Exploring the Impact of Pain Intensity, Acceptance, and Catastrophizing on Psychological Distress in Cancer Patients

Objective To examine the relationships between pain intensity, pain acceptance, pain catastrophizing, and psychological distress in Egyptian cancer patients with chronic pain. Methods A cross-sectional 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. Results Participants had a mean age of 47.8?years (SD?=?12.3), with most being male (63.5%), married (50.2%), and having at least a diploma-level education (87.9%). Psychological distress was prevalent, affecting 88.4% of participants, with 19.7% reporting severe distress. Pain intensity (B?=?0.498, p?=?0.007) and pain acceptance (B?=??0.260, p?