Cited by 118Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsMedicine, History, and Philosophy

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The role of psychological factors in chronic pain. II. A critical appraisal

Gamsa, Ann·1994·Pain

DOI 10.1016/0304-3959(94)90104-x

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Abstract

This paper, the second of two, concerning the study of psychological factors in chronic pain, presents a critical appraisal of the literature. Questionable assumptions, flawed methodology, and conceptual problems in earlier work are discussed, as are gradual improvements in methodological rigour and conceptual clarity. Methodological weaknesses in studies, including lack of control groups, selection biases, overinterpretation of correlational data, and use of inappropriate testing instruments are examined. Questions are raised about persisting tendencies to split mind from body by attributing pain to either organic or psychological causes. Despite advances in research and thinking in recent years, several issues remain unresolved in both the research enterprise and the clinical setting. These are discussed in relation to the respective needs of the researcher, the clinician, and the patient. Limitations on research conducted in clinical settings are considered and targets for improved methodology in studies are identified.

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Authors: Gamsa, A.
Affiliations: Montreal General Hospital (CA)
Corresponding author: Gamsa, Ann
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1994-04
Volume: 57
Issue: 1
Pages: 17-29
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/0304-3959(94)90104-x
OpenAlex: W2039934014
Cited by: 118
References: 164
Citations by year: 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2018: 1 · 2017: 1 · 2012: 1
FWCI: 1.34
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
Keywords: chronic pain, psychological factors, mind-body problem, methodological weaknesses, selection bias, control groups, test equipment, clinical pain management
MeSH terms: Chronic Disease, Humans, Pain

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The role of psychological factors in chronic pain. II. A critical appraisal

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