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Review
. 2009 May;9(5):745-58.
doi: 10.1586/ern.09.34.

Pain catastrophizing: a critical review

Phillip J Quartana  1 , Claudia M Campbell, Robert R Edwards
Affiliations
Review

Pain catastrophizing: a critical review

Phillip J Quartana et al. Expert Rev Neurother. 2009 May.

Abstract

Pain catastrophizing is conceptualized as a negative cognitive-affective response to anticipated or actual pain and has been associated with a number of important pain-related outcomes. In the present review, we first focus our efforts on the conceptualization of pain catastrophizing, highlighting its conceptual history and potential problem areas. We then focus our discussion on a number of theoretical mechanisms of action: appraisal theory, attention bias/information processing, communal coping, CNS pain processing mechanisms, psychophysiological pathways and neural pathways. We then offer evidence to suggest that pain catastrophizing represents an important process factor in pain treatment. We conclude by offering what we believe represents an integrated heuristic model for use by researchers over the next 5 years; a model we believe will advance the field most expediently.

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Figures

Figure 1
Figure 1
Hierarchical factor structure of pain catastrophizing and corresponding Pain Catastrophizing Scale items.
Figure 2
Figure 2. A proposed multiprocess framework for pain catastrophizing research
COMT: Catchol- O-methyltransferase; DNIC: Diffuse noxious inhibitory controls.
See this image and copyright information in PMC

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