Behavioral Health and Chronic Pain

  • Tony IezziEmail author
  • Melanie P. Duckworth
  • Gwendolyn Carlson
  • Dennis C. Turk


Pain is prevalent in the general population and is among the most common medical presentation in primary care, emergency room, and hospital settings (National Center for Health Statistics, 2016). Chronic pain is costly to persons experiencing it and to society and is associated with significant morbidity, mortality, healthcare utilization, and lost work days. Because chronic pain occurs in a biopsychosocial context, the assessment and management of chronic pain is best accomplished with using an integrated behavioral health management approach (Flor & Turk, 2011; Gatchel, Peng, Peters, Fuchs, & Turk, 2007). This chapter presents an overview of the literature addressing the scope and significance of chronic pain and provides brief reviews and clinical recommendations related to (1) the assessment and management of chronic pain in primary care settings, (2) the role of primary care providers and the psychologists in addressing the key care needs of chronic pain patients, (3) the role of opioids and medical cannabis in pain management, and (4) the management of chronic pain through brief psychosocial interventions, formal stepped care interventions, and interdisciplinary pain management programs.


Chronic pain Pain-related impairment and disability Assessment and management Medications Stepped care 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Tony Iezzi
    • 1
    Email author
  • Melanie P. Duckworth
    • 2
  • Gwendolyn Carlson
    • 2
  • Dennis C. Turk
    • 3
  1. 1.Behavioral Medicine Service, London Health Sciences CenterLondonCanada
  2. 2.Department of PsychologyUniversity of Nevada, RenoRenoUSA
  3. 3.Department of Anesthesiology & Pain MedicineUniversity of WashingtonSeattleUSA

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