The multi-dimensional stigma of chronic pain: A narrative review

Abstract

Accumulating evidence suggests that stigma is a pervasive and pernicious psychosocial phenomenon that affects people living with chronic pain. In this narrative review, we describe the nature of stigma experienced by people with chronic pain and discuss its multifaceted determinants. These determinants include features of pain itself and intersectional factors, including comorbid conditions and social marginalization. We review the current state of the evidence on the association between stigma and chronic pain-related functioning, highlighting avenues for future research. Building on evidence from other health conditions, we identify multifaceted approaches to intervention that address all levels of the socio-ecological system which contribute to stigma and its negative impacts on people with pain.