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This chapter deals with patients who have a psychological or behavioral factor that is adversely influencing their medical condition. These factors include psychological distress, interpersonal problems, coping styles, and maladaptive health behaviors. It is important to remember that regression is a nearly universal psychological reaction to being ill. Responses to a physical illness are affected by patients’ personality traits. The role of stress should be taken into account in the treatment of patients with medical conditions. Living with a chronic physical illness, including chronic pain, presents a psychological challenge for patients and their families. Secondary gain can interfere with motivation for recovery. |
