There have been several recent studies of the epidemiology and costs
attributable to the chronic pain and chronic fatigue
syndromes. Although investigations of the putative mechanisms
of these disorders continue, there remains a poor
understanding of their underlying pathophysiology. Four
studies are reviewed that further support the commonality of
both physical symptoms and psychological distress in chronic
pain and chronic fatigue syndromes. By considering these
commonalities, a comprehensive behavioral-rehabilitative
approach can be undertaken to assist patients in addressing
their adaptive difficulties. An overview of admission
criteria for pain rehabilitation services is provided.
Finally, recent empirical studies of both treatment process
and outcome provide further support for the effectiveness and
long-term benefits of this approach.
Rome JD, Sletten CD, Bruce BK