Cognitions, metacognitions, and chronic pain.

Yoshida, Toshiyuki; Molton, Ivan; Jensen, Mark P.; Nakamura, Tomoyasu; Arimura, Tatsuyuki; Kubo, Chiharu; Hosoi, Masako

doi:10.1037/a0028903

Cited by 22 publications

(22 citation statements)

References 37 publications

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“…In addition, we believe that current measures of pain catastrophizing are too dependent on pain intensity scores (Sullivan, 2012;Wade et al, 2012), and so favor the use of a broader conceptualization of pain catastrophizing as is found in GABS-SV items. This would be congruent with other findings that emphasize the importance of general metacognitive processes in chronic pain (Yoshida et al, 2012).…”

Section: Discussionsupporting

confidence: 91%

There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients

Suso‐Ribera

Jornet‐Gibert

Ribera-Canudas

et al. 2016

J Clin Psychol Med Settings

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Among the potential range of irrational beliefs that could be used as predictors of physical and mental health, catastrophizing is the process that has received most attention in chronic pain research. Other irrational processes such as demandingness, low frustration tolerance, and self-downing have rarely been studied. The goal of this study was to explore whether this wider range of beliefs is associated with health in chronic pain patients beyond catastrophizing. A total of 492 chronic pain patients completed a measure of irrational beliefs, a measure of physical and mental health, and a numerical rating scale designed to assess pain intensity and interference. Irrational processes were more strongly associated with mental than with physical health. Low frustration tolerance and self-downing were found to be significantly related to mental health even after controlling for the effect of catastrophizing. Processes other than catastrophizing appear to have potentially important relationships with the mental health of people with chronic pain. These results may offer new intervention targets for practitioners.

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Section: Discussionsupporting

confidence: 91%

There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients

Suso‐Ribera

Jornet‐Gibert

Ribera-Canudas

et al. 2016

J Clin Psychol Med Settings

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“…Applying these maladaptive regulatory processes leads to engaging maladaptive coping strategies of worry/rumination, and using coping strategies such as thought suppression that fail to modify negative appraisals and beliefs (Wells and Cartwright‐Hatton, ) and result in escalation of distress, including worsening depression, anxiety and anger. Hence, PC can serve as an antecedent for the activation of negative metacognitive processes, leading to worse coping behaviours and exacerbations of pain (Yoshida et al., ), all of which perpetuate the cognitive behavioural pain cycle.…”

Section: Introductionmentioning

confidence: 99%

The relationship between negative metacognitive thoughts, pain catastrophizing and adjustment to chronic pain

Ziadni

Sturgeon

Darnall

2017

European Journal of Pain

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Findings highlight the need to better characterize the value of metacognitive beliefs as an important predictor and therapeutic target. Despite limited evidence of a dynamic relationship between metacognition and daily adjustment to chronic pain, results emphasize the potential importance of interventions that target cognitive appraisal process beyond catastrophizing, including uncontrollability and danger-laden thought patterns.

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“…Such cognitive and attentional processes and behaviours are implicated in problematic CAS configurations. Furthermore, a recent study found that aspects of the CAS (as measured by the Thought Control Questionnaire, Wells & Davies, ), in the form of worry and punishment, were associated with pain catastrophising and may play a role in maintaining pain‐related thoughts and behaviour (Yoshida et al, ). Additionally, a study by Turner, Holtzman, and Mancl () found that rumination mediated pain interference activities as an outcome following cognitive behaviour therapy.…”

Section: Introductionmentioning

confidence: 99%

“…Expanding on Yoshida et al's () work, we propose a model of the relationships between neuroticism, meta‐cognitive beliefs about worry, pain catastrophising, and pain behaviour (presented in Fig. ).…”

Section: Introductionmentioning

confidence: 99%

Meta‐cognitive beliefs about worry and pain catastrophising as mediators between neuroticism and pain behaviour

Spada

Nikčević

Fernie

et al. 2016

Clinical Psychologist

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Background The present study explored the relationship between neuroticism, meta‐cognitive beliefs about worry, pain catastrophising, and pain behaviour. Methods A non‐clinical convenience sample of 308 participants completed the following four measures in this cross‐sectional study: Neo Five‐Factor Inventory, Meta‐Cognitions Questionnaire 30, Pain Catastrophising Scale, and the Pain Behaviour Checklist. Results A multiple‐step multiple mediator analysis was employed to test a model in which (1) positive meta‐cognitive beliefs about worry would mediate the relationship between neuroticism and pain catastrophising and (2) negative meta‐cognitive beliefs about worry would mediate the relationship between pain catastrophising and self‐reported pain behaviour. We also hypothesised that the combined effects of meta‐cognitive beliefs about worry and pain catastrophising on self‐reported pain behaviour would be independent of neuroticism. Results supported the proposed structure with pain catastrophising and meta‐cognitive beliefs about worry mediating fully the effect of neuroticism on self‐reported pain behaviour. Conclusions These findings identify, for the first time in the literature, a link between meta‐cognitive beliefs about worry and both self‐reported pain behaviour and pain catastrophising. The implications of these findings are discussed.

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Cognitions, metacognitions, and chronic pain.

Cited by 22 publications

References 37 publications

There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients

There’s More Than Catastrophizing in Chronic Pain: Low Frustration Tolerance and Self-Downing Also Predict Mental Health in Chronic Pain Patients

The relationship between negative metacognitive thoughts, pain catastrophizing and adjustment to chronic pain

Meta‐cognitive beliefs about worry and pain catastrophising as mediators between neuroticism and pain behaviour

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