title: A conceptual framework for understanding chronic pain in patients with HIV.
abstract: Chronic pain is common in persons with HIV and is often associated with psychiatric illness and substance abuse. Current literature links psychiatric illness and substance abuse with worse HIV outcomes; however, the relationship of chronic pain, alone and in the context of psychiatric illness and substance abuse, to outcomes in HIV has not been described. To develop this new area of inquiry, we propose an adapted biopsychosocial framework specifically for chronic pain in HIV. This framework will describe these relationships and serve as a conceptual framework for future investigations.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A; Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.
authors.forename: Jessica S
authors.initials: JS
authors.lastname: Merlin
authors.forename: Anne
authors.initials: A
authors.lastname: Zinski
authors.forename: Wynne E
authors.initials: WE
authors.lastname: Norton
authors.forename: Christine S
authors.initials: CS
authors.lastname: Ritchie
authors.forename: Michael S
authors.initials: MS
authors.lastname: Saag
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Mugavero
authors.forename: Glenn
authors.initials: G
authors.lastname: Treisman
authors.forename: W Michael
authors.initials: WM
authors.lastname: Hooten
mesh_terms: D059350:Chronic Pain / Q000209:etiology* / Q000523:psychology; D015658:HIV Infections / Q000150:complications* / Q000523:psychology; D015438:Health Behavior; D006801:Humans; D008962:Models, Theoretical; D011788:Quality of Life / Q000523:psychology*
keywords: Biopsychosocial framework; HIV; chronic pain; conceptual framework; outcomes; psychiatric illness; substance abuse