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and increased stress (DASS\u201021: 4.7 vs. 2.4,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.007). WRP was associated with maladaptive coping, including catastrophising and praying\/hoping. Continuous pain was linked to higher catastrophising, particularly magnification and rumination. Younger patients demonstrated greater maladaptive pain beliefs. WRP in chronic wounds is a complex biopsychosocial phenomenon. Integrating pain management with psychological support and patient education may improve coping, reduce distress and healing outcomes.\n                  <\/jats:p>","DOI":"10.1111\/iwj.71070","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:32:17Z","timestamp":1792063937000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Wound\u2010Related Pain on Quality of Life, Psychosocial Well\u2010Being and Pain Beliefs in Individuals With Chronic Lower Limb Wounds"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6355-4110","authenticated-orcid":false,"given":"Nicoletta","family":"Frescos","sequence":"first","affiliation":[{"name":"Department of Podiatry Northern Health  Melbourne Victoria Australia"},{"name":"Discipline of Podiatry, School of Allied Health, Human Services and Sport La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8572-4259","authenticated-orcid":false,"given":"Laura E.","family":"Prendergast","sequence":"additional","affiliation":[{"name":"Persistent Pain Management Service Northern Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0692-3469","authenticated-orcid":false,"given":"Windy","family":"Cole","sequence":"additional","affiliation":[{"name":"Kent State University College of Podiatric Medicine  Independence Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1179\/108331907X223010"},{"issue":"4","key":"e_1_2_12_3_1","first-page":"12","article-title":"An International Perspective on Wound Pain and Trauma","volume":"49","author":"Moffatt C.","year":"2003","journal-title":"Ostomy\/Wound Management"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/nri1810"},{"issue":"2","key":"e_1_2_12_5_1","first-page":"57","article-title":"Living With Diabetic Foot Ulcers: A Life of Fear, Restrictions, and Pain","volume":"50","author":"Ribu L.","year":"2004","journal-title":"Ostomy\/Wound Management"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2001\/978130"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00311.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000530069.82749.e5"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12254"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1975.tb00927.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(87)91074-8"},{"issue":"11","key":"e_1_2_12_12_1","first-page":"S240","article-title":"Measures of Adult Pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short\u2010Form McGill Pain Questionnaire (SF\u2010MPQ), Chronic Pain Grade Scale (CPGS), Short Form\u201036 Bodily Pain Scale (SF\u201036 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP)","volume":"63","author":"Hawker G. 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