Theoretical perspectives on the relation between catastrophizing and pain.


Journal Article (Review)

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 to bear during painful experiences. Although findings have been consistent in showing a relation between catastrophizing and pain, research in this area has proceeded in the relative absence of a guiding theoretical framework. This article reviews the literature on the relation between catastrophizing and pain and examines the relative strengths and limitations of different theoretical models that could be advanced to account for the pattern of available findings. The article evaluates the explanatory power of a schema activation model, an appraisal model, an attention model, and a communal coping model of pain perception. It is suggested that catastrophizing might best be viewed from the perspective of hierarchical levels of analysis, where social factors and social goals may play a role in the development and maintenance of catastrophizing, whereas appraisal-related processes may point to the mechanisms that link catastrophizing to pain experience. Directions for future research are suggested.

Full Text

Duke Authors

Cited Authors

  • Sullivan, MJ; Thorn, B; Haythornthwaite, JA; Keefe, F; Martin, M; Bradley, LA; Lefebvre, JC

Published Date

  • March 2001

Published In

Volume / Issue

  • 17 / 1

Start / End Page

  • 52 - 64

PubMed ID

  • 11289089

Pubmed Central ID

  • 11289089

International Standard Serial Number (ISSN)

  • 0749-8047


  • eng

Conference Location

  • United States