Clinical Features

To better define the psychology of chronic pain, psychiatrists have divided patients' characteristics into two groups. 4 The first group has normal psychologic function at baseline. However, continued pain and its effects, such as inability to work or altered body image, result in psychological dysfunction. The second group has primary psychopathology that predates the onset of chronic pain. Hypochondriacal, hysterical, pain-prone, and depressive personalities are included in this group. The "seven D's" (T§bj§, 34-1) summarize the clinical features of these groups.5

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