Psychosocial Factors That Can Influence the Self-Assessment of Function

  • Robert Gatchel
  • Published 2004 in Journal of Occupational Rehabilitation


What has plagued the evaluation process in this area has been the level of agreement in the wide variation in the measures used to document a construct such as pain, as well as changes in that construct as reflected in the measurement of function. The present article reviews the major psychosocial barriers to assessment/recovery that have been implicated as influencing the self-assessment of function. The following are discussed: secondary gain; secondary loss; emotional distress (such as anger, anxiety and depression); psychopathology; somatization and symptom magnification; compliance and resistance; patient comprehension/mental status; and iatrogenic effects.

DOI: 10.1023/B:JOOR.0000022761.95103.f8

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Cite this paper

@article{Gatchel2004PsychosocialFT, title={Psychosocial Factors That Can Influence the Self-Assessment of Function}, author={Robert Gatchel}, journal={Journal of Occupational Rehabilitation}, year={2004}, volume={14}, pages={197-206} }