The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.
Chronic Pain, Psychopathology, and DSM-5 Somatic Symptom Disorder
Open accessAbstract
Unlike acute pain that warns us of injury or disease, chronic or persistent pain serves no adaptive purpose. Though there is no agreed on definition of chronic pain, it is commonly referred to as pain that is without biological value, lasting longer than the typical healing time, not responsive to treatments based on specific remedies, and of a duration greater than 6 months. Chronic pain that is severe and intractable has detrimental consequences, including psychological distress, job loss, social isolation, and, not surprisingly, it is highly comorbid with depression and anxiety. Historically, pain without an apparent anatomical or neurophysiological origin was labelled as psychopathological. This approach is damaging to the patient and provider alike. It pollutes the therapeutic relationship by introducing an element of mutual distrust as well as implicit, if not explicit, blame. It is demoralizing to the patient who feels at fault, disbelieved, and alone. Moreover, many medically unexplained pains are now understood to involve an interplay between peripheral and central neurophysiological mechanisms that have gone awry. The new Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, somatic symptom disorder overpsychologizes people with chronic pain; it has low sensitivity and specificity, and it contributes to misdiagnosis, as well as unnecessary stigma. Adjustment disorder remains the most appropriate, accurate, and acceptable diagnosis for people who are overly concerned about their pain.
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In the citing paper
“When compared to previous pain research (e.g., Katz et al., 2015), lower levels of anxiety and depression were found at pre-treatment thereby also impacting the generalizability of the findings to individuals experiencing more severe mood disruption.”
From Increasing access to pain management: Feasibility of a self-compassion psychoeducational website using a minimally monitored delivery model (2021) · cites this paper as Katz et al., 2015
In the citing paper
“However, all these refinements do not capture all the varieties of CP, and an acceptable definition is still lacking.6”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [6]
In the citing paper
“In 1989, Merskey14 identified that most of the emotional change seen in people with CP is a consequence of physical disorder and that a common response to pain will be some degree of depression, irritability, and anxiety, and the same conclusion has been drawn by Katz et al.6”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [6]
In the citing paper
“Chronic pain is often defined by pain duration,1,13,23,25,26 where pain persisting 3 to 6 months or more because onset can yield prevalence estimates for chronic pain ranging from 19 to 43%, or ≤ 116 million Americans.10,12,15,19,26”
From Prevalence and Profile of High-Impact Chronic Pain in the United States (2019) · cites this paper as [13]
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Metadata
- Authors
- Katz, J., Rosenbloom, B. N., & Fashler, S.
- Affiliations
- York University (CA)
- Corresponding author
- Katz, Joel
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-04
- Volume
- 60
- Issue
- 4
- Pages
- 160-167
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- PMC
- PMC4459242
- OpenAlex
- W1878522659
- Cited by
- 195
- References
- 71
- Citations by year
- 2026: 17 · 2025: 17 · 2024: 20 · 2023: 21 · 2022: 20 · 2021: 21 · 2020: 15 · 2019: 17 · 2018: 18 · 2017: 17 · 2016: 9 · 2015: 2
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- YorkSpace (York University) (submittedVersion)
- Canadian Psychiatric Association Journal
- Funders
- Canadian Institutes of Health Research
- Topics
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- chronic pain, somatic symptom disorder, DSM-5, psychosomatic pain, medically unexplained pain, depression, anxiety, adjustment disorder, misdiagnosis, stigma, central sensitization, diagnostic validity, therapeutic relationship
- MeSH terms
- Humans, Somatoform Disorders, Diagnostic and Statistical Manual of Mental Disorders, Chronic Pain
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