The role of pain self-efficacy and pain catastrophising in the relationship between chronic pain and depression: A moderated mediation model.

Chronic pain is a substantial health problem with a high prevalence of comorbid depression. To understand the link between chronic pain and depression, cognitive factors including pain catastrophising and pain self-efficacy have been theorised as significant contributing variables. There is relatively strong evidence that pain catastrophising mediates the relationship between pain severity and depression symptoms. There is also emerging evidence that the mediation role of pain catastrophising may vary as a function of pain self-efficacy. However, it is unknown whether this model will apply in a tertiary pain clinic sample. Thus, this study aimed to examine the respective moderating and mediating roles of pain self-efficacy and pain catastrophising on the association between pain severity and depressive symptoms in a large clinical sample of Australian adults living with chronic pain. Participants (n = 1195) completed all questionnaire measures prior to their first appointments at one tertiary pain service. As expected, the PROCESS path analysis showed that pain catastrophising mediated the relationship between pain severity and depressive symptoms. Further, there was support for the moderating effect of pain self-efficacy; as pain self-efficacy decreased, the relationship strengthened between both pain severity and pain catastrophising, as well as pain catastrophising and depressive symptoms. These findings may have important clinical implications including how relationships between these factors may be considered in the provision of care for those with chronic pain. Notably, these measures could be used in triaging processes to inform treatment decisions.

Smartphone use and study behavior: A Korean and Australian comparison.

Smartphone use amongst university students is widespread and a common practice while studying. However, this usage can lead to academic performance costs. This study examined the relationship between smartphone use during study, problematic smartphone use and academic performance in Korean and Australian university students. 119 Korean and 270 Australian students aged between 18 and 26 years completed a survey comprised of a smartphone usage questionnaire, smartphone addiction scale and self-report of their current GPA score. Average smartphone use and problematic smartphone use were found to be significantly higher for Korean compared to Australian students. A positive relationship was found between smartphone use and problematic smartphone use. For Australian students, a negative relationship was found between smartphone use and GPA. Results indicate that smartphone use and smartphone addiction proneness are currently higher for Korean students compared to Australian students. Furthermore, the more time a student spends using their smartphone, the more at risk they are for problematic smartphone use and possible academic performance costs.