Cognitions, metacognitions, and chronic pain

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

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)


Purpose: Although the content of thoughts has received a considerable amount of attention in pain research, the importance of thought processes (metacognitions) has received less attention. Method: One hundred twenty-nine individuals with muscular dystrophy and chronic pain completed measures assessing metacognitions and frequency of both catastrophizing and pain control beliefs. Results: Greater use of reappraisal and distraction metacognitions were associated with more perceived control over pain, whereas greater use of worry and punishment metacognitions were associated with more catastrophizing. Conclusions/Implications: The current findings indicate that metacognitions are associated with both pain control beliefs and catastrophizing and therefore may play an important role in the development or maintenance of pain-related cognitive content thought to influence patient functioning. Research is needed to determine whether treatments that encourage changes in both metacognitions and cognitive content are more effective than treatments that focus on cognitive content alone.

Original languageEnglish
Pages (from-to)207-213
Number of pages7
JournalRehabilitation Psychology
Issue number3
Publication statusPublished - Aug 2012

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Psychology
  • Psychiatry and Mental health


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