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Assessment of Psychosocial and Functional Impact of Chronic Pain
Open accessAbstract
Unlabelled The psychosocial and functional consequences of chronic pain disorders have been well documented as having significant effects on the experience of pain, presentation to health care providers, responsiveness to and participation in treatment, disability, and health-related quality of life. Thus, psychosocial and functional consequences have been incorporated as 1 of the 5 dimensions within the integrated Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION)-American Pain Society (APS) Pain Taxonomy (AAPT): 1) core diagnostic criteria; 2) common features; 3) common medical comorbidities; 4) neurobiological, psychosocial, and functional consequences; and 5) putative neurobiological and psychosocial mechanisms, risk factors, and protective factors. In this article we review the rationale for a biopsychosocial perspective, on the basis of current evidence, and describe a set of key psychosocial and behavioral factors (eg, mood/affect, coping resources, expectations, sleep quality, physical function, and pain-related interference with daily activities) that are important consequences of persistent pain and that should be considered when classifying patients within the comprehensive AAPT chronic pain structure. We include an overview of measures and procedures that have been developed to assess this set of factors and that can be used as part of the comprehensive assessment and classification of pain and to address specific research questions.Perspective Psychosocial and functional consequences are important considerations in the classification of individuals with chronic pain. A set of key psychosocial and behavioral factors (eg, mood/affect, coping resources, expectations, sleep quality, physical function, and pain-related interference with daily activities) that should be considered when classifying patients within the comprehensive classification of chronic pain disorders developed by the AAPT are outlined and examples of assessment methods for each are described.
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“pain catastrophizing (magnification, helplessness, and rumination about pain) have consistently been found to be elevated in the women with PBP [4, 6, 18, 19].”
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Blanpied, P. R., Gross, A. R., Elliott, J. M., Devaney, L. L., Clewley, D., Walton, D. M., Sparks, C., & Robertson, E. K. (2017) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2017.0302 · Cited by 979
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Self-citationOverlapping Chronic Pain Conditions: Implications for Diagnosis and Classification
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Metadata
- Authors
- Turk, D. C., Fillingim, R. B., Ohrbach, R., & Patel, K. V.
- Affiliations
- University of Washington (US)
- University of Florida (US)
- University at Buffalo, State University of New York (US)
- Corresponding author
- Turk, Dennis C.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 17
- Issue
- 9
- Pages
- T21-T49
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W2513439550
- Cited by
- 350
- References
- 247
- Citations by year
- 2026: 25 · 2025: 31 · 2024: 37 · 2023: 36 · 2022: 52 · 2021: 55 · 2020: 34 · 2019: 29 · 2018: 19 · 2017: 23 · 2016: 6
- FWCI
- 2.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- chronic pain, psychosocial consequences, functional impact, biopsychosocial model, pain classification, mood and affect, coping resources, sleep quality, physical function, health-related quality of life
- MeSH terms
- Adaptation, Psychological, Humans, Pain Measurement, Quality of Life, Chronic Pain
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