Psychosocial factors that can influence the self-assessment of function

Robert J. Gatchel

Research output: Contribution to journalReview articlepeer-review

41 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 - Sep 2004


  • Biopsychosocial
  • Disability
  • Function
  • Pain


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