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Pain Catastrophizing: An Updated Review
Open accessAbstract
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.40,41”
From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [40]
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“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]
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“pain catastrophizing (magnification, helplessness, and rumination about pain) have consistently been found to be elevated in the women with PBP [4, 6, 18, 19].”
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Metadata
- 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
- 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
- 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 › 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 › 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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