Thinking About Thinking About Pain: Development of a Measure and Model of Pain-Related Metacognition
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Pain catastrophising (PC) is one of the strongest psychological predictors of negative pain outcomes. This thesis explores higher order beliefs, or metacognitions, underlying catastrophising using four linked studies: a systematic review of randomised trials measuring PC changes; a qualitative study of people with elevated PC; development and validation of the Pain Metacognitions Questionnaire; and a path analysis. Results support a repetitive negative thinking model of PC where unhelpful metacognitions are important moderators of catastrophising.
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