This study examined the associations between specific pain-related beliefs and both mental health and pain interference in elderly patients with chronic pain. A total of 139 patients completed validated questionnaires assessing pain domains (i.e., intensity, duration and location), psychological functioning, pain interference and demographic variables. Pain-related beliefs were related with poorer mental health (Disability = –.27; Harm = –.23; Solicitude = –.24; Control = .18; Emotion = –.29) and greater interference in daily activities (Disability =.41; Harm =.13; Solicitude =.29; Control = –.31). Our findings are consistent with a biopsychosocial model of chronic pain which goes beyond physical variables in an attempt to understand and promote patients’ adjustment to chronic pain problems.