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Chronic Pain and Adherence

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Improving Patient Treatment Adherence

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Abstract

Chronic pain of non-malignant etiology is a significant problem. Chronic non-malignant pain is typically defined as pain that persists for 3 months or longer and that is non-life threatening [1, 2]. Among the most common chronic pain conditions are chronic back pain, migraine headaches, and tension headaches. Chronic pain is very common. In the United States, 17% of patients seen in primary care report chronic pain [3], and chronic pain accounts for almost 80% of all physician visits [4]. A review of 15 epidemiologic studies found that the prevalence of chronic pain ranges from 2 to 40% in the adult population, with a median point prevalence of 15% [5]. The personal and economic costs of chronic pain are substantial. A study of primary care patients found that 13% of headache patients and 18% of back pain patients were unable to maintain full-time work over a 3-year period due to pain [6]. Chronic pain is often accompanied by substantial decreases in physical functioning, disruption of social and family roles, and psychological distress [4].

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  1. Medical Psychology, Duke University Medical Center, Durham, NC, USA

    Rebecca A. Shelby & Francis J. Keefe PhD (Professor)

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    Hayden Bosworth

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Shelby, R.A., Keefe, F.J. (2010). Chronic Pain and Adherence. In: Bosworth, H. (eds) Improving Patient Treatment Adherence. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5866-2_8

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