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Psychosocial Factors That Can Influence the Self-Assessment of Function

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Psychosocial Factors That Can Influence the Self-Assessment of Function

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Title: Psychosocial Factors That Can Influence the Self-Assessment of Function
Author: Gatchel, Robert J.
Abstract: What has plagued the evaluation process in this area has been the level of agreement in the wide variation in the measures used to document a construct such as pain, as well as changes in that construct as reflected in the measurement of function. The present article reviews the major psychosocial barriers to assessment/recovery that have been implicated as influencing the self-assessment of function. The following are discussed: secondary gain; secondary loss; emotional distress (such as anger, anxiety and depression); psychopathology; somatization and symptom magnification; compliance and resistance; patient comprehension/mental status; and iatrogenic effects.
Description: Author's final draft after peer review, also known as a post print.
URI: http://hdl.handle.net/10106/1917
Date: 2004-09
External Link: http://dx.doi.org/10.1023/B:JOOR.0000022761.95103.f8

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