Cited by 252Musculoskeletal pain and rehabilitationPain Management and Placebo EffectPediatric Pain Management Techniques

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Disengagement from pain: the role of catastrophic thinking about pain

Van Damme, Stefaan, Crombez, Geert, Eccleston, Christopher·2004·Pain

DOI 10.1016/j.pain.2003.09.023

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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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Authors: Van Damme, S., Crombez, G., & Eccleston, C.
Affiliations: Utrecht University (NL)
University of Bath (GB)
ORCID: Crombez, Geert
Eccleston, Christopher
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-01
Volume: 107
Issue: 1
Pages: 70-76
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2003.09.023
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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Disengagement from pain: the role of catastrophic thinking about pain

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