Epidemiologic perspective on chronic pain treatment
Eldon R Tunks1, Robin Weir, Joan Crook
1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario. tunks@hhsc.ca
Summary
Psychosocial factors significantly impact chronic pain outcomes. Addressing issues like abuse, depression, and poor coping skills is crucial for effective pain management and prognosis.
Area of Science:
- Epidemiology
- Psychology
- Pain Management
Background:
- Chronic pain affects a significant portion of the population.
- Psychosocial factors are increasingly recognized as critical in understanding pain.
- The interplay between mental health and physical pain requires further investigation.
Purpose of the Study:
- To review the epidemiologic literature on psychosocial mediators of chronic pain outcomes.
- To highlight the importance of these factors for mental health professionals in chronic pain assessment and treatment.
Main Methods:
- Literature review of epidemiologic studies.
- Focus on abuse, depression, addiction, employment, coping skills, and psychosocial problems.
- Consideration of treatments including analgesics, psychological rehabilitation, and disability prevention.
Main Results:
- Commonly identified psychosocial factors in chronic pain patients include abuse, mood disorders, employment difficulties, and poor coping skills.
- These factors are frequently observed in patients referred to pain clinics.
Conclusions:
- Psychosocial factors are key determinants of prognosis, course, and outcome in chronic pain.
- Mental health professionals play a vital role in identifying and addressing these factors for improved patient care.
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