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

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

Cioffi, Delia·1991·Psychological Bulletin

DOI 10.1037/0033-2909.109.1.25

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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.

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BackgroundInfluential
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“More accepted models suggest a higher level of attentional focus on body sensations in neurotic individuals and a negative interpretation of such sensations, as well as neurotic individuals recalling symptoms as being worse than they really were (Cioffi, 1991; Feldman et al., 1999; Larsen, 1992;Watson & Pennebaker, 19…”
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“Important cognitive variables that modify the perception of dyspnea are anxiety and depression (Dudley, Martin, & Holmes, 1964; Gift, 1991; Smith et al., 2001), personality (Chetta et al., 1998), and the meaning of the symptom for the person (Cioffi, 1991).”
Background

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

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

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