Several psychological systems are potentially at work in the patient with chronic spinal pain. These include the traditional Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) categories, cognitive-behavioral factors, and character traits. In one functional restoration program, 59% of patients with chronic back pain had active psychopathology, which included major depression in 45%, substance abuse disorder in 19%, and anxiety disorder in 17%. Although there were psychological illnesses present before the spinal pain began, most of the disorders developed after the spinal injury. Cognitive-behavioral factors commonly observed include fear, fear-avoidant behavior, and poor coping abilities.
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Do You Suffer From Chronic Pain? Do You Feel Like You Might Be Addicted to Pain Killers For Life? Are You Trapped on a Merry-Go-Round of Escalating Pain Tolerance That Might Eventually Mean That No Pain Killer Treats Your Condition Anymore? Have you been prescribed pain killers with dangerous side effects?