Cited by 204Musculoskeletal pain and rehabilitationFibromyalgia and Chronic Fatigue Syndrome ResearchPsychosomatic Disorders and Their Treatments

Psychological aspects of chronic musculoskeletal pain

Open access
Crofford, Leslie J.·2015·Best Practice & Research Clinical Rheumatology

Abstract

Chronic musculoskeletal pain, by its very nature, is associated with negative emotions and psychological distress. There are individual differences in personality, coping skills, behavioral adaptation, and social support that dramatically alter the psychological outcomes of patients with chronic pain. Patients who have an aspect of central pain amplification associated with mechanical or inflammatory pain and patients with fibromyalgia (FM) are likely to exhibit higher levels of psychological distress and illness behaviors. This manuscript discusses several different constructs for the association between chronic pain, central pain amplification, and psychological distress. The first key question addresses mechanisms shared in common between chronic pain and mood disorders, including the individual factors that influence psychological comorbidity, and the second addresses how pain affects mood and vice versa. Finally, the utility of cognitive behavioral approaches in the management of chronic pain symptoms is discussed.

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Crossref · 10.1016/j.berh.2015.04.027

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  • Yellow flags represent a narrow set of cognitive and affective responses to pain.

    “However, yellow flags represent a narrow set of cognitive and affective responses to pain (Crofford, 2015;Edwards et al., 2016).”

    From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Crofford, 2015

    The Cognitive and Emotional Aspects of Chronic Pain and Social and Psychological Factors sections discuss cognitive, affective, and behavioral responses to pain. However, our copy does not identify these responses as “yellow flags” or say that yellow flags represent a narrow set of them (searched: “yellow flags” and the claim’s wording). (LLM, conf=0.73)

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1 of the 52 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. [12]Offenbaecher M Bondy B de Jonge S Possible association of fibromyalgia with a polymorphism in the serotonin transporter gene regulatory region Arthritis Rheum 1999 42 2482 2488 10555044
  2. [25]Hassett AL Cone JD Patella SJ The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome Arthritis and rheumatism 2000 43 2493 2500 11083273

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Authors
Crofford, L. J.
Affiliations
Vanderbilt University (US)
Corresponding author
Crofford, Leslie J.
Venue
Best Practice & Research Clinical Rheumatology
Publisher
Elsevier BV
Published
2015-02
Volume
29
Issue
1
Pages
147-155
ISSN
1521-6942 (ISSN-L)
OpenAlex
W1578893856
Cited by
204
References
52
Citations by year
2026: 16 · 2025: 19 · 2024: 23 · 2023: 31 · 2022: 24 · 2021: 19 · 2020: 23 · 2019: 13 · 2018: 17 · 2017: 12 · 2016: 7
FWCI
1.51
Type
journal article
Language
en
Open access
Locations
  • Best Practice & Research Clinical Rheumatology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Arthritis and Musculoskeletal and Skin Diseases (UM1AR063381)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
chronic musculoskeletal pain, psychological distress, fibromyalgia, mood disorders, psychological comorbidity, coping, social support, behavioral adaptation, cognitive behavioral therapy
MeSH terms
Humans, Chronic Pain, Musculoskeletal Pain

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