Psychiatric aspects of pain

Psychological and emotional factors may determine, or greatly influence, the experience of pain. A review is presented of the concept of the pain prone patient, and the relationships between personality and pain. The importance of an understanding of the psychological meaning of pain is stressed in considering management strategies. Particular attention is directed to depression, anxiety, behavioural approaches and the placebo response. The interaction between the patient in pain and the doctor is discussed in relation to the doctor's needs.