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

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Pain Catastrophizing: An Updated Review

Open access
Leung, Lawrence·2012·Indian Journal of Psychological Medicine

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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Crossref · 10.4103/0253-7176.106012

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Figures

Figure 1 Surrealistic painting titled “Without Hope” where Frida tried to externalize her chronic pain and hopelessness by portraying her bedbound self force-fed with a funnelled mixture of carcasses. Frida Kahlo, “Sin esperanza”, 1945. Oil on Canvas mounted on Masonite, 11”×14”. Collection Museo Dolores Olmedo Patino, Mexico City
Figure 1 Surrealistic painting titled “Without Hope” where Frida tried to externalize her chronic pain and hopelessness by portraying her bedbound self force-fed with a funnelled mixture of carcasses. Frida Kahlo, “Sin esperanza”, 1945. Oil on Canvas mounted on Masonite, 11”×14”. Collection Museo Dolores Olmedo Patino, Mexico CityCC BY-NC-SA · PubMed Central
Figure 2 Frida Kahlo's painting “broken column” where she depicted her spine as a broken marble column in the background of multiple nails driven into other parts of her naked body, giving her the continual undignifying pain. She told others “I am disintegration” Frida Kahlo, “La columna rota”, 1944. Oil on canvas mounted on rigid fiber, 16”×12”, Collection Museo Dolores Olmedo Patino, Mexico City
Figure 2 Frida Kahlo's painting “broken column” where she depicted her spine as a broken marble column in the background of multiple nails driven into other parts of her naked body, giving her the continual undignifying pain. She told others “I am disintegration” Frida Kahlo, “La columna rota”, 1944. Oil on canvas mounted on rigid fiber, 16”×12”, Collection Museo Dolores Olmedo Patino, Mexico CityCC BY-NC-SA · PubMed Central
Figure 3 Conceptual diagram of the neuromatrix theory as a refinement of the gate-control theory. Itself visualized as an entity (like an incessant spinning sphere) comprising of the somatosensory (S), cognitive (C)and affective (A) domains, the neuromatrix receives inputs from areas of the brain governing sensation, emotions and cognitions; and in return, churns out a neurosignature (output) which activates various programs for pain recognition, motor response, emotional and stress reactions. (Adapted from Melzack, Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: presented at the third World Congress of World Institute of Pain, Barcelona 2004. Pain Pract 2005;5:85-94.)
Figure 3 Conceptual diagram of the neuromatrix theory as a refinement of the gate-control theory. Itself visualized as an entity (like an incessant spinning sphere) comprising of the somatosensory (S), cognitive (C)and affective (A) domains, the neuromatrix receives inputs from areas of the brain governing sensation, emotions and cognitions; and in return, churns out a neurosignature (output) which activates various programs for pain recognition, motor response, emotional and stress reactions. (Adapted from Melzack, Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: presented at the third World Congress of World Institute of Pain, Barcelona 2004. Pain Pract 2005;5:85-94.)CC BY-NC-SA · PubMed Central

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Research works printed but not linked: 2

  1. [2]Beck AT Cognitive therapy of depression 1979 New York Guilford Press 425
  2. [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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Metadata

Authors
Leung, L.
Affiliations
Queen's University (CA)
Corresponding author
Leung, Lawrence
Venue
Indian Journal of Psychological Medicine
Published
2012-07
Volume
34
Issue
3
Pages
204-217
ISSN
  • 0253-7176 (ISSN-L)
  • 0975-1564
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
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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