Psychosocial factors that can influence the self-assessment of function

Robert J. Gatchel

Research output: Contribution to journalReview article

39 Scopus citations


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.

Original languageEnglish
Pages (from-to)197-206
Number of pages10
JournalJournal of Occupational Rehabilitation
Issue number3
StatePublished - 1 Sep 2004


  • Biopsychosocial
  • Disability
  • Function
  • Pain

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