Cited by 426Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion Interventions

The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.

Beyond attentional strategies: a cognitive-perceptual model of somatic interpretation

Cioffi, Delia·1991·Psychological Bulletin

DOI 10.1037/0033-2909.109.1.25

Open this paper in CoChat — free account

Abstract

The meaning people assign to physical sensations can have profound implications for their physical and psychological health. A predominant research question in somatic interpretation asks if it is more adaptive to distract one's attention away from a potentially unpleasant sensation or to focus one's attention on it. This question, however, has yielded equivocal answers. Many apparent ambiguities in this research can be traced to a failure to distinguish the content of a person's attention from its mere direction or degree. A model of somatic interpretation is discussed, incorporating not only perceptual focus but also the attributions, goals, coping strategies, and prior hypotheses of the perceiver, thus delineating the psychobiological conditions under which various attentional strategies should be adaptive. In contrast to the prevailing concern with when and why somatic distraction doesn't "work," this conceptual analysis also considers when and why somatic attention does. Theoretical and methodological issues are discussed, as is the potential utility of somatic attention in cardiac rehabilitation and multiple sclerosis.

Integrity signals

Registry

Crossref · 10.1037/0033-2909.109.1.25

Cites

0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833
A theory of social comparison processes
Festinger, L. (1954) · Human Relations · doi:10.1177/001872675400700202 · Cited by 20,926
Learned helplessness in humans: Critique and reformulation.
Abramson, L. Y., Seligman, M. E., & Teasdale, J. D. (1978) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.87.1.49 · Cited by 7,121
Cognitive, social, and physiological determinants of emotional state.
Schachter, S., & Singer, J. (1962) · Psychological Review · doi:10.1037/h0046234 · Cited by 6,223
The effect of emotion on cue utilization and the organization of behavior
Easterbrook, J. A. (1959) · Psychological Review · doi:10.1037/h0047707 · Cited by 3,090
Health complaints, stress, and distress: Exploring the central role of negative affectivity.
Watson, D., & Pennebaker, J. W. (1989) · Psychological Review · doi:10.1037/0033-295x.96.2.234 · Cited by 3,030
A cognitive approach to panic
Clark, D. M. (1986) · Behaviour Research and Therapy · doi:10.1016/0005-7967(86)90011-2 · Cited by 2,422
The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment
Rosenstiel, A. K., & Keefe, F. J. (1983) · Pain · doi:10.1016/0304-3959(83)90125-2 · Cited by 2,314
Coping as a mediator of emotion
Folkman, S., & Lazarus, R. S. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.3.466 · Cited by 2,103
Low-anxious, high-anxious, and repressive coping styles: Psychometric patterns and behavioral and physiological responses to stress.
Weinberger, D. A., Schwartz, G. E., & Davidson, R. J. (1979) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.88.4.369 · Cited by 1,083

Show all 0 references

Sorted by citations

Mindfulness: Theoretical Foundations and Evidence for its Salutary Effects
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007) · Psychological Inquiry · doi:10.1080/10478400701598298 · Cited by 3,654
“…(1985) similarly argued that the strategic use of attention is preferable to distraction when that attention focuses on the concrete aspects of physical sensations rather than on diffuse physical states or on emotional or cognitive reactions to sensory experience (see Cioffi, 1991 for review).”
BackgroundInfluential
Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995) · Pain · doi:10.1016/0304-3959(94)00279-n · Cited by 2,446
Development of the Tinnitus Handicap Inventory.
Newman, C., Jacobson, G., & Spitzer, J. (1996) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1996.01890140029007 · Cited by 2,140
Shaping perceptions to motivate healthy behavior: The role of message framing.
Rothman, A. J., & Salovey, P. (1997) · Psychological Bulletin · doi:10.1037/0033-2909.121.1.3 · Cited by 1,932
“Yet, women predominantly approach BSE from the latter perspective (Cioffi, 1991a).”
Background
Belief and feeling: Evidence for an accessibility model of emotional self-report.
Robinson, M. D., & Clore, G. L. (2002) · Psychological Bulletin · doi:10.1037/0033-2909.128.6.934 · Cited by 1,806
Pain demands attention: A cognitive–affective model of the interruptive function of pain.
Eccleston, C., & Crombez, G. (1999) · Psychological Bulletin · doi:10.1037/0033-2909.125.3.356 · Cited by 1,718
Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions
Leventhal, H., Diefenbach, M., & Leventhal, E. A. (1992) · Cognitive Therapy and Research · doi:10.1007/bf01173486 · Cited by 1,573
“important ways: (1) They affect attention to somatic states (Brownlee, Leventhal, & Balaban, 1992; Watson & Pennebaker, 1989); (2) they determine interpretations of somatic states (Cioffi, 1990); and (3) they affect procedures for controlling illness threats and criteria for evaluating outcomes.”
Background
The multidimensional assessment of interoceptive awareness (MAIA)
Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0048230 · Cited by 1,429
Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review
Chawla, N., & Ostafin, B. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20400 · Cited by 805
Psychological factors in chronic pain: Evolution and revolution
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.678 · Cited by 1,017
Chronic pain and posttraumatic stress disorder: Mutual maintenance?
Sharp, T. J., & Harvey, A. G. (2001) · Clinical Psychology Review · doi:10.1016/s0272-7358(00)00071-4 · Cited by 779
The biopsychosocial model of arousal regulation
Blascovich, J., & Tomaka, J. (1996) · Advances in Experimental Social Psychology · doi:10.1016/s0065-2601(08)60235-x · Cited by 721
Body awareness: construct and self-report measures.
Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., & Stewart, A. (2009) · PLoS ONE · doi:10.1371/journal.pone.0005614 · Cited by 653
“P B C S: P ri va te B o d y C o n sc io u sn e ss Su b -s ca le o f th e B o d y C o n sc io u sn e ss Q u e st io n n ai re b y M ill e r LC , M u rp h y R , B u ss H [1 3 5 ].”
BackgroundInfluential
Discrete Emotions or Dimensions? The Role of Valence Focus and Arousal Focus
Barrett, L. F. (1998) · Cognition & Emotion · doi:10.1080/026999398379574 · Cited by 645
Symptoms and the body: taking the inferential leap
Van den Bergh, O., Witthöft, M., Petersen, S., & Brown, R. J. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.01.015 · Cited by 543
Transformational Teaching: Theoretical Underpinnings, Basic Principles, and Core Methods
Slavich, G. M., & Zimbardo, P. G. (2012) · Educational Psychology Review · doi:10.1007/s10648-012-9199-6 · Cited by 646
“Attention must be paid to how much arousal is elicited by these motivational strategies, given that physiological arousal can reduce students’ efficacy if the arousal is interpreted as a sign of anxiety or inadequacy rather than excitement (Bandura 2012a; Cioffi 1991).”
Psychological Mechanisms of Medically Unexplained Symptoms: An Integrative Conceptual Model.
Brown, R. J. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.5.793 · Cited by 498
Sex differences in physical symptoms: The contribution of symptom perception theory
van Wijk, C. M. T. G., & Kolk, A. M. M. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00340-1 · Cited by 483
The cognitive behavioural model of medically unexplained symptoms: a theoretical and empirical review
Deary, V., Chalder, T., & Sharpe, M. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.07.002 · Cited by 480
“Attention” to pain in persons with chronic pain: A behavioral approach
McCracken, L. M. (1997) · Behavior Therapy · doi:10.1016/s0005-7894(97)80047-0 · Cited by 483
Body Awareness: a phenomenological inquiry into the common ground of mind-body therapies
Mehling, W. E., Wrubel, J., Daubenmier, J. J., Price, C. J., Kerr, C. E., Silow, T., Gopisetty, V., & Stewart, A. L. (2011) · Philosophy, Ethics, and Humanities in Medicine · doi:10.1186/1747-5341-6-6 · Cited by 475
“The term has been used in studies of anxiety and panic disorders to describe a cognitive attitude characterized by an exaggerated patient focus on physical symptoms, magnification ("somatosensory amplification”), rumination, and beliefs of catastrophic out-comes [45].”
Behavioral and Cognitive–Behavioral Treatment for Chronic Pain: Outcome, Predictors of Outcome, and Treatment Process
McCracken, L. M., & Turk, D. C. (2002) · Spine · doi:10.1097/00007632-200211150-00033 · Cited by 439
Self-Efficacy and Leadership Effectiveness: Applying Social Cognitive Theory to Leadership
McCormick, M. (2001) · Journal of Leadership Studies · doi:10.1177/107179190100800102 · Cited by 395
Mindfulness and coping with dysphoric mood: contrasts with rumination and distraction
Broderick, P. C. (2005) · Cognitive Therapy and Research · doi:10.1007/s10608-005-3888-0 · Cited by 374
Delayed costs of suppressed pain.
Cioffi, D., & Holloway, J. (1993) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.64.2.274 · Cited by 361
Self-citation
Psychological aspects of pain
Main, C. J., & Watson, P. (1999) · Manual Therapy · doi:10.1054/math.1999.0208 · Cited by 180
Chronic pain and distraction: An experimental investigation into the role of sustained and shifting attention in the processing of chronic persistent pain
Eccleston, C. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00057-q · Cited by 332
“I am not concerned here to review exhaustively the body of evidence for and against the efficacy of attention-based pain coping (see Weisenberg, 1977; Thompson, 1981; McCaul & Malott, 1984; Fernandez & Turk, 1989) and I certainly do not wish to fuel the ennui noted by Cioffi (1991a).”
Background
Symptom representations and affect as determinants of care seeking in a community-dwelling, adult sample population.
Cameron, L., Leventhal, E. A., & Leventhal, H. (1993) · Health Psychology · doi:10.1037/0278-6133.12.3.171 · Cited by 315
Interoceptive dysfunction: Toward an integrated framework for understanding somatic and affective disturbance in depression
Harshaw, C. (2015) · Psychological Bulletin · doi:10.1037/a0038101 · Cited by 302
Applying cognitive-social theory to health-protective behavior: Breast self-examination in cancer screening.
Miller, S. M., Shoda, Y., & Hurley, K. E. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.119.1.70 · Cited by 307
Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness
Riegel, B., Jaarsma, T., Lee, C. S., & Strömberg, A. (2019) · ANS. Advances in nursing science · doi:10.1097/ans.0000000000000237 · Cited by 288
Mindfulness, Interoception, and the Body: A Contemporary Perspective
Gibson, J. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02012 · Cited by 278
“…often serves as markers for a variety of mental disorders including anxiety, panic disorder, depression, eating disorders, somatization, and others (Cioffi, 1991; Pollatos et al., 2008, 2009; Mehling et al., 2009; Herbert and Pollatos, 2014; Mallorquí-Bagué et al., 2014; Fischer et al., 2017).”
Background
Differentiating attention styles and regulatory aspects of self-reported interoceptive sensibility
Mehling, W. (2016) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2016.0013 · Cited by 261
Attention and somatic awareness in chronic pain
Eccleston, C., Crombez, G., Aldrich, S., & Stannard, C. (1997) · Pain · doi:10.1016/s0304-3959(97)00030-4 · Cited by 249
“Barsky and Klerman (1983), for example, have argued that heightened complaint can be explained by a hypervigilance of attention to somatic sensation; the pronounced somatic focus serves to magnify bodily sensations (see also Cioffi, 1991). The present data are, however, perhaps better explained as being due to the dis…”
Result
Emotional numbing in combat-related post-traumatic stress disorder: A critical review and reformulation
Litz, B. (1992) · Clinical Psychology Review · doi:10.1016/0272-7358(92)90125-r · Cited by 220
The Effect of Manipulated Self-Efficacy on Perceived and Sustained Effort
Hutchinson, J. C., Sherman, T., Martinovic, N., & Tenenbaum, G. (2008) · Journal of Applied Sport Psychology · doi:10.1080/10413200802351151 · Cited by 215
Interventions and Manipulations of Interoception
Weng, H. Y., Feldman, J. L., Leggio, L., Napadow, V., Park, J., & Price, C. J. (2020) · Trends in Neurosciences · doi:10.1016/j.tins.2020.09.010 · Cited by 250
You can't always think what you want: Problems in the suppression of unwanted thoughts
Wegner, D. (1992) · Advances in experimental social psychology · doi:10.1016/s0065-2601(08)60284-1 · Cited by 206
Taking time to feel our body: Steady increases in heartbeat perception accuracy and decreases in alexithymia over 9 months of contemplative mental training
Bornemann, B., & Singer, T. (2017) · Psychophysiology · doi:10.1111/psyp.12790 · Cited by 204
Somatoform disorders: personality and the social matrix of somatic distress.
Kirmayer, L. J., Robbins, J. M., & Paris, J. (1994) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.103.1.125 · Cited by 202
A Diathesis‐Stress Model of Chronic Pain and Disability following Traumatic Injury
Turk, D. C. (2002) · Pain Research and Management · doi:10.1155/2002/252904 · Cited by 210
“What mechanisms account for the observed association between selfefficacy and behavioural outcome? Cioffi (82) suggested that at least four psychological processes could be responsible.”
Background
Interoceptive Ability and Body Awareness in Autism Spectrum Disorder
Schauder, K. B., Mash, L. E., Bryant, L. K., & Cascio, C. J. (2015) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2014.11.002 · Cited by 187
“Howmight enhanced attention to internal cues relate to the core symptoms of ASD? In anxiety and depression, sustained attention to internal cues is thought to be maladaptive, whereby too much internal focus leads to perseverative negative thoughts about the self (Cioffi, 1991).”
Fatigue and social impairment in multiple sclerosis: the role of patients' cognitive and behavioral responses to their symptoms.
Skerrett, T., & Moss-Morris, R. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.04.018 · Cited by 186
“Individuals’ perceptions of what causes the symptoms, rather than the actual cause of the symptoms, determine how they react [22,23].”
Background
Psychological Factors Influencing the Effectiveness of Virtual Reality–Based Analgesia: A Systematic Review
Triberti, S., Repetto, C., & Riva, G. (2014) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2014.0054 · Cited by 205
Inaccurate perception of asthma symptoms: A cognitive–affective framework and implications for asthma treatment
Janssens, T., Verleden, G., De Peuter, S., Van Diest, I., & Van den Bergh, O. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.02.006 · Cited by 176
Foodborne Illness: Perceptions, Experience, and Preventive Behaviors in the United States.
Fein, S. B., Lin, C., & Levy, A. (1995) · Journal of Food Protection · doi:10.4315/0362-028x-58.12.1405 · Cited by 175
The attentional control of pain: methodological and theoretical concerns
Eccleston, C. (1995) · Pain · doi:10.1016/0304-3959(95)00093-8 · Cited by 174
“Cioffi (1991) has recently drawn attention to these issues and suggests that more emphasis be given to the 'content ' of the coping strategy rather than to any single component, such as imagery load or direction of attention.”
Influential
Avoidance versus focused attention and the perception of pain: differential effects for men and women
Keogh, E., Hatton, K., & Ellery, D. (2000) · Pain · doi:10.1016/s0304-3959(99)00270-5 · Cited by 169
Placebo studies and ritual theory: a comparative analysis of Navajo, acupuncture and biomedical healing
Kaptchuk, T. J. (2011) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2010.0385 · Cited by 185
Symptom reporting in cancer patients: The role of negative affect and experienced social stigma
Koller, M. T., Kussman, J., Lorenz, W., Jenkins, M., Voß, M., Arens, E. R., Richter, E., & Rothmund, Μ. (1996) · Cancer · doi:10.1002/(sici)1097-0142(19960301)77:5 · Cited by 147
The impact of personality on the reporting of unfounded symptoms and illness.
Feldman, P. J., Cohen, S., Doyle, W. J., Skoner, D. P., & Jr. Gwaltney Jack, M. (1999) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.77.2.370 · Cited by 141
Cognitive and behavioral responses to illness information: the role of health anxiety.
Hadjistavropoulos, H., Craig, K., & Hadjistavropoulos, T. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00014-x · Cited by 150
Cumulative life course impairment in psoriasis: patient perception of disease‐related impairment throughout the life course
Warren, R., Kleyn, C. E., & Gulliver, W. (2011) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2011.10280.x · Cited by 144
A re-examination of pain–cognition interactions: Implications for neuroimaging
Seminowicz, D. A., & Davis, K. D. (2007) · Pain · doi:10.1016/j.pain.2007.03.036 · Cited by 130
“We consider divided attention within the context of the hypothesis of limited cognitive resources, in which attention to pain and a cognitive task competes for a finite amount of brain resources (Norman and Bobrow, 1975; Friedman and Polson, 1981; Cioffi, 1991; Eccleston and Crombez, 1999).”
Biobehavioral Factors Affecting Pain and Disability in Low Back Pain: Mechanisms and Assessment
Feuerstein, M., & Beattie, P. (1995) · Physical Therapy · doi:10.1093/ptj/75.4.267 · Cited by 119
Thought Suppression, Catastrophizing, and Pain
Sullivan, M., Rouse, D. L., Bishop, S. R., & Johnston, S. (1997) · Cognitive Therapy and Research · doi:10.1023/a:1021809519002 · Cited by 136
Do pain expectancies cause pain in chronic low back patients? A clinical investigation.
Crombez, G., Vervaet, L., Baeyens, F., Lysens, R., & Eelen, P. (1996) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00049-6 · Cited by 134
Cross-cultural differences in somatic awareness and interoceptive accuracy: a review of the literature and directions for future research
Ma‐Kellams, C. (2014) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.01379 · Cited by 178
“…in this context, somatic awareness is defined primarily by adaptively focusing direct attention on in-the-moment bodily changes (Flor et al., 2001; Watkins and Moulds, 2005) rather than engaging in emotionally driven vigilance (Cioffi, 1991; Cioffi and Holloway, 1993; Watkins and Moulds, 2005).”
Background
The effect of guided imagery and amitriptyline on daily fibromyalgia pain: a prospective, randomized, controlled trial
Fors, E. A., Sexton, H. C., & Götestam, K. G. (2002) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(02)00003-1 · Cited by 124
Cold pressor stress induces opposite effects on cardioceptive accuracy dependent on assessment paradigm
Schulz, A., Lass-Hennemann, J., Sütterlin, S., Schächinger, H., & Vögele, C. (2013) · Biological Psychology · doi:10.1016/j.biopsycho.2013.01.007 · Cited by 127
“It should be noted, however, that pain perception during the CP test is mainly limited to the duration of the procedure and quickly declines afterwards (Cioffi, 1991; Masedo and Rosa Esteve, 2007).”
Background
A symptom perception approach to common physical symptoms
Kolk, A. M. M., Hanewald, G. J. F. P., Schagen, S., & van Wijk, C. M. T. G. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(02)00451-3 · Cited by 127
Idiopathic Environmental Intolerance: A Comprehensive Model
Van den Bergh, O., Brown, R. J., Petersen, S., & Witthöft, M. (2017) · Clinical Psychological Science · doi:10.1177/2167702617693327 · Cited by 121
“…(Van den Bergh, Witthöft, Petersen, & Brown, 2017) that is informed by cognitive-psychological models of symptom perception (e.g., Brown, 2004; Cioffi, 1991) and rests on the concepts of predictive coding and Bayesian inference (see, e.g., Barrett & Simmons, 2015; Clark, 2013; Friston, 2005;…”
Background
Models of adjustment to chronic illness: Using the example of rheumatoid arthritis
Walker, J. G., Jackson, H. J., & Littlejohn, G. O. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.03.001 · Cited by 126
Expectations and Placebo Response: A Laboratory Investigation into the Role of Somatic Focus
Geers, A. L., Helfer, S. G., Weiland, P. E., & Kosbab, K. (2005) · Journal of Behavioral Medicine · doi:10.1007/s10865-005-9040-5 · Cited by 122
“Expectancies are thought to direct attention and guide the interpretation of both internal and external sensations (Brown, 2004; Cioffi, 1991; Clark, 1994; Dennett, 1991; Ditto and Hilton, 1990; Wilson et al., 1989).”
Background
The efficacy of attentional distraction and sensory monitoring in chronic pain patients: a meta-analysis
Van Ryckeghem, D. M., Van Damme, S., Eccleston, C., & Crombez, G. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.10.008 · Cited by 114
“Sensory monitoring has been recommended as a coping strategy 5 within Leventhal’s dual processing theory (Leventhal & Everhart, 1979; see also Cioffi, 1991).”
BackgroundMethodResult
The dual-mode theory of affective responses to exercise in metatheoretical context: II. Bodiless heads, ethereal cognitive schemata, and other improbable dualistic creatures, exercising
Ekkekakis, P. (2009) · International Review of Sport and Exercise Psychology · doi:10.1080/17509840902829323 · Cited by 108
Individual differences in the perception of bodily sensations: the role of trait anxiety and coping style.
Steptoe, A., & Vögele, C. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90005-2 · Cited by 109
Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain
Cramer, H., Mehling, W., Saha, F. J., Dobos, G., & Lauche, R. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-2031-9 · Cited by 107
Pain and cancer survival: a cognitive-affective model of symptom appraisal and the uncertain threat of disease recurrence
Heathcote, L. C., & Eccleston, C. (2017) · Pain · doi:10.1097/j.pain.0000000000000872 · Cited by 122
Assessing illness-related stress in psoriasis: the psychometric properties of the Psoriasis Life Stress Inventory.
Fortune, D., Main, C. J., O'Sullivan, T., & Griffiths, C. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(97)00036-6 · Cited by 106
Symptom patterns in long-duration chronic fatigue syndrome.
Friedberg, F., Dechene, L., McKenzie, M., & Fontanetta, R. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00077-x · Cited by 105
Optimism, self‐efficacy and information processing of threat‐ and well‐being‐related stimuli
Karademas, E. C., Kafetsios, K. G., & Sideridis, G. D. (2007) · Stress and Health · doi:10.1002/smi.1147 · Cited by 98
Deployment stressors and a chronic multisymptom illness among Gulf War veterans.
Nisenbaum, R., Barrett, D., Reyes, M., & Reeves, W. C. (2000) · Journal of Nervous and Mental Disease · doi:10.1097/00005053-200005000-00002 · Cited by 97
Perception of traumatic onset, compensation status, and physical findings: Impact on pain severity, emotional distress, and disability in chronic pain patients
Turk, D., & Okifuji, A. (1996) · Journal of behavioral medicine · doi:10.1007/bf01857677 · Cited by 95
“Past research has shown that cognitive activities, such as attention and one's beliefs about health, substantially contribute to the individual differences in symptom perception ( Cioffi, 1991; Skelton and Pennebaker, 1982) and restriction of activity (Flor and Turk, 1988; Lenthem et al., 1983).”
Background
Non-pharmacological nursing interventions for procedural pain relief in adults with burns: a systematic literature review.
de Jong, A. D., Middelkoop, E., Faber, A., & van Loey, N. V. (2007) · Burns · doi:10.1016/j.burns.2007.01.005 · Cited by 93
Learning subjective health complaints
den Bergh, O. V., Winters, W., Devriese, S., & Diest, I. V. (2002) · Scandinavian Journal of Psychology · doi:10.1111/1467-9450.00280 · Cited by 94
Does fear of pain moderate the effects of sensory focusing and distraction on cold pressor pain in pain-free individuals?
Roelofs, J., Peters, M. L., van der Zijden, M., & Vlaeyen, J. W. S. (2004) · Journal of Pain · doi:10.1016/j.jpain.2004.04.001 · Cited by 98
The Positive Consequences of Pain: A Biopsychosocial Approach
Bastian, B., Jetten, J., Hornsey, M. J., & Leknes, S. (2014) · Personality and Social Psychology Review · doi:10.1177/1088868314527831 · Cited by 91
“Second, giving meaning to pain provides an important pathway toward pain management and treatment (Cioffi, 1991; Morris, 1991).”
Background
Predicting medically unexplained physical symptoms and health care utilization
Kolk, A. M. M., Hanewald, G. J. F. P., Schagen, S. B., & van Wijk, C. M. T. G. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00307-5 · Cited by 80
“[17–21]).”
Attentional control of pain and the process of chronification
Hasenbring, M. I. (2000) · Progress in brain research · doi:10.1016/s0079-6123(00)29038-9 · Cited by 94
Attention to pain and fear of pain in patients with chronic pain
Crombez, G., Viane, I., Eccleston, C., Devulder, J., & Goubert, L. (2013) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9433-1 · Cited by 89
Perspectives unifying symptom interpretation.
Teel, C. S., Meek, P., McNamara, A., & Watson, L. A. (1997) · Image the Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1997.tb01553.x · Cited by 83
Restricted Emotional Processing and Somatic Attribution in Fibromyalgia
BROSSCHOT, J. F., & Aarsse, H. R. (2001) · The International Journal of Psychiatry in Medicine · doi:10.2190/k7au-9ux9-w8bw-tetl · Cited by 81
“This notion, however, is inconsistent with modern insights in symptom psychology [4, 5] and, as yet, not supported by empirical evidence.”
Result
The symptom experience of women with chronic illness.
O'Neill, E. S., & Morrow, L. L. (2001) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2001.01653.x · Cited by 81
Personality and Health
Wiebe, D. J., & Smith, T. W. (1997) · Elsevier eBooks · doi:10.1016/b978-012134645-4/50035-4 · Cited by 69
Coping With Sales Call Anxiety: The Role of Sale Perseverance and Task Concentration Strategies
Belschak, F. D. (2006) · Journal of the Academy of Marketing Science · doi:10.1177/0092070306286535 · Cited by 79
“As Cioffi (1991) summed it up, rumination focuses one's attention toward the inside (i.e., on one's own thoughts and feelings).”
Background
The meaning of pain: cancer patients' rating and recall of pain intensity and affect
Smith, W. B., Gracely, R., & Safer, M. A. (1998) · Pain · doi:10.1016/s0304-3959(98)00122-5 · Cited by 78
“The patient’s causal model of pain and cancer (Nerenz and Leventhal, 1983; Cioffi, 1991) impacts on an affective dimension of pain which can not be studied in typical laboratory research.”
Background
Psychometric evaluation of symptom perception related measures
Cecile, M. T., van Wijk, C. M. T. G., & Kolk, A. M. M. (1996) · Personality and Individual Differences · doi:10.1016/0191-8869(95)90023-n · Cited by 77
Exposure and mindfulness based therapy for irritable bowel syndrome - An open pilot study
Ljótsson, B., Andréewitch, S., Hedman, E., Rück, C., Andersson, G., & Lindefors, N. (2010) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2010.01.001 · Cited by 76
“A common behavior like distraction from the associated pain is probably not very effective and might even increase the awareness of pain (Cioffi, 1991; McCracken, 1997).”
Background
Brief cognitive interventions for burn pain
Haythornthwaite, J. A., Lawrence, J. W., & Fauerbach, J. A. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2301_7 · Cited by 75
Are symptom reports useful for differentiating between acute rejection and pulmonary infection after lung transplantation?
Dabbs, A. J. D. V., Hoffman, L., Iacono, A., Zullo, T., McCurry, K., & Dauber, J. (2004) · Heart & lung : the journal of critical care · doi:10.1016/j.hrtlng.2004.05.001 · Cited by 69
Biases in Perception and Reporting following a Perceived Toxic Exposure
Lees-Haley, P., & Brown, R. (1992) · Perceptual and Motor Skills · doi:10.2466/pms.1992.75.2.531 · Cited by 69
Hardiness and Health: A Social Psychophysiological Perspective on Stress and Adaptation
Wiebe, D., & Williams, P. G. (1992) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.1992.11.3.238 · Cited by 68
Somatic and psychological factors contributing to handicap in people with vertigo.
Yardley, L., Verschuur, C., Masson, E., Luxon, L. M., & Haacke, N. (1992) · British Journal of Audiology · doi:10.3109/03005369209076649 · Cited by 67
A biopsychosocial approach to arousal regulation
Blascovich, J. (1992) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.1992.11.3.213 · Cited by 67
Anomalous bodily experiences and perceived social isolation in schizophrenia: An extension of the Social Deafferentation Hypothesis
Michael, J., & Park, S. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.06.013 · Cited by 63
Biased interpretation of ambiguous information in patients with chronic pain: A systematic review and meta-analysis of current studies.
Schoth, D. E., & Liossi, C. (2016) · Health Psychology · doi:10.1037/hea0000342 · Cited by 69
The Experience of Cognitive Intrusion of Pain
Attridge, N., Crombez, G., Ryckeghem, D. M. L. V., Keogh, E., & Eccleston, C. (2015) · Pain · doi:10.1097/j.pain.0000000000000257 · Cited by 69
Behavioral self-regulation in adolescents with type I diabetes: negative affectivity and blood glucose symptom perception.
Wiebe, D., Alderfer, M., Palmer, S., Lindsay, R. K., & Jarrett, L. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.62.6.1204 · Cited by 63
Mindfulness-based stress reduction for people living with HIV/AIDS: preliminary review of intervention trial methodologies and findings
Riley, K. E., & Kalichman, S. (2015) · Health Psychology Review · doi:10.1080/17437199.2014.895928 · Cited by 60

Authors: Cioffi, D.
Affiliations: University of Houston (US)
Corresponding author: Cioffi, Delia
Venue: Psychological Bulletin
Publisher: American Psychological Association (APA)
Published: 1991
Volume: 109
Issue: 1
Pages: 25-41
ISSN: 0033-2909 (ISSN-L)
1939-1455
DOI: 10.1037/0033-2909.109.1.25
OpenAlex: W2059450453
Cited by: 426
References: 0
Citations by year: 2026: 6 · 2025: 8 · 2024: 9 · 2023: 13 · 2022: 11 · 2021: 14 · 2020: 4 · 2019: 8 · 2018: 13 · 2017: 16 · 2016: 11 · 2015: 11 · 2014: 12 · 2013: 13 · 2012: 19
FWCI: 8.19
Type: journal article
Language: en
Open access: closed
Locations: Psychological Bulletin (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords: attentional strategies, attentional focus, bodily sensations, coping strategies, cardiac rehabilitation, multiple sclerosis, psychobiology
MeSH terms: Arousal, Attention, Awareness, Humans, Perception, Sensation, Sick Role, Somatoform Disorders

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Beyond attentional strategies: a cognitive-perceptual model of somatic interpretation

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Metadata

Record

About these checks