Understanding and Enhancing Patient and Partner Adjustment to Disease-Related Pain: A Biopsychosocial Perspective

  • Tamara J. Somers
  • Francis J. Keefe
  • Laura Porter

Persistent, disease-related pain is a challenge not only for patients who experience it, but also for their loved ones. There is growing interest in involving partners and caregivers in pain management efforts. The purpose of this chapter is to discuss factors that influence patient and partner adjustment to disease-related pain within a biopsychosocial framework and provide an overview of biopsychosocial approaches involving partners in pain management. The chapter is divided into three sections. In the first section, we present a biopsychosocial model that can be used to understand how patients and their partners adjust to disease-related pain. In the second section, we discuss factors that influence patient and partner adjustment to both arthritis pain and cancer pain and how these factors are influenced by patient and partner pain management interventions. Finally, we highlight important future directions for clinical and research efforts in this area.

A Biopsychosocial Model of...


Rheumatoid Arthritis Patient Cancer Pain Pain Catastrophizing Biopsychosocial Model Caregiver Strain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Preparation of this chapter was supported by grants from the National Institutes of Health (NR01 CA107477-01, R01 CA100743-01, R01 CA91947-01, AR47218). We would also like to thank members of our laboratory (Paul Riordan, Yelena Riordan, Rebecca Shelby, Chante Wellington) who gave helpful feedback on an early draft of this chapter.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Tamara J. Somers
    • 1
  • Francis J. Keefe
    • 1
  • Laura Porter
    • 1
  1. 1.Duke University Medical CenterDurhamUSA

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