Chronic Pain

  • Melanie P. DuckworthEmail author
  • Tony Iezzi
  • Gwendolyn C. Carlson


Pain is experienced by almost everyone at some point over the course of a life. Pain is the most common symptom presentation in the emergency room and primary care physician’s office, and pain is now recognized as the fifth vital sign in hospital settings. For most persons, the experience of pain is brief and uncomplicated, with pain remitting fully in the absence of medical intervention, but for a significant proportion of the population, the experience of pain will result in a significant impact and precipitate contact with a healthcare provider. Approximately 56% of the American adult population will have some level of pain within a 3-month sampling period (Nahin, 2015). Pain is also expensive, as denoted by the 2010 total cost estimates (i.e., healthcare cost and work loss productivity) that range from 262 to 300 billion dollars, a cost that is greater than the total annual cost for heart disease, cancer, and diabetes (Gaskin & Richard, 2012).


Chronic pain Primary care Behavioral health Brief psychotherapies Quality improvement 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Melanie P. Duckworth
    • 1
    Email author
  • Tony Iezzi
    • 2
  • Gwendolyn C. Carlson
    • 1
  1. 1.Department of PsychologyUniversity of Nevada, RenoRenoUSA
  2. 2.Behavioural Medicine ServiceLondon Health Sciences CenterLondonCanada

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