Pain, emotion, and the situational specificity of catastrophising

Two studies were designed to explore the cross-situational nature of catastrophising and the emotions associated with pain and catastrophising. The cross-situational consistency of catastrophising in response to a finger-pressure procedure and during an episode of headache pain was examined in the first study. The second study examined differences between catastrophisers and noncatastrophisers with respect to state and trait measures of positive and negative emotions. Results of study one indicated that almost half of the subjects remained consistent in their classification as catastrophiser or noncatastrophiser in both pain situations. The majority of subjects that switched classification changed from being classified as catastrophisers during the headache experience to noncatastrophisers during the finger-pressure procedure. Results of the second study indicated that catastrophisers experienced significantly greater fear, sadness, anger, hostility, guilt, disgust, and shame during the finger-pressure procedure as compared to noncatastrophisers. Unexpectedly, catastrophisers were not a homogeneous group in regard to the pattern of negative emotions reported. Catastrophisers with headaches experienced greater sadness in response to finger-pressure pain than catastrophisers without headaches. Theoretical and clinical implications of these findings are discussed.