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The concept of catastrophizing in the context of cognitive-behavioral therapy for pain.
Of interest is the great variety of ways in which catastrophizing is defined or characterized.
In contrast, coping thoughts have been related to higher pain tolerance and lower pain intensity ratings. In chronic pain patients, the presence of catastrophizing thoughts and convictions of helplessness and the absence of coping thoughts and convictions of resourcefulness have been associated with greater levels of....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013
Catastrophizing consists of extremely negative thoughts about one’s plight, and even minor problems are interpreted as major catastrophes (Table 18-1). [This doesn't agree with operational definition of catastrophizing.][The ensuing discussion reiterates the lack of concern about cause vs effect and the interpretation e....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
Table 18-1. Examples of Catastrophizing and Coping Thoughts
Catastrophizing: No matter what I do, my pain doesn't change anyway
Coping: I'll manage
Catastrophizing: I can't stand this pain any longer
Coping: If I stay calm and relax, things will be better
Catastrophizing: This will never end
Coping: I....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
[P. 79, Fig. 1 is a diagram of fear-avoidance model. The model might be amended to say "Recoverable injury" instead of "injury", to indicate that the type of injury is significant.]
[Another definition for catastrophizing.] Until recently, the research literature on the fear-avoidance model did not ascribe a role of....
Leeuw M, Goossens MEJB, Linton SJ, Crombez G, Boersma, K and Vlaeyen, JWS, "The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence", Journal of Behavioral Medicine 30: 2006, 79-80
Catastrophizing, defined as "an exaggerated negative orientation toward pain stimuli and pain experience," is the single construct from the coping literature that has received the most attention since the early 1990s....Sullivan and D'Eon (1990) found that clinical psychologists viewed catastrophizing and depress....
Turk, Dennis, and Melzack, Ronald, "Handbook of Pain Assessment", The Guildford Press, 2011, 85
...catastrophizing shares elements in common not only with depression, but also with anxiety and its associated disorders, and perhaps anger and hostility as well....Their results suggested that pain catastrophizing was strongly associated with a number of indices of negative mood, and accounted for minimal variance in....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
...few studies comprehensively assess other negative emotional and cognitive processes that overlap (often substantially) with the construct of catastrophizing. It will be critical to place catastrophizing within the context of such other processes as fear of pain, pain-related anxiety, pain self-efficacy and somatizati....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
Recently, Weissman-Fogel et al. identified negative relationships between pain catastrophizing and DNIC....handful of studies using repetitive thermal stimulation have revealed correlations between pain catastrophizing and the degree of temporal summation.
These findings suggest that pain catastrophizing might be as....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
In summary, preliminary studies using diverse experimental methods have suggested that pain catastrophizing is associated with a heightened attentional bias to pain-relevant stimuli (perhaps its negative affective element in particular) and an inability to disengage from pain or pain cues. However, none of these studies....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
The relation between catastrophizing and facial responsiveness to pain.
Abstract
Pain catastrophizing has recently been suggested to have a social function based on a positive association observed with facial responsiveness to noxious stimulation. However, this assumption is based on studies applying nociceptive....
Kunz, M., Chatelle, C., Lautenbacher, S., and Rainville, P., "The relation between catastrophizing and facial responsiveness to pain.", Pain: 2008
The literature also points to consistent and generally robust associations observed between pain catastrophizing and an array of clinical pain-related outcomes, including measures of clinical pain severity, pain-related activity interference, disability, depression (and other negative mood indices) and alterations in so....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
In the case of post-surgical pain, cognitive coping strategies and catastrophizing thoughts were significantly positively correlated with pain severity, an increased incidence of the development of chronic pain, and a poorer quality of life after surgery, as well as potentially with medication use (Khan et al 2011), rep....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
...a core component of multidisciplinary pain treatment is often cognitive–behavioral techniques involving reducing catastrophizing and enhancing adaptive pain-coping skills. The use of such techniques is based on the well-documented notion that the manner in which a patient assesses their pain and contextual surroundin....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
Catastrophizing appears to be a particularly potent cognitive error that greatly influences pain and disability, as well as treatment outcome (Sullivan et al 2001, Quartana et al 2009). [The first cite is a discussion of theoretical models by which to understand "catastrophizing", $40.00.
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
Coping with rheumatoid arthritis pain: catastrophizing as a maladaptive strategy.
Abstract
The present study examined catastrophizing in rheumatoid arthritis (RA) patients. Subjects were 223 RA patients who were participants in a longitudinal study. Each patient completed the Catastrophizing scale of the Coping....
Keefe FJ, Brown GK, Wallston KA, Caldwell DS., "Coping with rheumatoid arthritis pain: catastrophizing as a maladaptive strategy.", Pain 37: 1989
During mild pain, pain catastrophizing was associated with exaggerated activity [WHY EXAGERRATED, not just 'elevated'?] in the PFC, insular cortex and caudal ACC, suggesting exaggerated processing of the affective dimension of pain in particular. During more intense pain a somewhat different pattern emerged: pain catast....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
[The catastrophizing concept originated in cognitive-behavioral approaches to anxiety and depression.] At the core of [the propounders'] definitions of catastrophizing was the concept of an irrationally negative forecast of future events. Similarly, pain-related catastrophizing is broadly conceived as a set of exaggerat....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
Changes in situation-specific pain catastrophizing precede changes in pain report during capsaicin pain: a cross-lagged panel analysis among healthy, pain-free participants.
Abstract
Considerable evidence has linked catastrophizing to pain responses, and recent experimental pain research has suggested that situa....
Campbell CM, Quartana PJ, Buenaver LF, Haythornthwaite JA, Edwards RR., "Changes in situation-specific pain catastrophizing precede changes in pain report during capsaicin pain: a cross-lagged panel analysis among healthy, pain-free participants.", The Journal of Pain 11: 2010
Several lines of research, including experimental laboratory studies of acute pain in normal volunteers and field studies of patients with clinical pain, indicate that catastrophizing and adaptive coping strategies are important in determining reactions to pain. For example, Campbell and colleagues (2010) used repeated....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 260
Keefe and colleagues (1989) found that RA patients who reported high levels of pain, physical disability, and depression had excessive catastrophizing ideation on questionnaires administered 6 months earlier. [What is meant by "excessive ideation?" They found (see their abstract) that catastrophizing was auto-correlated....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 261
At this point, in our view, enough evidence has accumulated to suggest that high levels of catastrophizing about pain should be considered a ‘risk marker’ for adverse immediate and long-term pain-related outcomes.
Assessment issues represent a barrier to furthering our understanding of this construct; catastrophizi....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
Collectively, pain catastrophizing is characterized by the tendency to magnify the threat value of pain stimulus and to feel helpless in the context of pain, and by a relative inability to inhibit pain-related thoughts in anticipation of, during or following a painful encounter. The assessment of catastrophizing is typi....
Quartana PJ, Campbell CM, Edwards RR., "Pain catastrophizing: a critical review. (HHS Public Access Author manuscript)", Expert Review of Neurotherapeutics 9: 2009 (Pain catastrophizing: a critical review.html)
Turner and co-workers (2004) used daily electronic interviews to determine the stability of catastrophizing and its relationship to pain and disability over time. They found catastrophizing to be very stable and to be associated with more pain, more disability, and worse mood on a daily basis. In fact, several studies h....
McMahon, S. B., Koltzenberg, M., Tracy, I., and Turk, D. C., "Wall and Melzack's Textbook of Pain", Elsevier Saunders, 2013, 261
Theoretical perspectives on the relation between catastrophizing and pain.
Abstract
The tendency to "catastrophize" during painful stimulation contributes to more intense pain experience and increased emotional distress. Catastrophizing has been broadly conceived as an exaggerated negative "mental set" brought t....
Sullivan MJ1, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, Lefebvre JC., "Theoretical perspectives on the relation between catastrophizing and pain.", Clinical Journal of Pain 17: 2001
End of included memoes/notes