Psychosocial factors that can influence the self-assessment of function

J Occup Rehabil. 2004 Sep;14(3):197-206. doi: 10.1023/b:joor.0000022761.95103.f8.


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.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Anger
  • Anxiety / psychology
  • Chronic Disease
  • Depression / psychology
  • Disability Evaluation
  • Disabled Persons / psychology*
  • Humans
  • Mental Competency
  • Pain / psychology*
  • Pain / rehabilitation*
  • Patient Compliance
  • Somatoform Disorders / psychology
  • Workers' Compensation