• Ai Lin, Zhi Qun Liu, Jia Pei Yao, Yan Hui Liu, and Huan Wan.
• The First Affiliated Hospital of Hunan Normal University (Hunan Provincial People's Hospital), Changsha, China.
• Pain Manag Nurs. 2024 Mar 8.

ObjectivesThis study aimed to analyze the current status and influencing factors of pain catastrophizing in patients undergoing total knee replacement (TKR) and to provide a basis and reference for the clinical improvement of pain catastrophizing in these patients.DesignThis study was designed in accordance with PRISMA guidelines.Data SourcesPubMed, the Web of Science, the Elton B. Stephens Company, the Cochrane Library, Embase, Chinese National Knowledge Infrastructure, the WanFang, Weipu and Chinese Biomedical Literature Databases.Review/Analysis MethodsA scoping review was performed using PubMed, the Web of Science, the Elton B. Stephens Company, the Cochrane Library, Embase, Chinese National Knowledge Infrastructure, the WanFang, Weipu, and Chinese Biomedical Literature Databases, and after literature screening and data extraction, the results were summarized.ResultsA total of 23 articles were included in the study. Pain catastrophizing is mostly assessed using the Pain Catastrophizing Scale and the Coping Strategies Questionnaire. The level of pain catastrophizing is an independent predictor of pain in patients undergoing TKR and is influenced by demographic, psychological, co-morbid, and prognostic factors. Pain catastrophizing interventions mainly consist of surgery, physiotherapy, medication, and psychological therapy.ConclusionsPain catastrophizing involves multiple factors, and it is necessary to explore the predictors affecting pain catastrophizing, improve the systematic evaluation of pain catastrophizing and adopt the appropriate intervention methods.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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