Journal
CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE
Volume 18, Issue 4, Pages 237-241Publisher
SAGE PUBLICATIONS INC
DOI: 10.1111/j.1467-8721.2009.01643.x
Keywords
pain; coping; cognitive; catastrophizing; neurobiological
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The biopsychosocial model treats pain as resulting from a complex interaction of biological, psychological, and social factors. Individual differences in approaches to coping with pain-related symptoms are important determinants of pain-related outcomes, and are often classified under the psychological category within the biopsychosocial model. However, engagement in various cognitive, affective, and behavioral pain-coping strategies appears to exert biological effects, which we review here. Pain-coping activities such as catastrophizing, distracting oneself from pain sensations, or reappraisal of pain may exert effects on activity in a variety of pain-processing and pain-modulatory circuits within the brain, as well affect the functioning of neuromuscular, immune, and neuroendocrine systems. The interface between pain-related neurobiology and the use of specific pain-coping techniques represents an important avenue for future pain research.
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