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Pain and beliefs: association is not cause

← Research briefs

A running shoe, layered paper head silhouettes and blank questionnaire cards are loosely connected by a red thread.
Conceptual editorial illustration; not scientific evidence.

· 1 min read

First published:

Research through: 21 August 2026

An article published online on 20 August compared questionnaire responses from injured and uninjured adult runners. It measures reported experience, not experimental pain thresholds.

Selected research available by this Friday; older studies are background, not weekly discoveries. Assessed in October 2026; screening was not exhaustive.

Topics: mind

Finding

Runners classified as injured reported greater pain sensitivity than uninjured respondents.

Limitations: This was questionnaire sensitivity, not a laboratory pain threshold.

Evidence level: Moderate evidence

Finding

The injured group also reported higher pain catastrophizing and fear-avoidance scores.

Limitations: A group association does not mean the injury was caused by thinking.

Evidence level: Moderate evidence

Finding

Rumination and fear-avoidance were associated with reported pain sensitivity in adjusted analyses.

Limitations: Adjustment does not establish causation or show that a treatment works.

Evidence level: Moderate evidence

Interpretation

Pain is real. These associations do not show that beliefs caused an injury or that changing beliefs treats it. A survey cannot diagnose a runner or decide whether continuing is safe.

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