The establishment, maintenance, and adaptation of high and low impact chronic pain: A framework for biopsychosocial pain research

Eccleston, Christopher; Begley, Emma; Birkinshaw, Hollie; Choy, Ernest; Crombez, Geert; Fisher, Emma; Gibby, Anna; Gooberman-Hill, Rachael; Grieve, Sharon; Guest, Amber; Jordan, Abbie; Lilywhite, Amanda; Macfarlane, Gary J; McCabe, Candida; McBeth, John; Pickering, Anthony E; Pincus, Tamar; Sallis, Hannah M; Stone, Samantha; Van der Windt, Danielle; Vitali, Diego; Wainwright, Elaine; Wilkinson, Colin; de C Williams, Amanda C; Williams, C; Zeyen, Anica; Keogh, Edmund

Abstract

We present a framework for the study of states of chronic pain and transitions between those states. We capture in the framework the dynamic nature of pain: people live with pain that changes over time. First, we offer definitions of both acute and chronic pain, and explore the contextual considerations related to the common use of this temporal dichotomy. Second, we promote the importance of incorporating the impact pain has on a person’s life. Finally, we discuss the challenges and opportunities inherent in implementing this common approach. Our goal is to produce a framework for the study of the development, maintenance, and resolution of chronic pain.

• Journal Article Type: Review
• Acceptance Date: Apr 14, 2023
• Online Publication Date: Jun 16, 2023
• Publication Date: Oct 31, 2023
• Deposit Date: May 19, 2023
• Publicly Available Date: Sep 28, 2023
• Journal: Pain
• Print ISSN: 0304-3959
• Electronic ISSN: 1872-6623
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 164
• Issue: 10
• Pages: 2143-2147
• DOI: https://doi.org/10.1097/j.pain.0000000000002951
• Keywords: acute pain; chronic pain
• Public URL: https://uwe-repository.worktribe.com/output/10799165
• Publisher URL: https://journals.lww.com/pain/Fulltext/9900/Establishment,_maintenance,_and_adaptation_of.317.aspx