title: A review of chronic pain impact on patients, their social environment and the health care system.
abstract: Chronic pain (CP) seriously affects the patient's daily activities and quality of life, but few studies on CP have considered its effects on the patient's social and family environment. In this work, through a review of the literature, we assessed several aspects of how CP influences the patient's daily activities and quality of life, as well as its repercussions in the workplace, and on the family and social environment. Finally, the consequences of pain on the health care system are discussed. On the basis of the results, we concluded that in addition to the serious consequences on the patient's life, CP has a severe detrimental effect on their social and family environment, as well as on health care services. Thus, we want to emphasize on the need to adopt a multidisciplinary approach to treatment so as to obtain more comprehensive improvements for patients in familial and social contexts. Accordingly, it would be beneficial to promote more social- and family-oriented research initiatives.
authors.affiliation: Nursing Faculty "Salus Infirmorum", The Observatory of Pain, University of Cádiz, Cádiz, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Dueñas
authors.affiliation: Preventive Medicine and Public Health Area, The Observatory of Pain, University of Cádiz, Cádiz, Spain.
authors.forename: Begoña
authors.initials: B
authors.lastname: Ojeda
authors.affiliation: Preventive Medicine and Public Health Area, The Observatory of Pain, University of Cádiz, Cádiz, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Salazar
authors.affiliation: Department of Neuroscience, Pharmacology, and Psychiatry, CIBER of Mental Health, CIBERSAM, Institute of Health Carlos III, University of Cádiz, Cádiz, Spain.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Mico
authors.affiliation: Preventive Medicine and Public Health Area, The Observatory of Pain, University of Cádiz, Cádiz, Spain.
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Failde
keywords: everyday problems; family environment; health services; pain; social relationships