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.
Original language | English |
---|---|
Pages (from-to) | 197-206 |
Number of pages | 10 |
Journal | Journal of Occupational Rehabilitation |
Volume | 14 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2004 |
Keywords
- Biopsychosocial
- Disability
- Function
- Pain