Pain Catastrophizing: An Updated Review

Leung, Lawrence

doi:10.4103/0253-7176.106012

Cited by 295Musculoskeletal pain and rehabilitationPain Management and Placebo EffectPain Management and Treatment

Pain Catastrophizing: An Updated Review

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Leung, Lawrence·2012·Indian Journal of Psychological Medicine

DOI 10.4103/0253-7176.106012PMC PMC3573569

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Abstract

Pain catastrophizing has been described for more than half a century which adversely affects the pain coping behavior and overall prognosis in susceptible individuals when challenged by painful conditions. It is a distinct phenomenon which is characterized by feelings of helplessness, active rumination and excessive magnification of cognitions and feelings toward the painful situation. Susceptible subjects may have certain demographic or psychological predisposition. Various models of pain catastrophizing have been proposed which include attention-bias, schema-activation, communal-coping and appraisal models. Nevertheless, consensus is still lacking as to the true nature and mechanisms for pain catastrophizing. Recent advances in population genomics and noninvasive neuroimaging have helped elucidate the known determinants and neurophysiological correlates behind this potentially disabling behavior.

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Pain catastrophizing has been shown to be a positive predictor of pain-related disability, self-efficacy in relation to managing pain, difficulties processing pain-related beliefs and emotions.
“Pain catastrophizing has been shown to be a positive predictor of pain-related disability, self-efficacy in relation to managing pain, difficulties processing pain-related beliefs and emotions.40,41”
From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [40]
The ‘Pain Catastrophizing and Physical Disability’ section (page unavailable) says that higher catastrophizing predicts continued disability. The retrieved passages discuss coping, beliefs and emotions, but do not establish that catastrophizing positively predicts self-efficacy in managing pain or difficulties processing pain-related beliefs and emotions. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Catastrophizing has been shown to moderate pain intensity and pain medication use in chronic pain groups.
“Catastrophizing has been shown to moderate pain intensity and pain medication use in chronic pain groups.40”
From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [40]
The section “Measuring Pain Catastrophizing: Situational or Dispositional?” reports that situational catastrophizing scores predict higher pain ratings in groups that include people with chronic pain. Our copy does not report that catastrophizing moderates pain medication use; searches for medication and analgesic use found no supporting passage. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Pain catastrophizing is consistently elevated in women with persistent breast pain.
“pain catastrophizing (magnification, helplessness, and rumination about pain) have consistently been found to be elevated in the women with PBP [4, 6, 18, 19].”
From Persistent breast pain in post-surgery breast cancer survivors and women with no history of breast surgery or cancer: associations with pain catastrophizing, perceived breast cancer risk, breast cancer worry, and emotional distress (2019) · cites this paper as [18]

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Psychosocial factors and adjustment to chronic pain in spinal cord injury: replication and cross-validation.
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Neurological Deficits in the Life and Works of Frida Kahlo
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The Association Between Anxiety and Chronic Pain After Whiplash Injury
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Pain Catastrophizing and Lower Physical Fitness in a Sample of Computer Screen Workers with Early Non-specific Upper Limb Disorders: A Case-control Study
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The association between gender, coping style and whiplash related symptoms in sufferers of whiplash associated disorder
Jones, A., & Elklit, A. (2007) · Scandinavian Journal of Psychology · doi:10.1111/j.1467-9450.2006.00543.x · Cited by 13 · see citing works
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Self-Regulation Mediates the Relationship between Learner Typology and Achievement in At - Risk Children
Weed, K., Keogh, D., Borkowski, J., Whitman, T., & Noria, C. W. (2011) · Learning and Individual Differences · doi:10.1016/j.lindif.2010.10.006 · Cited by 10 · see citing works
Determinants of Coping: Some Alternative Explanations and Measurement Issues
Dewe, P. J. (2001) · Psychological Reports · doi:10.2466/pr0.2001.88.3.832 · Cited by 4 · see citing works
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Barbero (2014) · doi:10.1016/j · Cited by 1 · see citing works

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[2]Beck AT Cognitive therapy of depression 1979 New York Guilford Press 425
[17]Garcia Campayo J Rodero B Alda M Sobradiel N Montero J Moreno S Validation of the Spanish version of the Pain Catastrophizing Scale in fibromyalgia Med Clin (Barc) 2008 131 487 92 Epub 2008/11/15. PubMed PMID: 19007576 19007576

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Authors: Leung, L.
Affiliations: Queen's University (CA)
Corresponding author: Leung, Lawrence
ORCID: Leung, Lawrence
Venue: Indian Journal of Psychological Medicine
Publisher: SAGE Publications
Published: 2012-07
Volume: 34
Issue: 3
Pages: 204-217
ISSN: 0253-7176 (ISSN-L)
0975-1564
DOI: 10.4103/0253-7176.106012
PMC: PMC3573569
OpenAlex: W1971725751
Cited by: 295
References: 129
Citations by year: 2026: 9 · 2025: 18 · 2024: 23 · 2023: 30 · 2022: 29 · 2021: 40 · 2020: 42 · 2019: 30 · 2018: 21 · 2017: 22 · 2016: 10 · 2015: 14 · 2014: 3 · 2013: 4
FWCI: 4.94
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: cc-by-nc-sa
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Indian Journal of Psychological Medicine (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
PubMed Central (publishedVersion, cc-by-nc-sa)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: pain catastrophizing, pain coping, helplessness, rumination, attentional bias, schema activation, communal coping, evaluation model, neuroimaging, population genomics

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Pain Catastrophizing: An Updated Review

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