Psychosocial Aspects of Pain

Abstract

Abstract The high prevalence of pain associated with MS is increasingly well documented. Although MS-related pain may be managed satisfactorily with pharmacologic and other medical interventions, many individuals still suffer from persistent pain. A multidimensional model of chronic pain may be applicable for MS-related pain in these circumstances. This model encourages specific attention to identification and treatment of the source of pain and efforts to provide pain relief, but also encourages assessment and a treatment plan targeting associated disability and emotional distress. The model further encourages attention to numerous psychological and interpersonal contributors to the experience of pain, disability, and distress. Psychological interventions, often provided in the context of a multidisciplinary treatment approach, are particularly encouraged. Additional research is needed to increase understanding of the role of psychosocial factors in the perpetuation of MS-related pain and to examine the effectiveness of psychological treatment approaches in the development of optimum pain management strategies.