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Cited by 676Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsPain Management and Treatment

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Chronic Pain and Psychopathology: Research Findings and Theoretical Considerations

Dersh, Jeffrey, Polatin, Peter B., Gatchel, Robert J.·2002·Psychosomatic Medicine
DOI 10.1097/00006842-200209000-00010
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Abstract

OBJECTIVE: Numerous studies have documented a strong association between chronic pain and psychopathology. Previous research has shown that chronic pain is most often associated with depressive disorders, anxiety disorders, somatoform disorders, substance use disorders, and personality disorders. The primary objective of this review article is to describe the nature of the relationship between chronic pain and each of these types of psychopathology. In addition, this article will explore how each of these disorders are expressed within the context of chronic pain, with a consideration of both diagnostic and treatment issues. METHODS: Medline and PsychLit searches of the chronic pain/psychopathology literature from 1980 through 2000 were conducted using the keywords chronic pain, psychopathology, psychiatric disorders, and psychological disorders. RESULTS: The relationship between chronic pain and psychopathology has generated substantial empirical and theoretical interest, with depressive disorders receiving much of the attention. CONCLUSIONS: Although no single theoretical model can fully explain the causal relationship between chronic pain and psychopathology, a diathesis-stress model is emerging as the dominant overarching theoretical perspective. In this model, diatheses are conceptualized as preexisting, semidormant characteristics of the individual before the onset of chronic pain that are then activated and exacerbated by the stress of this chronic condition, eventuall…

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References 72 · Cited by 676

Research works printed but not linked: 66

  1. Holzberg, 1996, Clin J Pain, 12, 118, 10.1097/00002508-199606000-00006 · DOI
  2. Cornwal, 1988, Pain, 35, 105, 10.1016/0304-3959(88)90282-5 · DOI
  3. Katon, 1996, Gen Hosp Psychiatry, 18, 215, 10.1016/0163-8343(96)00065-5 · DOI
  4. Sullivan, 1993, Am Pain Soc J, 2, 141
  5. Barsky, 1983, Am J Psychiatry, 140, 273, 10.1176/ajp.140.3.273 · DOI
  6. Fishbain, 1988, Pain, 32, 197, 10.1016/0304-3959(88)90068-1 · DOI
  7. Katon, 1985, Am J Psychiatry, 142, 1156, 10.1176/ajp.142.10.1156 · DOI
  8. Magni, 1990, Pain, 43, 299, 10.1016/0304-3959(90)90027-B · DOI
  9. Reich, 1983, Pain, 16, 201, 10.1016/0304-3959(83)90209-9 · DOI
  10. Gatchel, 1996, J Am Dent Assoc, 127, 1365, 10.14219/jada.archive.1996.0450 · DOI
  11. Polatin, 1993, Spine, 18, 66, 10.1097/00007632-199301000-00011 · DOI
  12. Regier, 1988, Arch Gen Psychiatry, 45, 977, 10.1001/archpsyc.1988.01800350011002 · DOI · Paper page
  13. Gatchel, 1995, Spine, 20, 2702, 10.1097/00007632-199512150-00011 · DOI
  14. Kinney, 1993, J Occup Rehabil, 3, 95, 10.1007/BF01078162 · DOI
  15. Gatchel, 1994, Arch Phys Med Rehabil, 75, 666, 10.1016/0003-9993(94)90191-0 · DOI
  16. Owen-Salters, 1996, J Occup Rehabil, 6, 215, 10.1007/BF02110884 · DOI
  17. Vittengl, 1999, Assessment, 6, 79, 10.1177/107319119900600109 · DOI
  18. Fernandez, 1995, Pain, 61, 165, 10.1016/0304-3959(95)00192-U · DOI
  19. Okasha, 1999, Psychosomatics, 40, 233, 10.1016/S0033-3182(99)71240-5 · DOI
  20. Kight, 1999, Health Psychol, 18, 177, 10.1037/0278-6133.18.2.177 · DOI
  21. Savidge, 1997, J Psychosom Res, 42, 443, 10.1016/S0022-3999(96)00300-5 · DOI
  22. Epstein, 1999, Psychosomatics, 40, 57, 10.1016/S0033-3182(99)71272-7 · DOI
  23. Maier, 1999, Int Clin Psychopharmacol, 14, S1
  24. Katon, 1990, J Clin Psychiatry, 51, 3
  25. Banks, 1996, Psychol Bull, 119, 95, 10.1037/0033-2909.119.1.95 · DOI
  26. Romano, 1985, Psychol Bull, 97, 18, 10.1037/0033-2909.97.1.18 · DOI
  27. Blazer, 1994, Am J Psychiatry, 151, 979, 10.1176/appi.ajp.151.6.165 · DOI
  28. Merskey, 1987, Pain, 30, 141, 10.1016/0304-3959(87)91070-0 · DOI
  29. Williams, 1998, Scand J Behav Ther, 27, 61, 10.1080/02845719808408497 · DOI
  30. Rodin, 1986, Am J Psychiatry, 143, 696, 10.1176/ajp.143.6.696 · DOI
  31. Wesley, 1999, Clin J Pain, 15, 117, 10.1097/00002508-199906000-00008 · DOI
  32. Magni, 1994, Pain, 56, 289, 10.1016/0304-3959(94)90167-8 · DOI
  33. Roy, 1984, Compr Psychiatry, 25, 96, 10.1016/0010-440X(84)90027-0 · DOI
  34. Hodgkiss, 1997, J Psychosoc Res, 42, 221, 10.1016/S0022-3999(96)00289-9 · DOI
  35. Magni, 1983, Postgrad Med, 73, 79, 10.1080/00325481.1983.11697795 · DOI
  36. Lesse, 1982, Am J Psychother, 37, 456, 10.1176/appi.psychotherapy.1983.37.4.456 · DOI
  37. Abramson, 1978, J Abnorm Psychol, 87, 49, 10.1037/0021-843X.87.1.49 · DOI · Paper page
  38. May, 1999, Soc Sci Med, 48, 523, 10.1016/S0277-9536(98)00372-4 · DOI
  39. Maxwell, 1998, J Behav Med, 21, 131, 10.1023/A:1018723823523 · DOI
  40. Weisberg, 1997, Pain Forum, 6, 1, 10.1016/S1082-3174(97)70001-1 · DOI
  41. Fishbain, 1986, Pain, 26, 181, 10.1016/0304-3959(86)90074-6 · DOI
  42. Brown, 1996, J Fam Pract, 43, 152
  43. Fishbain, 1992, Clin J Pain, 8, 77, 10.1097/00002508-199206000-00003 · DOI
  44. Miotto, 1996, Psychosomatics, 37, 223, 10.1016/S0033-3182(96)71561-X · DOI
  45. Burton, 1997, J Occup Rehabil, 7, 139, 10.1007/BF02767360 · DOI
  46. Fishbain, 1998, Pain Clin, 11, 79
  47. Fishbain, 1999, Clin J Pain, 15, 184, 10.1097/00002508-199909000-00005 · DOI
  48. O’Farrel, 1987, Behav Res Ther, 9, 91, 10.1016/0146-6402(87)90010-5 · DOI
  49. Reiss, 1991, Clin Psychol Rev, 11, 141, 10.1016/0272-7358(91)90092-9 · DOI · Paper page
  50. Asmundson, 1999, Clin Psychol Rev, 19, 97, 10.1016/S0272-7358(98)00034-8 · DOI
  51. McCracken, 1993, Behav Ther, 16, 183
  52. Waddell, 1993, Pain, 52, 157, 10.1016/0304-3959(93)90127-B · DOI · Paper page
  53. King, 1995, Clin J Pain, 11, 171, 10.1097/00002508-199509000-00003 · DOI
  54. Engel, 1959, Am J Med, 26, 899, 10.1016/0002-9343(59)90212-8 · DOI
  55. Blumer, 1982, J Nerv Ment Dis, 170, 381, 10.1097/00005053-198207000-00001 · DOI
  56. Fishbain, 1999, Med Clin North Am, 83, 737, 10.1016/S0025-7125(05)70132-2 · DOI
  57. Main, 1992, Spine, 17, 42, 10.1097/00007632-199201000-00007 · DOI
  58. Simon, 1999, N Engl J Med, 341, 1329, 10.1056/NEJM199910283411801 · DOI · Paper page
  59. Dionne, 1997, J Clin Epidemiol, 50, 31, 10.1016/S0895-4356(96)00313-7 · DOI
  60. Joffe, 1988, J Psychosom Res, 22, 279, 10.1016/0022-3956(88)90036-2 · DOI
  61. Widiger, 1987, Arch Gen Psychiatry, 44, 557, 10.1001/archpsyc.1987.01800180077012 · DOI
  62. Mathis, 1994, J Occup Rehabil, 4, 199, 10.1007/BF02331616 · DOI
  63. Gatchel, 1995, Health Psychol, 14, 415, 10.1037/0278-6133.14.5.415 · DOI
  64. Hathaway, 1942, J Psychol, 4, 73, 10.1080/00223980.1942.9917111 · DOI
  65. Monti, 1998, Clin J Pain, 14, 295, 10.1097/00002508-199812000-00005 · DOI
  66. Bigos, 1991, Spine, 16, 1, 10.1097/00007632-199101000-00001 · DOI

Metadata

Authors
Dersh, J., Polatin, P. B., & Gatchel, R. J.
Affiliations
Productive Rehabilitation Institute of Dallas for Ergonomics (US)
ORCID
Gatchel, Robert J.
Venue
Psychosomatic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2002-09
Volume
64
Issue
5
Pages
773-786
ISSN
0033-3174 (ISSN-L)
DOI
10.1097/00006842-200209000-00010
OpenAlex
W1991611223
Cited by
676
References
72
Citations by year
2026: 5 · 2025: 15 · 2024: 17 · 2023: 30 · 2022: 26 · 2021: 21 · 2020: 68 · 2019: 21 · 2018: 25 · 2017: 31 · 2016: 28 · 2015: 42 · 2014: 39 · 2013: 34 · 2012: 37
FWCI
7.12
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Mental Health (2R01 MH46452, 2K02 MH 01107, K02MH001107, R01MH046452)
  • National Institute of Dental and Craniofacial Research (R01DE010713, 2R01 DE10713)
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
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
chronic pain, psychopathology, depressive disorders, anxiety disorders, somatoform disorders, substance use disorders, personality disorders, diathesis-stress model, pain management
MeSH terms
Anxiety, Chronic Disease, Major Depressive Disorder, Depressive Disorder, Major, Humans, MMPI, Pain, Personality Disorders, Personality Inventory, Psychiatric Status Rating Scales, Somatoform Disorders, Substance-Related Disorders

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CoChat. (2026). Citation check: Chronic Pain and Psychopathology: Research Findings and Theoretical Considerations. https://app.cochat.ai/papers/10.1097/00006842-200209000-00010
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Dersh, J., Polatin, P. B., & Gatchel, R. J. (2002). Chronic Pain and Psychopathology: Research Findings and Theoretical Considerations. Psychosomatic Medicine. https://doi.org/10.1097/00006842-200209000-00010