{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:02:13Z","timestamp":1790694133247,"version":"4.1.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand the current status and associated factors of pain catastrophizing in patients with knee osteoarthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using the method of convenient sampling, 341 patients with knee osteoarthritis were recruited from 4 tertiary hospitals in Sichuan Province. From August 2023 to October 2024, data such as social demographic characteristics, Oxford Knee Score, and social support were collected through paper questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      The results of this study showed that the pain catastrophizing score of patients with knee osteoarthritis was (33.70\u202f\u00b1\u202f10.30). The intensity of pain during activity, Oxford knee score, anxiety, and social support (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05) jointly explained 44.1% of the variance in pain catastrophizing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with knee osteoarthritis have a high degree of pain catastrophizing. Clinical personnel should implement interventions in aspects such as social support for these patients to reduce the level of pain catastrophizing, optimize the pain trajectory, promote the rehabilitation process, and improve the quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1865529","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T04:23:33Z","timestamp":1788755013000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with pain catastrophizing in patients with knee osteoarthritis: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Lian","family":"Qiu","sequence":"first","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulu","family":"Yan","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, China"]},{"name":"Sichuan Provincial People\u2019s Hospital","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guorui","family":"Li","sequence":"additional","affiliation":[{"name":"The 944th Hospital of PLA Joint Logistics Support Force","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Cui","sequence":"additional","affiliation":[{"name":"General Hospital of Western Theater Command","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyu","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingchun","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e508","DOI":"10.1016\/S2665-9913(23)00163-7","article-title":"GBD 2021 Osteoarthritis Collaborators. Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the global burden of disease study 2021","volume":"5","year":"2023","journal-title":"Lancet Rheumatol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2895","DOI":"10.3760\/CMA.J.CN112137-20240503-01035","article-title":"Guideline for diagnosis and non-surgical treatment of early-stage knee osteoarthritis (2024 edition)","volume":"104","year":"2024","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"ref3","first-page":"47","article-title":"Investigation on anxiety and depression in patients with knee osteoarthritis","volume":"15","author":"Hai","year":"2018","journal-title":"Chin J Pharm Inf"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.joca.2021.05.007","article-title":"The burden of oa-health services and economics","volume":"30","author":"Leifer","year":"2022","journal-title":"Osteoarthr Cartil"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2489","DOI":"10.1002\/acr.25158","article-title":"Burden of knee osteoarthritis in 204 countries and territories, 1990-2019: results from the global burden of disease study 2019","volume":"75","author":"Yang","year":"2023","journal-title":"Arthritis Care Res"},{"key":"ref6","first-page":"1753","article-title":"Analysis of the current situation and trends of knee osteoarthritis disease burden in China based on GBD big data","volume-title":"Mod Prev Med","author":"Xiaocheng","year":"2022"},{"key":"ref7","year":"2022"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1037\/\/0021-843x.88.3.282","article-title":"The effects of hypnotic susceptibility, suggestions for analgesia, and the utilization of cognitive strategies on the reduction of pain","volume":"88","author":"Spanos","year":"1979","journal-title":"J Abnorm Psychol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1097\/00002508-200103000-00008","article-title":"Theoretical perspectives on the relation between catastrophizing and pain","volume":"17","author":"Sullivan","year":"2001","journal-title":"Clin J Pain"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s10067-020-05163-8","article-title":"Measurement properties of pain catastrophizing scale in patients with knee osteoarthritis","volume":"40","author":"Ong","year":"2021","journal-title":"Clin Rheumatol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"788765230","DOI":"10.1177\/19476035221087698","article-title":"High prevalence of pain sensitization in knee osteoarthritis: a meta-analysis with meta-regression","volume":"13","author":"Previtali","year":"2022","journal-title":"Cartilage"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"57","DOI":"10.3390\/healthcare11010057","article-title":"Outcome expectations and older adults with knee osteoarthritis: their exercise outcome expectations in relation to perceived health, self-efficacy, and fear of falling","volume":"11","author":"Chu","year":"2022","journal-title":"Healthcare"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1016\/j.jos.2021.03.006","article-title":"Phenotypic classification of knee osteoarthritis according to pain mechanisms; A clinical observational study","volume":"27","author":"Kubo","year":"2022","journal-title":"J Orthop Sci"},{"key":"ref14","first-page":"1","article-title":"The relationship between pain catastrophizing in patients with chronic orthopedic pain and pain intensity, as well as emotional state","volume":"13","author":"Wei","year":"2021","journal-title":"Chin Clin Nurs"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1746","DOI":"10.13898\/j.cnki.issn.1000-2200.2022.12.029","article-title":"The mediating role of pain catastrophizing in social support and anxiety\/depression among patients during hospitalization after total knee arthroplasty","volume":"47","author":"Jia","year":"2022","journal-title":"J Bengbu Med Coll"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"874","DOI":"10.1097\/CORR.0000000000002526","article-title":"A qualitative study of psychosocial factors in patients with knee osteoarthritis: insights learned from an asian population","volume":"481","author":"Yang","year":"2023","journal-title":"Clin Orthop Relat Res"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2361","DOI":"10.1007\/s10067-020-05518-1","article-title":"Lower education is an associated factor with the combination of pain catastrophizing and kinesiophobia in patients with knee osteoarthritis?","volume":"40","author":"Aily","year":"2021","journal-title":"Clin Rheumatol"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"5835","DOI":"10.1038\/s41598-021-85307-1","article-title":"Knee-related disability was largely influenced by cognitive factors and disturbed body perception in knee osteoarthritis","volume":"11","author":"Nishigami","year":"2021","journal-title":"Sci Rep"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1007\/s10865-019-00121-5","article-title":"The moderating role of pain catastrophizing on the relationship between partner support and pain intensity: a daily diary study in patients with knee osteoarthritis","volume":"43","author":"Carriere","year":"2020","journal-title":"J Behav Med"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1093\/pm\/pnab306","article-title":"Exploring the relationships among social support, patient activation, and pain-related outcomes","volume":"23","author":"Matthias","year":"2022","journal-title":"Pain Med"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3758\/bf03193146","article-title":"G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav Res Methods"},{"key":"ref22","first-page":"378","article-title":"Sample size estimation in quantitative research in nursing studies","volume":"45","author":"Ping","year":"2010","journal-title":"Chin J Nurs"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/1040-3590.7.4.524","article-title":"The pain catastrophizing scale: development and validation","volume":"7","author":"Sullivan","year":"1995","journal-title":"Psychol Assess"},{"key":"ref24","volume-title":"Analysis of the Relationship between Pain Catastrophizing and Fatigue in Patients with Inflammatory Joint Diseases and the Mediating Effect of Physical Activity","author":"Yining","year":"2024"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1302\/0301-620x.80b1.7859","article-title":"Questionnaire on the perceptions of patients about total knee replacement","volume":"80","author":"Dawson","year":"1998","journal-title":"J Bone Joint Surg Br"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"ref27","first-page":"17","article-title":"The application and evaluation of the \"comprehensive hospital anxiety and depression scale\" in patients of comprehensive hospitals","volume":"2","author":"Weifei","year":"1993","journal-title":"Chin J Behav Med"},{"key":"ref28","first-page":"98","article-title":"Theoretical basis and research application of the \u201csocial support rating scale\u201d","volume":"2","author":"Yuanyuan","year":"1994","journal-title":"J Clin Psychiatry"},{"key":"ref29","first-page":"303","article-title":"Validity and reliability of the family APGAR as a test of family function","volume":"15","author":"Smilkstein","year":"1982","journal-title":"J Fam Pract"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"916","DOI":"10.1093\/pm\/pny129","article-title":"The association between daily physical activity and pain among patients with knee osteoarthritis: the moderating role of pain catastrophizing","volume":"20","author":"Lazaridou","year":"2019","journal-title":"Pain Med"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1679","DOI":"10.2147\/JPR.S353385","article-title":"Interventions to manage pain catastrophizing following total knee replacement: a systematic review","volume":"15","author":"Patel","year":"2022","journal-title":"J Pain Res"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1136\/annrheumdis-2018-eular.5856","article-title":"Fri0549 osteoarthritis (OA) and rheumatoid arthritis (RA) patients have similar disease burdens at first visit to an academic rheumatology setting, but OA patients have a higher burden at a 6-month follow-up visit","volume":"77","author":"Chua","year":"2018","journal-title":"Ann Rheum Dis"},{"key":"ref33","first-page":"50","article-title":"A comparative study of knee osteoarthritis between urban and rural areas in Hunan province","volume":"12","author":"Yufei","year":"2015","journal-title":"J Hunan Normal Univ."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.mcna.2019.10.007","article-title":"Osteoarthritis: pathology, diagnosis, and treatment options","volume":"104","author":"Abramoff","year":"2020","journal-title":"Med Clin North Am"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"3007","DOI":"10.1111\/os.70161","article-title":"Pain phenotype in knee osteoarthritis: implications for mechanism-based therapy","volume":"17","author":"He","year":"2025","journal-title":"Orthop Surg"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/0005-7967(83)90009-8","article-title":"Outline of a fear-avoidance model of exaggerated pain perception--I","volume":"21","author":"Lethem","year":"1983","journal-title":"Behav Res Ther"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"102886","DOI":"10.1016\/j.msksp.2023.102886","article-title":"Pain catastrophizing and risk of progression to widespread pain among patients with chronic low back pain: a retrospective cohort study","volume":"69","author":"Licciardone","year":"2024","journal-title":"Musculoskelet Sci Pract"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1016\/j.pain.2013.12.028","article-title":"Increased sensitivity to physical activity among individuals with knee osteoarthritis: relation to pain outcomes, psychological factors, and responses to quantitative sensory testing","volume":"155","author":"Wideman","year":"2014","journal-title":"Pain"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"142","DOI":"10.12677\/ASS.2024.133197","article-title":"The mediating effect of pain catastrophizing between pain vigilance and pain interference in patients with chronic pain","volume":"13","author":"Zhenzhen","year":"2024","journal-title":"Front Soc Scie"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1177\/0269215520968251","article-title":"Effectiveness of pain coping skills training on pain, physical function, and psychological outcomes in patients with osteoarthritis: a systemic review and meta-analysis","volume":"35","author":"Wang","year":"2021","journal-title":"Clin Rehabil"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"123","DOI":"10.4103\/jmh.jmh_33_23","article-title":"Effect of pain neuroscience education with conventional physiotherapy via telerehabilitation on pain catastrophizing and function in patients with osteoarthritis knee: a randomized controlled trial","volume":"14","author":"Supe","year":"2023","journal-title":"J Midlife Health"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1002\/ejp.1994","article-title":"A meta-analysis of the associations of elements of the fear-avoidance model of chronic pain with negative affect, depression, anxiety, pain-related disability and pain intensity","volume":"26","author":"Rogers","year":"2022","journal-title":"Eur J Pain"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1007\/s10865-019-00086-5","article-title":"Pain catastrophizing and distress intolerance: prediction of pain and emotional stress reactivity","volume":"43","author":"McHugh","year":"2020","journal-title":"J Behav Med"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1093\/rheumatology\/keaa494","article-title":"The association between psychological factors and pain exacerbations in hip osteoarthritis","volume":"60","author":"Fu","year":"2021","journal-title":"Rheumatology"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"6183","DOI":"10.1017\/S0033291722003403","article-title":"Trajectories of depression and anxiety symptom severity during psychological therapy for common mental health problems","volume":"53","author":"Skelton","year":"2023","journal-title":"Psychol Med"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.jad.2016.05.019","article-title":"The effect of psychotherapeutic interventions on positive and negative affect in depression: a systematic review and meta-analysis","volume":"202","author":"Boumparis","year":"2016","journal-title":"J Affect Disord"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1002\/cpp.2843","article-title":"Pain catastrophizing and worry about health in generalized anxiety disorder","volume":"30","author":"Dugas","year":"2023","journal-title":"Clin Psychol Psychother"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"167","DOI":"10.13914\/j.cnki.cn43-1453\/z.2013.04.022","article-title":"Research on the relationship between pain catastrophizing and pain outcomes","volume":"34","author":"Wei","year":"2013","journal-title":"Hengyang Normal Univ J"}],"updated-by":[{"DOI":"10.3389\/fpubh.2026.1996354","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000}}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1865529\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:32:32Z","timestamp":1790692352000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1865529\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":48,"alternative-id":["10.3389\/fpubh.2026.1865529"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1865529","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"article-number":"1865529"}}