Reduction of pain catastrophizing mediates the outcome of both physical and cognitive-behavioral treatment in chronic low back pain.

By Rob J.E.M. Smeets, Johan W. S. Vlaeyen, Arnold D. M. Kester, J. Knottnerus. Journal of Pain, 2006

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Psychological Considerations in the Assessment and Treatment of Pain in Neurorehabilitation and Psychological Factors Predictive of Therapeutic Response: Evidence and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation (2016, background): “Diﬀerent cognitive factors seem also to have a crucial role, in particular pain catastrophizing in multidisciplinary (Smeets et al., 2006; Vowles et al., 2007; Desrochers et al., 2010; Heutink et al., 2013; Litt and Porto, 2013) and pharmacological treatments (Toth et al., 2014), cognitive…”
The Fear-Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence (2006, background): “Only one current study succeeded in demonstrating that CLBP patients have lower aerobic fitness than matched healthy counterparts, though this could not be explained by pain-related fear or other relevant variables (Smeets et al., 2006a).”
The role of psychosocial processes in the development and maintenance of chronic pain disorders (2016, positive): “For example, changes in catastrophizing statistically mediate the benefits of CBT,(31,33,105,233) and multidisciplinary treatment programs,(52) as well as exercise- and activity-based physical therapy interventions that do not explicitly target catastrophizing.(133,208) Smeets and colleagues(208) co”