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Understanding the individual's transition from acute to chronic disabling pain: Opportunities for improved care
Örebro University, School of Behavioural, Social and Legal Sciences. (Center for Health and Medical Psychology)ORCID iD: 0000-0001-5359-0452
Pain Management and Research Institute, Kolling Institute, University of Sydney and Royal North Shore Hopital, Australia.
2025 (English)In: Current opinion in psychology, ISSN 2352-250X, Vol. 62, article id 101989Article, review/survey (Refereed) Published
Abstract [en]

When acute pain persists, it is said to become chronic after 3 months. Considerable interest has focused on why acute pain appears to transition to chronic pain in some cases, but not all, especially when it becomes disabling. We examine our current understanding of the processes involved in the progression from an acute injury to disabling chronic pain. Rather than viewing this progression as a time dependent transition with specific static risk factors, we consider whether it might be more helpful to understand this evolution in terms of unique individual pathways. While brief self-report screening questionnaires assessing risk factors may enable us to stratify patients into risk levels, they do not provide information on the unique context and factors contributing to the disabling pain for each person. It is proposed that a 2-step process combining screening and individual assessment of those at high risk will enhance the prospect of both early identification and individually relevant interventions before more lasting changes emerge. Rather than being concerned with arbitrary time limits, it is argued that by aiming to understand the unique developmental pathway for those individuals identified as high risk, early, preventive interventions will be both viable and effective. Even so, there are barriers to the implementation of early assessment and matched treatments, and these remain a challenge for future research.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 62, article id 101989
Keywords [en]
Acute pain, Chronic pain, Prevention, Risk factors
National Category
Psychology (Excluding Applied Psychology)
Identifiers
URN: urn:nbn:se:oru:diva-118728DOI: 10.1016/j.copsyc.2025.101989PubMedID: 39824045Scopus ID: 2-s2.0-85214911144OAI: oai:DiVA.org:oru-118728DiVA, id: diva2:1929690
Available from: 2025-01-21 Created: 2025-01-21 Last updated: 2025-01-21Bibliographically approved

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Linton, Steven J.

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • vancouver
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