From catastrophizing to recovery: A pilot study of a single-session treatment for pain catastrophizing

Darnall, Beth; Sturgeon, John; Kao, Ming-Chih; Hah, Jennifer; Mackey, Sean

doi:10.2147/jpr.s62329

Cited by 140Musculoskeletal pain and rehabilitationPain Management and TreatmentPediatric Pain Management Techniques

From catastrophizing to recovery: A pilot study of a single-session treatment for pain catastrophizing

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Darnall, Beth, Sturgeon, John, Kao, Ming-Chih, Hah, Jennifer, Mackey, Sean·2014·Journal of Pain Research

DOI 10.2147/jpr.s62329PMC PMC4008292

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Abstract

BACKGROUND: Pain catastrophizing (PC) - a pattern of negative cognitive-emotional responses to real or anticipated pain - maintains chronic pain and undermines medical treatments. Standard PC treatment involves multiple sessions of cognitive behavioral therapy. To provide efficient treatment, we developed a single-session, 2-hour class that solely treats PC entitled "From Catastrophizing to Recovery" [FCR]. OBJECTIVES: To determine 1) feasibility of FCR; 2) participant ratings for acceptability, understandability, satisfaction, and likelihood to use the information learned; and 3) preliminary efficacy of FCR for reducing PC. DESIGN AND METHODS: Uncontrolled prospective pilot trial with a retrospective chart and database review component. Seventy-six patients receiving care at an outpatient pain clinic (the Stanford Pain Management Center) attended the class as free treatment and 70 attendees completed and returned an anonymous survey immediately post-class. The Pain Catastrophizing Scale (PCS) was administered at class check-in (baseline) and at 2, and 4 weeks post-treatment. Within subjects repeated measures analysis of variance (ANOVA) with Student's t-test contrasts were used to compare scores across time points. RESULTS: All attendees who completed a baseline PCS were included as study participants (N=57; F=82%; mean age =50.2 years); PCS was completed by 46 participants at week 2 and 35 participants at week 4. Participants had significantly reduced PC at both time points (P<0001) and large effect sizes were found (Cohen's d=0.85 and d=1.15). CONCLUSION: Preliminary data suggest that FCR is an acceptable and effective treatment for PC. Larger, controlled studies of longer duration are needed to determine durability of response, factors contributing to response, and the impact on pain, function and quality of life.

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A single-session treatment is effective for modifying common cognitive features associated with emotional distress in chronic pain patients.
“In a similar light, it has been proven that a single-session treatment is effective for modifying common cognitive features associated with emotional distress in chronic pain patients [102,103,104].”
From A Single-Session Process-Based Cognitive-Behavioral Intervention Combined with Multimodal Rehabilitation Treatment for Chronic Pain Associated with Emotional Disorders (2024) · cites this paper as [102]
The Discussion reports significantly reduced pain catastrophizing two and four weeks after the single-session class in 57 chronic pain patients. But the paper calls this preliminary efficacy and says larger, controlled studies are needed; it does not establish that the treatment is proven effective for cognitive features more broadly. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Single-session interventions have shown effectiveness in decreasing pain catastrophizing in adults with chronic pain.
“and decreasing PC in adults with chronic pain. 43,44”
From Virtual psychoeducation for improvement of pain catastrophizing in pediatric presurgical patients and caregivers: a proof-of-concept study (2023) · cites this paper as [43]
A study of adults with chronic pain found that PC scores decreased following a single-session face-to-face pain-CBT intervention.
“a study of adults with chronic pain found that PC scores decreased following a single-session face-to-face pain-CBT intervention. 43”
From Virtual psychoeducation for improvement of pain catastrophizing in pediatric presurgical patients and caregivers: a proof-of-concept study (2023) · cites this paper as [43]

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Open Access Full Text Article
Darnall, B. D., Sturgeon, J. A., Kao, M. J., Hah, J. M., Mackey, S., Beth, C., Darnall, D., & Neuroscience, S. (2016)
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Targeted treatment of catastrophizing for the management of chronic pain
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(510) Traditional (trait-like) catastrophizing does not predict who will respond to a brief intervention that reduces situation-specific catastrophizing
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How can we best reduce pain catastrophizing in adults with chronic noncancer pain? A systematic review and meta-analysis
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(533) "Control over catastrophizing": development of a single-session psychobehavioral intervention to reduce pain catastrophizing
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Self-citation

Authors: Darnall, B., Sturgeon, J., Kao, M.-C., Hah, J., & Mackey, S.
Affiliations: Stanford Medicine (US)
Corresponding author: Darnall, Beth
ORCID: Darnall, Beth
Sturgeon, John
Kao, Ming-Chih
Hah, Jennifer
Mackey, Sean
Venue: Journal of Pain Research
Publisher: Informa UK Limited
Published: 2014-04
Volume: 7
Pages: 219
ISSN: 1178-7090 (ISSN-L)
DOI: 10.2147/jpr.s62329
PMC: PMC4008292
OpenAlex: W2052950845
Cited by: 140
References: 41
Citations by year: 2026: 13 · 2025: 10 · 2024: 16 · 2023: 15 · 2022: 12 · 2021: 12 · 2020: 12 · 2019: 17 · 2018: 12 · 2017: 8 · 2016: 5 · 2015: 7 · 2014: 1
FWCI: 5.10
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/3.0/ (vor)
Locations: Journal of Pain Research (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
Funders: National Institutes of Health
National Institute on Drug Abuse (K24DA029262, HHSN271201200728P)
National Center for Complementary and Alternative Medicine
National Center for Research Resources (UL1RR025744)
National Center for Complementary and Integrative Health (P01AT006651)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: pain catastrophizing, single-session intervention, group intervention, chronic pain, treatment acceptability, treatment efficacy, Pain Catastrophizing Scale

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From catastrophizing to recovery: A pilot study of a single-session treatment for pain catastrophizing

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