Journal
EXPERT REVIEW OF NEUROTHERAPEUTICS
Volume 9, Issue 5, Pages 745-758Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1586/ERN.09.34
Keywords
attention bias; chronic pain; communal coping; fMRI; helplessness; pain catastrophizing; pain-related surgery; pain sensitivity; primary/secondary appraisal
Categories
Funding
- NIH [T32MH075884, F32NS063624, K23AR051315]
- NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES [K23AR051315] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [T32MH075884] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE [F32NS063624] Funding Source: NIH RePORTER
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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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