Comorbidity of Chronic Pain and Mental Health Disorders: The Biopsychosocial Perspective.

Gatchel, Robert J.

doi:10.1037/0003-066x.59.8.795

Cited by 384 publications

(278 citation statements)

References 36 publications

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“…The American Pain Society and the Joint Commission on Accreditation of Healthcare Organizations have designated pain as the "fifth vital sign" in an effort to enhance the awareness and need of assessment. 18 Pain assessments rely on self-report measures intended to quantify qualities of pain like intensity, sensory characteristics, affective responses, and coping. 30 Many multi-dimensional measures are available including the McGill Pain Questionnaire (MPQ40) and the Western Ontario and MacMaster Universities Osteoarthritis Index (WOMAC2).…”

mentioning

confidence: 99%

A Systematic Review of Measures Used to Assess Chronic Musculoskeletal Pain in Clinical and Randomized Controlled Clinical Trials

Litcher‐Kelly

Martino

Broderick

et al. 2007

The Journal of Pain

120

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There are many types of pain assessments available to researchers conducting clinical trials, ranging from simple, single-item Visual Analog Scale (VAS) questions through extensive, multidimensional inventories. The primary question addressed in this survey of top-tier medical journals was: Which pain assessments are most commonly used in trials? Articles addressing chronic musculoskeletal pain in clinical trials were identified in seven major medical journals for the year 2003. A total of 50 studies (total original research articles reviewed: 1,476) met selection criteria, and from these we identified 28 types of pain assessments. Selected studies were classified according to the dimensions of pain assessed, the type of scale and descriptors/anchors used, and the reporting period specified. The most frequently used assessments were the single-item VAS scale and the Numeric Rating Scale (NRS); multidimensional inventories were used infrequently. There was considerable variability in the instructions patients received about the period to consider when evaluating their pain, and many studies provided only cursory information about their assessments in the methods. Overall, it appears that clinical trials utilize simple measures of pain and that there is no widely accepted standard for clinical pain assessment that would facilitate comparison of outcomes across trials.Perspective-This review highlights the heterogeneity of pain outcome measures used and the abundance of single-item measures in clinical trials. While there are many pain outcome measures available to clinical researchers, more consistency in the field should be encouraged so that results between studies can be compared. KeywordsPain; Self-report; Patient Reported Outcomes; Clinical Trials Pain is a leading public health problem in the United States affecting over 50 million Americans at an annual cost exceeding $100 billion dollars. 46 This translates into 70 million healthcare visits a year, making pain the leading cause for health care utilization. Fifteen percent of adults in the United States have had chronic low back pain at some point in their lives, resulting in 250 million lost days of work, and conferment of disability to over 10 million Americans. 20 Corresponding author: Leighann Litcher- Kelly, Putnam Hall, South Campus, Stony Brook, NY 11974-8790, Phone: 631-632-3094, Fax: 631-632-3165, E-mail: Leighann.Litcher@sunysb.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Current reviewWith the large number of options available to clinical researchers, our interest was...

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confidence: 99%

A Systematic Review of Measures Used to Assess Chronic Musculoskeletal Pain in Clinical and Randomized Controlled Clinical Trials

Litcher‐Kelly

Martino

Broderick

et al. 2007

The Journal of Pain

120

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“…Although the interaction between body and mind was acknowledged before (e.g. Van der Feltz-Cornelis & Van Dyck, 1997 for a historical overview), nowadays we have a scientific basis to assume that psychological problems not only result from somatic complaints, but can also be of major influence in the explication of medically unexplained somatic complaints and even in the etiology of symptoms that have a clear organic basis (Mayer, 1996;Gatchel, 2004). An example of the second account is the finding that people who have been exposed to a cold virus are more likely to show symptoms of a cold when they have been under a large amount of stress (Cohen, Tyrrell, & Smith, 1993).…”

Section: Introductionmentioning

confidence: 99%

Emotions and self‐esteem as indicators of somatic complaints in children

Terwogt

Rieffe

Miers

et al. 2006

Infant and Child Development

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The literature on somatic complaints in children without a clear physical medical cause often demonstrates connections with various psychological factors, such as negative emotions and problems handling them, poor self-image, and coping potential. We entered these elements into a structural model to elucidate the relationships among them and tested it on 330 children (mean age 10 years and 9 months). The results showed that mood balance contributed most to the prediction of self-reported somatic complaints. Moreover, mood (in combination with anxiety and depression problems) had an indirect impact on children's somatic complaints by influencing self-esteem. The influence and position of coping was less clear. The results are discussed in terms of the 'symptom perception theory'.

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“…Whereas disease represented specific pathology that could be objectively identified, illness corresponded to the subjective experience of the disease, or its broader manifestation beyond identifiable pathology (Gatchel, 2004;.…”

Section: Biopsychosocial Model Of Painmentioning

confidence: 99%

“…If the nociception persists, and suffering becomes chronic in response to the subjective experience of pain, an individual would then start exhibiting pain behaviors. These behaviors, analogous to the sick role, may include such behaviors as avoiding activity due to the fear of triggering pain (Gatchel, 2004). This biopsychosocial model is also consistent with the GCT in that these specific factors identified within the model can interact, and there is not only a one-way progression from pathology to manifestation of illness.…”

Section: Biopsychosocial Model Of Painmentioning

confidence: 99%

Cost-Effectiveness of Early Versus Delayed Functional Restoration for Chronic Disabling Occupational Musculoskeletal Disorders

2014

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Comorbidity of Chronic Pain and Mental Health Disorders: The Biopsychosocial Perspective.

Cited by 384 publications

References 36 publications

A Systematic Review of Measures Used to Assess Chronic Musculoskeletal Pain in Clinical and Randomized Controlled Clinical Trials

A Systematic Review of Measures Used to Assess Chronic Musculoskeletal Pain in Clinical and Randomized Controlled Clinical Trials

Emotions and self‐esteem as indicators of somatic complaints in children

Cost-Effectiveness of Early Versus Delayed Functional Restoration for Chronic Disabling Occupational Musculoskeletal Disorders

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