title: Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient Care.
abstract: Chronic pain is a significant public health concern. For many, chronic pain is associated with declines in physical functioning and increases in emotional distress. Additionally, the socioeconomic burden associated with costs of care, lost wages and declines in productivity are significant. A large and growing body of research continues to support the biopsychosocial model as the predominant framework for conceptualizing the experience of chronic pain and its multiple negative impacts. The model also informs a widely accepted and empirically supported approach for the optimal management of chronic pain. This chapter briefly articulates the historical foundations of the biopsychosocial model of chronic pain followed by a relatively detailed discussion of an empirically informed, integrated, multimodal and interdisciplinary treatment approach. The role of mental health professionals, especially psychologists, in the management of chronic pain is particularly highlighted.
authors.affiliation: VA Connecticut Healthcare System, West Haven, CT, USA.|Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Driscoll
authors.affiliation: VA Connecticut Healthcare System, West Haven, CT, USA. robert.kerns@va.gov.|Yale University School of Medicine, New Haven, CT, USA. robert.kerns@va.gov.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Kerns
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D059350:Chronic Pain / Q000191:economics / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D000529:Complementary Therapies; D017281:Cost of Illness; D003657:Decision Making; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004645:Empathy; D006040:Goals; D006801:Humans; D008959:Models, Neurological; D008960:Models, Psychological; D018710:Pain Clinics; D059408:Pain Management / Q000379:methods*; D010348:Patient Care Team; D011369:Professional-Patient Relations; D011788:Quality of Life; D012959:Socioeconomic Factors
chemical_list: D000700:Analgesics
keywords: Biopsychosocial model; Chronic pain; Cognitive-behavioral therapy; Complementary and integrative care; Multidisciplinary treatment