The Pain Catastrophizing Scale: Development and validation.

In Study 1, the Pain Catastrophizing Scale (PCS) was administered to 425 undergraduates. Analyses yielded a three component solution comprising (a) rumination, (b) magnification, and (c) helpless-ness. In Study 2, 30 undergraduate participants were classified as catastrophizers (n = 15) or non-catastrophizers (n = 15) on the basis of their PCS scores and participated in an cold pressor proce-dure. Catastrophizers reported significantly more negative pain-related thoughts, greater emotional distress, and greater pain intensity than noncatastrophizers. Study 3 examined the relation between PCS scores, negative pain-related thoughts, and distress in 28 individuals undergoing an aversive electrodiagnostic medical procedure. Catastrophizers reported more negative pain-related thoughts, more emotional distress, and more pain than noncatastrophizers. Study 4 examined the relation between the PCS and measures of depression, trait anxiety, negative affectivity, and fear of pain. Analyses revealed moderate correlations among these measures, but only the PCS contributed sig-nificant unique variance to the prediction of pain intensity. The role of Catastrophizing in mediating responses to pain has received considerable attention in recent years (Chaves Brown,