• Prog. Neuropsychopharmacol. Biol. Psychiatry · Dec 2018

    Review

    Evaluating psychosocial contributions to chronic pain outcomes.

    • S M Meints and R R Edwards.
    • Department of Anesthesiology, Pain Management Center, Brigham and Women's Hospital, Harvard Medical School, Chestnut Hill, MA, USA. Electronic address: smeints@bwh.harvard.edu.
    • Prog. Neuropsychopharmacol. Biol. Psychiatry. 2018 Dec 20; 87 (Pt B): 168-182.

    AbstractThe biopsychosocial model of pain dominates the scientific community's understanding of chronic pain. Indeed, the biopsychosocial approach describes pain and disability as a multidimensional, dynamic integration among physiological, psychological, and social factors that reciprocally influence one another. In this article, we review two categories of studies that evaluate the contributions of psychosocial factors to the experience of chronic pain. First, we consider general psychosocial variables including distress, trauma, and interpersonal factors. Additionally, we discuss pain-specific psychosocial variables including catastrophizing, expectations, and pain-related coping. Together, we present a diverse array of psychological, social, and contextual factors and highlight the need to consider their roles in the development, maintenance, and treatment of chronic pain conditions.Copyright © 2018 Elsevier Inc. All rights reserved.

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