TY - JOUR
T1 - Psychological evaluation of the spine patient
AU - Gatchel, Robert J.
AU - Mayer, Tom G.
PY - 2008/2
Y1 - 2008/2
N2 - The biopsychosocial perspective focuses on the interaction among biologic, psychological, and medicolegal variables of patients coping with a persistent medical condition. It is considered the most comprehensive and heuristic approach to psychological evaluation in the spine patient. Assessment proceeds in three steps, from global indices of emotional distress to evaluation of more specific diagnoses of psychopathology. Step 1, the initial screening, uses psychometrically sound instruments to determine the level of patient distress. Step 2, the psychosocial interview, indicates whether additional psychological testing is needed. Step 3, the presurgical evaluation, assesses patients being considered for a surgical procedure. This stepwise assessment approach significantly aids in yielding evidence-based outcomes as well as in identifying the patient who may be most recalcitrant to treatment intervention.
AB - The biopsychosocial perspective focuses on the interaction among biologic, psychological, and medicolegal variables of patients coping with a persistent medical condition. It is considered the most comprehensive and heuristic approach to psychological evaluation in the spine patient. Assessment proceeds in three steps, from global indices of emotional distress to evaluation of more specific diagnoses of psychopathology. Step 1, the initial screening, uses psychometrically sound instruments to determine the level of patient distress. Step 2, the psychosocial interview, indicates whether additional psychological testing is needed. Step 3, the presurgical evaluation, assesses patients being considered for a surgical procedure. This stepwise assessment approach significantly aids in yielding evidence-based outcomes as well as in identifying the patient who may be most recalcitrant to treatment intervention.
UR - http://www.scopus.com/inward/record.url?scp=39049154394&partnerID=8YFLogxK
U2 - 10.5435/00124635-200802000-00008
DO - 10.5435/00124635-200802000-00008
M3 - Review article
C2 - 18252841
AN - SCOPUS:39049154394
VL - 16
SP - 107
EP - 112
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
SN - 1067-151X
IS - 2
ER -