Chronic Pain

On the Integration of Psyche and Soma
  • Robert H. Dworkin
  • Roy C. Grzesiak


Chronic pain is both a medical and a behavioral problem and it is accompanied by great personal suffering as well as substantial economic costs to society. In assessing the impact of chronic pain, Bonica (1990) estimated that in 1986 (the most recent year for which data were available), 97 million Americans suffered from chronic pain (e.g., back pain, headache, musculoskeletal, and neurological syndromes), 400 million days of work were lost, and the total cost was 79 billion dollars. The suffering caused by chronic pain is more difficult to quantify. Nevertheless, based on both research and clinical experience there is a consensus that “in addition to depression, patients develop associated chronic invalid behaviors ... curtailment of social activity ... become increasingly homebound, and their chief interaction with other, in the home as well as out of it, is via the sick role” (Sternbach, 1984, p. 175).


Chronic Pain Chronic Pain Patient Relaxation Training Specific Disorder Minnesota Multiphasic Personality Inventory 
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Copyright information

© Springer Science+Business Media New York 1993

Authors and Affiliations

  • Robert H. Dworkin
    • 1
  • Roy C. Grzesiak
    • 2
  1. 1.Departments of Anesthesiology and Psychiatry, College of Physicians and SurgeonsColumbia UniversityNew YorkUSA
  2. 2.Departments of Anesthesiology and PsychiatryNew Jersey Medical SchoolNewarkUSA

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