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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Central sensitization: implications for the diagnosis and treatment of pain
Woolf, C. J. (2011) · Pain · doi:10.1016/j.pain.2010.09.030 · Cited by 4,771
Central sensitization: a generator of pain hypersensitivity by central neural plasticity
Latremoliere, A., & Woolf, C. J. (2009) · The Journal of Pain · doi:10.1016/j.jpain.2009.06.012 · Cited by 3,913
Evidence for a central component of post-injury pain hypersensitivity
Woolf, C. J. (1983) · Nature · doi:10.1038/306686a0 · Cited by 2,157
Woolf, C. J., & Thompson, S. (1991) · Pain · doi:10.1016/0304-3959(91)90100-c · Cited by 1,985
Coderre, T. J., Katz, J., Vaccarino, A. L., & Melzack, R. (1993) · Pain · doi:10.1016/0304-3959(93)90161-h · Cited by 1,966
Classification of Chronic Pain—Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms
Harvey, A. M. (1995) · Clinical Journal of Pain · doi:10.1097/00002508-199506000-00024 · Cited by 1,787
The prevalence of chronic pain in United States adults: Results of an Internet-based survey
Johannes, C. B., Le, T. K., Zhou, X., Johnston, J. A., & Dworkin, R. H. (2010) · The Journal of Pain · doi:10.1016/j.jpain.2010.07.002 · Cited by 1,252
The epidemiology of chronic pain in the community
Elliott, A. M., Smith, B. H., Penny, K. I., Smith, W. C., & Chambers, W. A. (1999) · The Lancet · doi:10.1016/s0140-6736(99)03057-3 · Cited by 1,191
Regier, D. A., Narrow, W. E., Clarke, D. E., Kraemer, H. C., Kuramoto, S. J., Kuhl, E. A., & Kupfer, D. J. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.12070999 · Cited by 1,163
Research works printed but not linked: 5
- Basbaum AI, 2004, Sci Aging Knowledge Environ, pe15
- American Psychiatric Association, 2000, Diagnostic and statistical manual of mental disorders. 4th ed. Text revision
- American Psychiatric Association, 1980, Diagnostic and statistical manual of mental disorders
- American Psychiatric Association, 1987, Diagnostic and statistical manual of mental disorders. 3rd ed. Revised
- Malterud K., 2000, Fam Med, 32, 603
Cited by
Sorted by citations
Treede, R.-D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., Cohen, M., Evers, S., Finnerup, N. B., First, M. B., et al. (2019) · Pain · doi:10.1097/j.pain.0000000000001384 · Cited by 3,478
Vlaeyen, J. W. S., Maher, C. G., Wiech, K., Van Zundert, J., Meloto, C. B., Diatchenko, L., Battié, M. C., Goossens, M., Koes, B., & Linton, S. J. (2018) · Nature Reviews Disease Primers · doi:10.1038/s41572-018-0052-1 · Cited by 497
Prevalence and Profile of High-Impact Chronic Pain in the United States
Pitcher, M. H., Von Korff, M., Bushnell, M. C., & Porter, L. (2019) · The Journal of Pain · doi:10.1016/j.jpain.2018.07.006 · Cited by 470
Ridder, D. D., Schlee, W., Vanneste, S., Londero, A., Weisz, N., Kleinjung, T., Shekhawat, G. S., Elgoyhen, A. B., Song, J., Andersson, G., et al. (2021) · Progress in brain research · doi:10.1016/bs.pbr.2020.12.002 · Cited by 319
Somatic symptom disorder: a scoping review on the empirical evidence of a new diagnosis
Löwe, B., Levenson, J., Depping, M., Hüsing, P., Kohlmann, S., Lehmann, M., Shedden-Mora, M., Toussaint, A., Uhlenbusch, N., & Weigel, A. (2022) · Psychological Medicine · doi:10.1017/s0033291721004177 · Cited by 217
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
