Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain

Med Clin North Am. 2016 Jan;100(1):43-53. doi: 10.1016/j.mcna.2015.08.007.


Chronic pain affects nearly one-third of the American population. Chronic pain can lead to a variety of problems for a pain sufferer, including developing secondary medical problems, depression, functional and vocational disability, opioid abuse and suicide. Current pain care models are deficient in providing a necessary comprehensive approach. Most patients with chronic pain are managed by primary care clinicians who are typically ill prepared to effectively and efficiently manage these cases. A biopsychosocial approach to evaluate and treat chronic pain is clinically and economically efficacious, but unique delivery systems are required to meet the challenge of access to specialty care.

Keywords: Biopsychosocial; Chronic pain; Cognitive Behavioral Therapy; E-Health; Primary care.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adaptation, Psychological
  • Analgesics, Opioid / therapeutic use*
  • Chronic Pain / psychology*
  • Chronic Pain / therapy*
  • Humans
  • Medication Adherence / psychology
  • Pain Management / methods
  • Practice Guidelines as Topic
  • Precision Medicine / methods*
  • Psychotherapy / methods
  • Spirituality*
  • United States


  • Analgesics, Opioid