Chronic Pain: Social Responses and Treatment

Abstract Chronic pain is a growing problem in the western world and is one of the largest costs to the healthcare system. In order to decrease both the prevalence and the cost, it is necessary to understand factors that influence the chronic pain experience and potential ways to treat it. This literature review examines three demographic factors - gender, ethnicity and age \u2014 and the effect each has on the chronic pain experience. Pain intensity, disability caused by pain, mood and coping were reviewed in relation to gender. No conclusions were able to be drawn based on the literature reviewed for any of the topics; findings were conflicting. Ethnic groups with chronic pain were evaluated for differences in the pain experience, psychological and emotional responses and coping. A lack of consistent findings among studies made it hard to come to conclusions. As children and adolescents get older, the frequency of their pain becomes higher. The literature review then continues by examining three treatment methods: cognitive behavioral therapy, hypnosis and exercise. Each treatment method discussed had beneficial outcomes in the treatment of chronic pain. Cognitive behavioral therapy seemed to be the most beneficial both short- and long-term. Hypnosis was most beneficial short-term for flair-ups and exercise had the best effects long term when the treatment is continued. In the future, I recommend designing a study that takes into consideration multiple variables that may have an effect on the pain experience including gender, ethnicity, age, socioeconomic status, education, income and duration of pain, and manipulating one at a time.