Psychiatric and psychological perspectives on chronic pain

Howe, Catherine Q.; Robinson, James P.; Sullivan, Mark D.

doi:10.1016/j.pmr.2014.12.003

Cited by 33Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsPain Management and Treatment

Psychiatric and psychological perspectives on chronic pain

Howe, Catherine Q., Robinson, James P., Sullivan, Mark D.·2015·Physical Medicine and Rehabilitation Clinics of North America

DOI 10.1016/j.pmr.2014.12.003

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Abstract

Chronic pain patients often have psychiatric disorders that negatively influence their responses to treatment. Also, many of them have dysfunctional beliefs and coping strategies, even if they do not meet DSM-5 criteria for a psychiatric disorder. Physiatrists should have a low threshold for referring both groups of patients for mental health services. This article describes psychiatric disorders that are highly prevalent among pain patients and also describes psychological processes that contribute to poor coping by the patients. Finally, it discusses factors that a physiatrist should consider in deciding whether to refer patients to psychiatrists versus psychologists.

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Compared with males, females have lower pain threshold and tolerance and greater pain intensity and unpleasantness for heat, cold, ischemic, and pressure pain.
“compared to males, females demonstrate a decreased threshold and tolerance for pain and increased pain intensity and unpleasantness for heat, cold, ischemic, and pressure pain 150, 161–164”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [162]
Catastrophizing mediates sex differences in pain-related outcomes, clinical pain, and experimental pain.
“catastrophizing has been shown to mediate the sex differences in pain-related outcomes, clinical pain, and experimental pain 162, 205, 206.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [162]
During experimental pain tasks, Black individuals have lower pain tolerance and report higher pain intensity and unpleasantness than non-Hispanic Whites.
“Black individuals demonstrate a lower tolerance and report higher pain intensity and unpleasantness ratings than non-Hispanic Whites during experimental pain tasks 162, 221–224”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [162]
Catastrophizing and praying mediate race differences in experimental pain.
“there is evidence to suggest that both catastrophizing as well as praying mediate race differences in experimental pain 162, 222.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [162]

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Authors: Howe, C. Q., Robinson, J. P., & Sullivan, M. D.
Affiliations: University of Washington (US)
Corresponding author: Robinson, James P.
ORCID: Robinson, James P.
Sullivan, Mark D.
Venue: Physical Medicine and Rehabilitation Clinics of North America
Publisher: Elsevier BV
Published: 2015-05
Volume: 26
Issue: 2
Pages: 283-300
ISSN: 1047-9651 (ISSN-L)
DOI: 10.1016/j.pmr.2014.12.003
OpenAlex: W2166668300
Cited by: 33
References: 100
Citations by year: 2026: 1 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 1
FWCI: 0.50
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Physical Medicine and Rehabilitation Clinics of North America (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic pain, psychiatric comorbidity, psychological factors in pain, dysfunctional attitudes, coping strategies, psychiatric referral, physiatrists
MeSH terms: Adaptation, Psychological, Mental Disorders, Humans, Pain Measurement, Referral and Consultation, Chronic Pain, Pain Management

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Psychiatric and psychological perspectives on chronic pain

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