Disengagement from pain: the role of catastrophic thinking about pain
Abstract
This paper reports an experimental investigation of attentional engagement to and disengagement from pain. Thirty-seven pain-free volunteers performed a cueing task in which they were instructed to respond to visual target stimuli, i.e. the words 'pain' and 'tone'. Targets were preceded by pain stimuli or tone stimuli as cues. Participants were characterized as high or low pain catastrophizers, using self-reports. We found that the effect of cueing upon target detection was differential for high and low pain catastrophizers. Analyses revealed a similar amount of attentional engagement to pain in both groups. However, we also found that participants high in pain catastrophizing had difficulty disengaging from pain, whereas participants low in pain catastrophizing showed no retarded disengagement from pain. Our results provide further evidence that catastrophic thinking enhances the attentional demand of pain, particularly resulting in difficulty disengaging from pain. The clinical implications of these findings are discussed.
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Research has focused on the characteristics of pain situations that lead to the initial intrusion into the space of attention, including variables such as intensity, novelty, expectation, fear, or catastrophizing.
“Because the presence of pain does not always interfere with ongoing action, research has focused on the characteristics of pain situations that lead to the initial intrusion into the space of attention (or attentional interference), including variables such as intensity, novelty, expectation, fear, or catastrophizing.”
From A Contextual Analysis of Attention to Chronic Pain: What the Patient Does With Their Pain Might Be More Important Than Their Awareness or Vigilance Alone (2007) · cites this paper as [33]
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- Authors
- Van Damme, S., Crombez, G., & Eccleston, C.
- Affiliations
- Utrecht University (NL)
- University of Bath (GB)
- Venue
- Pain
- Published
- 2004-01
- Volume
- 107
- Issue
- 1
- Pages
- 70-76
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2129150173
- Cited by
- 252
- References
- 30
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 7 · 2023: 3 · 2022: 9 · 2021: 6 · 2020: 15 · 2019: 8 · 2018: 10 · 2017: 10 · 2016: 11 · 2015: 14 · 2014: 17 · 2013: 20 · 2012: 15
- FWCI
- 6.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- pain catastrophizing, catastrophic thinking, attentional disengagement, attentional engagement, target detection, pain perception
- MeSH terms
- Acoustic Stimulation, Adolescent, Adult, Analysis of Variance, Anxiety, Attention, Cues, Transcutaneous Electric Nerve Stimulation, Female, Humans, Male, Pain, Pain Measurement, Random Allocation, Reaction Time, Thinking
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