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Cited by 188Musculoskeletal pain and rehabilitationMedicine, History, and PhilosophyPain Management and Treatment

The DOI matches its Crossref record; 26 of the 27 references it cites were found in a registry or an index.

The Biopsychosocial Model of the Assessment, Prevention, and Treatment of Chronic Pain

Open access
Bevers, Kelley, The University of Texas at Arlington, Texas, US, Watts, Lynette, The University of Texas at Arlington, Texas, US, Kishino, Nancy D, West Coast Spine Restoration Center, Riverside, California, US, Gatchel, Robert J, The University of Texas at Arlington, Texas, US·2016·US Neurology
DOI 10.17925/usn.2016.12.02.98
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Abstract

The biopsychosocial model has been demonstrated to be the most heuristic approach to chronic pain assessment, prevention, and treatment. Currently, this model also provides the best foundation for tailoring the most comprehensive pain management program for each specific patient. Chronic pain patients have an increased risk for developing deficits in physical functioning, emotional reactivity, and cognition. Interdisciplinary treatment, based on the biopsychosocial model, is vital to address these multifaceted issues facing chronic pain sufferers. These interdisciplinary pain management strategies have progressed with advancements in science and technology in an attempt to provide the best possible outcomes for pain patients. However, while research has made enormous advances, there are still some clinical research gaps to be addressed. This article will begin with a historical overview of pain management in order to demonstrate the evolution in theory from ancient practices to the modern biopsychosocial model. Additionally, functional restoration and other early interdisciplinary intervention programs will be highlighted for their importance and effectiveness in chronic pain management, assessment, and prevention.

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  1. Gatchel RJ, Ray CT, Kishino N, Brindle A, Volume IV: Special Issues in Health Psychology. In: E.A. Klonoff and L. Cohen, Editors. The Wiley encyclopedia of Health Psychology, New York US: John Wiley and Sons, in preparation.
  2. Summary of Featured Study From the National Academies of Sciences, Engineering, and Medicine: Relieving pain in America: a blueprint for transforming prevention, care, education, and research, Military Medicine, 2016;181:397-9.
  3. Taylor SE, What is Health Psychology? In: Health Psychology 9 ed, New York, US: McGraw Hill, 2015;3-9.
  4. Gatchel RJ, Schultz IZ, Eds, Health, Work & Disability. In: Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace, New York, US: Springer, 2014;3-17.
  5. Loeser JD, Concepts of Pain. In: Stanton-Hicks J, Boaz R, Eds. Chronic Low Back Pain, New York, US: Raven Press, 1982;145-8.
  6. Gatchel RJ, Worzer WE, Brede E, et al., etiology of chronic pain and mental illness: the biopsychosocial component. part 1, Practical Pain Management, 2011;11:84-9.
  7. Brasch-Anderson C, Moller MU, Christiansen L, et al., A candidate Review Pain gene study of serotonergic pathway genes and pain relief during treatment with escitalopram in patients with neuropathic pain shows significant association to serotonin receptor2c (HTR2C), Eur J Clin Pharmacol, 2011;67:1131-7.
  8. Gatchel RJ, Comorbidity of chronic mental and physical health disorders: The biopsychosocial perspective, Am Psychol, 2004;59:792-805.
  9. Woolf CJ, Central senstiization: Implications for the diagnosis and treatment of pain, Pain, 2011;152:S2-15.
  10. Ashley EA, The precision medicine initiative: A new national effort, JAMA, 2015;313:2119-20.
  11. Gatchel RJ, Polatin PB, Noe C, et al., Treatment-and cost- effectiveness of early intervention for acute low-back pain patients: a one-year prospective study, J Occup Rehabil, 2003;13:1-9.
  12. Stowell AW, Gatchel RJ, Wildenstein L, Cost analysis of temporomandibular disorders: biopsychosocial intervention versus treatment as usual, J Am Dent Assoc, 2007;138:202-8.
  13. Sanders C, et al., Differential treatment effects for TMJMD diagnostic groups in patients at-risk for developming chronicity: a two-year follow-up study, J Oral Facial Pain Headache, 2016;30:187-202.

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Metadata

Authors
Bevers, K., The University of Texas at Arlington, T., Watts, L., The University of Texas at Arlington, T., Kishino, N. D., West Coast Spine Restoration Center, R., Gatchel, R. J., & The University of Texas at Arlington, T.
Affiliations
The University of Texas at Arlington (US)
Corresponding author
Gatchel, Robert J
ORCID
Venue
US Neurology
Publisher
Touch Medical Media, Ltd.
Published
2016
Volume
12
Issue
02
Pages
98
ISSN
1758-4000 (ISSN-L)
DOI
10.17925/usn.2016.12.02.98
OpenAlex
W2547809928
Cited by
188
References
27
Citations by year
2026: 8 · 2025: 26 · 2024: 59 · 2023: 27 · 2022: 24 · 2021: 20 · 2020: 15 · 2019: 6 · 2018: 3
FWCI
2.43
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
touchREVIEWS in Neurology (publishedVersion, cc-by-nc)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
biopsychosocial model, chronic pain, pain assessment, pain prevention, pain management, multidisciplinary pain management, functional restoration, history of pain management, physical function, emotional reactivity, cognitive impairment

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