Biogenic, psychogenic, and sociogenic models of adjustment to chronic pain: An exploratory study

M. Peyrot, P. M. Moody, H. J. Wiese

    Research output: Contribution to journalArticle

    Abstract

    Objective: Based upon three models of etiology and adjustment in CLBP predictions were made about the variables that were expected to differentiate organic and nonorganic patients, including: psychological distress (anxiety depression, stress, alienation), pain condition and treatment, and general health. Method: Patients from a medical school orthopedic clinic with an organic (N = 58) or a nonorganic (N = 33) diagnosis for chronic low back pain (CLBP) were compared on medical, psychological and sociodemographic variables. Results: Nonorganic patients exhibited greater emotional distress contrary to the biogenic model, and nonorganic patients did not exhibit more somatic complaints, contrary to the psychogenic model. Both patterns were consistent with the sociogenic model; nonorganic patients were more distressed, but not because of a greater tendency to somatize. Moreover modeling was not supported as an explanation of the pain and distress among these patients. Conclusions: Social anomie may explain why patients without a medically diagnosable cause for their pain are more psychologically distressed.

    Original languageEnglish (US)
    Pages (from-to)63-80
    Number of pages18
    JournalInternational journal of psychiatry in medicine
    Volume23
    Issue number1
    DOIs
    StatePublished - Jan 1 1993

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    Keywords

    • Alienation
    • Anxiety
    • Depression
    • Etiology
    • Hypochondria
    • Psychogenic back pain
    • Social modeling
    • Stress

    ASJC Scopus subject areas

    • Psychiatry and Mental health

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