RT Journal A1 Vranceanu, Ana-Maria A1 Barsky, Arthur A1 Ring, David T1 Psychosocial Aspects of Disabling Musculoskeletal Pain JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD August 1 VO 91 IS 8 SP 2014 OP 2018 DO 10.2106/JBJS.H.01512 UL http://dx.doi.org/10.2106/JBJS.H.01512 AB Psychosocial factors are important determinants of pain intensity and disability in patients with disabling musculoskeletal pain.The psychosocial aspects of disabling musculoskeletal pain include cognitive (e.g., beliefs, expectations, and coping style), affective (e.g., depression, pain anxiety, heightened concern about illness, and anger), behavioral (e.g., avoidance), social (e.g., secondary gain), and cultural factors.The effectiveness of cognitive behavioral therapy and other treatments that address the psychosocial aspects of disabling musculoskeletal pain has been confirmed in numerous high-quality studies.