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14; SE = .07, p = .046), while reduction in pain severity at 6-week post-TKA was not associated with pain catastrophizing at 3-month post-TKA (p = .905). In the chronic post-surgical period (3 months), pain catastrophizing at 6-month post-TKA predicted pain severity at 12 months post-TKA (β = .23, p = .009)] while controlling for auto-correlation and covariates, but not vice versa. We provide evidence that changes in pain catastrophizing from baseline to 6-week post-TKA are associated with subsequent pain severity. Future studies are