TY - CHAP M1 - Book, Section TI - Neuropsychiatry of Pain A1 - Dawson, Megan A1 - Miran, Damien A1 - Wang, Victor A1 - Safar, Laura T. A2 - Silbersweig, David A. A2 - Safar, Laura T. A2 - Daffner, Kirk R. PY - 2021 T2 - Neuropsychiatry and Behavioral Neurology: Principles and Practice AB - Pain is a multidimensional experience and interacts with many aspects of an individual. In an attempt to standardize terminology, pain was defined by the International Association for the Study of Pain (IASP) in 19791 as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” In their note about this definition, it is stated that “pain is always subjective” and individuals learn through experience what it means to be in pain. An individual can experience pain in the absence of actual tissue damage, thus avoiding “tying the pain to the stimulus.”1 The potential interplay and overlap of mental health and pain is present in the 1979 definition of pain, but the relationship has become more explicit in terms of the comorbidity of pain and other psychiatric diagnoses, the possible common pathophysiology, and the bidirectional influence which pain and psychiatric conditions have over each other.2 Updates to the 1979 definition have been suggested to incorporate the developmental, cognitive, and social aspects of how pain is perceived and treated3,4 in line with biopsychosocial models used in mental health. The US Institute of Medicine in 2011 published a report calling for taking a comprehensive view of chronic pain as a biological, biobehavioral, and societal condition and promoting changes in pain education, research, and treatment, which include a focus on prevention, pain as a public health problem, and a multidisciplinary approach to treatment that involves psychiatry.5 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1178764824 ER -