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Psychological and Psychosocial Evaluation of the Chronic Pain Patient

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Essentials of Pain Management

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Abstract

Pain is among the most common and disabling chronic health problems in the United States (Health United States 2006). The ubiquity of chronic, non-malignant pain and the complexities encountered with its management have prompted efforts to establish theoretical models to unveil, and otherwise explicate, factors other than those which are purely physical/sensory that contribute to the perception of pain and its associated impairments. One such model, the biopsychosocial model (Engel 1980), has gained significant appeal, emphasizing the bidirectional influences of psychological states and social/environmental factors with medical disorders and their associated symptoms, including pain. Rather than dichotomizing between physical and psychological origins, the biopsychosocial perspective maintains that the experience of pain, one’s presentation, and response to treatment are determined by the interaction of biological factors, the patient’s psychological makeup, the presence of psychological comorbidities, and the extent of social support and extenuating environmental circumstances (Gallagher 1999, Leo 2007).

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Authors and Affiliations

  1. Department of Psychiatry, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY, USA

    Raphael J. Leo MA, MD (Associate Professor, Consultant)

  2. Center for Comprehensive Multidisciplinary Pain Management, Erie County Medical Center, Buffalo, NY, USA

    Raphael J. Leo MA, MD (Associate Professor, Consultant)

  3. Department of Psychology, State University of New York at Buffalo, Buffalo, NY, USA

    Wendy J. Quinton PhD (Adjunct Instructor)

  4. Yale University School of Medicine, New Haven, CT, USA

    Michael H. Ebert MD (Professor of Psychiatry and Associate Dean for Veterans Affairs, Chief of Staff)

  5. VA Connecticut Healthcare System, New Haven, CT, USA

    Michael H. Ebert MD (Professor of Psychiatry and Associate Dean for Veterans Affairs, Chief of Staff)

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  1. Raphael J. Leo MA, MD
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  2. Wendy J. Quinton PhD
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Editors and Affiliations

  1. School of Medicine, Dept. Anesthesiology, Yale University, Cedar Street 333, New Haven, 06520-8051, Connecticut, USA

    Nalini Vadivelu

  2. Brigham & Women's Hospital, Dept. Anesthesia, Harvard Medical School, Francis St. 75, Boston, 02115, Massachusetts, USA

    Richard D. Urman

  3. School of Medicine, Dept. Anesthesiology, Yale University, Cedar Street 333, New Haven, 06520-8051, Connecticut, USA

    Roberta L. Hines

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Leo, R.J., Quinton, W.J., Ebert, M.H. (2011). Psychological and Psychosocial Evaluation of the Chronic Pain Patient. In: Vadivelu, N., Urman, R., Hines, R. (eds) Essentials of Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-0-387-87579-8_12

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