Catastrophizing, depression and the sensory, affective and evaluative aspects of chronic pain

Geisser, Michael E.; Robinson, Michael E.; Keefe, Francis J.; Weiner, Marni L.

doi:10.1016/0304-3959(94)90050-7

Cited by 283Musculoskeletal pain and rehabilitationPain Management and TreatmentPain Mechanisms and Treatments

Catastrophizing, depression and the sensory, affective and evaluative aspects of chronic pain

Geisser, Michael E., Robinson, Michael E., Keefe, Francis J., Weiner, Marni L.·1994·Pain

DOI 10.1016/0304-3959(94)90050-7

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Abstract

Research has shown that catastrophizing is related to increased depression and chronic pain. However, some researchers have questioned the utility of catastrophizing as a separate construct, suggesting that it may just be a symptom of depression. The present investigation used path analysis to determine if catastrophizing was related to McGill Pain Questionnaire scores when controlling for depression as assessed by the Beck Depression Inventory in a group of 85 chronic pain patients. According to Fields' model of the relationship between pain and depression, we predicted that catastrophizing would mediate the the relationship between depression and the evaluative and affective aspects of pain, but not the sensory aspect. The resulting path coefficients appear to support these predictions. The results suggest that catastrophizing is a separate construct which may impact on pain perception and treatment. The data also provide some support for Field's neurobiological model of the relationship between depression and pain.

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Pain catastrophizing has emerged as one of the most important predictors of pain, accounting for 7% to 31% of the variance in pain ratings.
“Pain catastrophizing, the tendency to focus on pain and negatively evaluate one's ability to deal with pain, has emerged as one of the most important predictors of pain, accounting for 7% to 31% of the variance in pain ratings.27,119”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [27]
Evidence indicates that pain catastrophizing is an important predictor of pain outcomes even after controlling for depression.
“evidence indicates that pain catastrophizing is an important predictor of pain outcomes even after controlling for depression.27,30,42,48,118”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [27]

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Authors: Geisser, M. E., Robinson, M. E., Keefe, F. J., & Weiner, M. L.
Affiliations: Duke University (US)
University of Florida Health (US)
Duke Medical Center (US)
Corresponding author: Geisser, Michael E.
ORCID: Geisser, Michael E.
Robinson, Michael E.
Keefe, Francis J.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1994-10
Volume: 59
Issue: 1
Pages: 79-83
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/0304-3959(94)90050-7
OpenAlex: W2122861239
Cited by: 283
References: 36
Citations by year: 2025: 6 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 9 · 2020: 6 · 2019: 5 · 2018: 15 · 2017: 14 · 2016: 9 · 2015: 13 · 2014: 8 · 2013: 10 · 2012: 15
FWCI: 3.58
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Keywords: pain catastrophizing, depression, chronic pain, McGill Pain Questionnaire, pain perception, mediation
MeSH terms: Adult, Aged, Chronic Disease, Depression, Emotions, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Psychiatric Status Rating Scales, Surveys and Questionnaires

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Catastrophizing, depression and the sensory, affective and evaluative aspects of chronic pain

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