{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:48:55Z","timestamp":1791524935073,"version":"4.3.4"},"reference-count":46,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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":["Pain Practice"],"published-print":{"date-parts":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To examine the relationships between pain intensity, pain acceptance, pain catastrophizing, and psychological distress in Egyptian cancer patients with chronic pain.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross\u2010sectional study was conducted with 406 adult cancer patients experiencing chronic pain. Participants completed the Numeric Rating Scale for pain intensity, the Chronic Pain Acceptance Questionnaire, the Pain Catastrophizing Scale, and the Kessler Psychological Distress Scale. Multiple linear regression analysis identified predictors of psychological distress.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants had a mean age of 47.8\u2009years (SD\u2009=\u200912.3), with most being male (63.5%), married (50.2%), and having at least a diploma\u2010level education (87.9%). Psychological distress was prevalent, affecting 88.4% of participants, with 19.7% reporting severe distress. Pain intensity (\n B<\/jats:italic>\n \u2009=\u20090.498,\n p<\/jats:italic>\n \u2009=\u20090.007) and pain acceptance (\n B<\/jats:italic>\n \u2009=\u2009\u22120.260,\n p<\/jats:italic>\n \u2009<\u20090.001) were significant predictors of psychological distress, while pain catastrophizing was not significant when controlling for other factors. Employment status, chronic\u2010illness comorbidities, smoking status, advanced cancer stage, and a gynecological cancer diagnosis were also significant predictors, explaining 50.5% of the variance in distress.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n The high prevalence of psychological distress highlights the need for integrated pain management that addresses physical and psychosocial factors. Pain acceptance emerged as a protective factor, supporting acceptance\u2010based interventions to improve psychological outcomes in cancer patients with chronic pain.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/papr.70204","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:49:59Z","timestamp":1791521399000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Impact of Pain Intensity, Acceptance, and Catastrophizing on Psychological Distress in Cancer Patients"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1226-9034","authenticated-orcid":false,"given":"Hanan","family":"Abdelrahman","sequence":"first","affiliation":[{"name":"University of Massachusetts Boston College of Nursing and Health Sciences Boston Massachusetts USA"},{"name":"Faculty of Nursing Suez Canal University Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7004-6782","authenticated-orcid":false,"given":"Mohammad","family":"Al Qadire","sequence":"additional","affiliation":[{"name":"Princess Salma Faculty of Nursing Al Al\u2010Bayt University Mafraq Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Soliman","sequence":"additional","affiliation":[{"name":"Massachusetts College of Pharmacy and Health Sciences Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5641-0645","authenticated-orcid":false,"given":"Michelle D. S.","family":"Boakye","sequence":"additional","affiliation":[{"name":"University of Massachusetts Boston College of Nursing and Health Sciences Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamada","family":"Zehry","sequence":"additional","affiliation":[{"name":"Horus University \u2010 Egypt Faculty of Medicine Damietta City Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"2173","DOI":"10.2147\/CMAR.S355653","article-title":"A Comprehensive Analysis of the Cancer Chronic Pain Experience: A Narrative Review","volume":"14","author":"Filipponi C.","year":"2023","journal-title":"Cancer Management and Research"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1007\/s11916-010-0170-2","article-title":"Acceptance and Related Processes in Adjustment to Chronic Pain","volume":"15","author":"Thompson M.","year":"2011","journal-title":"Current Pain and Headache Reports"},{"issue":"1","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.pain.2009.02.009","article-title":"Acceptance of Pain: A Study in Patients With Advanced Cancer","volume":"143","author":"Gauthier L. 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