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Chronic Pain and Psychopathology: Research Findings and Theoretical Considerations

Psychosomatic Medicine · 2002 · Vol. 64(5) · pp. 773–786
Jeffrey Dersh

Abstract

Although no single theoretical model can fully explain the causal relationship between chronic pain and psychopathology, a diathesis-stress model is emerging as the dominant overarching theoretical perspective. In this model, diatheses are conceptualized as preexisting, semidormant characteristics of the individual before the onset of chronic pain that are then activated and exacerbated by the stress of this chronic condition, eventually resulting in diagnosable psychopathology.

Musculoskeletal pain and rehabilitationFibromyalgia and Chronic Fatigue Syndrome ResearchPain Management and Placebo EffectPsychopathologyChronic painAnxietyContext (archaeology)PsychologyClinical psychologyBiological psychopathologyPersonality disordersPsychiatryDiathesis

MeSH terms

AnxietyChronic DiseaseDepressive Disorder, MajorMajor Depressive DisorderHumansMMPIPainPersonality DisordersPersonality InventoryPsychiatric Status Rating ScalesSomatoform DisordersSubstance-Related Disorders
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