Chapter

Processes Underlying the Relation between Catastrophizing and Chronic Pain: Implications for Intervention

Michael J.L. Sullivan and Marc O. Martel

in From Acute to Chronic Back Pain

Published on behalf of Oxford University Press

Published in print January 2012 | ISBN: 9780199558902
Published online November 2012 | e-ISBN: 9780191753343 | DOI: http://dx.doi.org/10.1093/med/9780199558902.003.0076
Processes Underlying the Relation between Catastrophizing and Chronic Pain: Implications for Intervention

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Over the past two decades pain catastrophizing has emerged as one of the most robust psychological predictors of adverse pain outcomes. Recent research has begun to address the psychological and neurophysiological mechanisms that might underlie the relation between catastrophizing and pain outcomes. There are indications that psychological variables related to expectancies and attention might account, at least in part, for the relation between catastrophizing and pain outcomes. Some research suggests that catastrophic thinking might also impact directly on central mechanisms of pain control. Challenges for the future include the development of more targeted interventions for reducing catastrophic thinking. Future research on the relations between catastrophizing and central mechanisms of pain control might have implications for theoretical models that address the linkages between psychology and physiology in the modulation of pain experience.

Chapter.  9615 words.  Illustrated.

Subjects: Neuroscience ; Pain Medicine

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