Kautzsch K, Kopf A
Benjamin Franklin Schmerz-Zentrum, Klinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin, Hindenburgdamm 30, D-12200 Berlin.
Fortschr Med Orig. 2001 Jan 11;118(4):153-6.
Chronic pain and depressive symptoms often occur together. The relationships between these two conditions are, however, still controversial. On the neurobiological level, features common to both disorders are to be found. Mental coping patterns favor the development of depressive symptomatology in patients suffering from pain, or of pain within the framework of a psychiatric illness. For the diagnostic work-up, the case history, exploration, organic investigations and, where indicated, psychological tests are employed. A well-proven strategy in the areas of diagnosis and therapy is interdisciplinary cooperation involving physicians, psychologists and--within relevant institutions--nursing staff.
慢性疼痛和抑郁症状常常同时出现。然而，这两种情况之间的关系仍存在争议。在神经生物学层面，可以发现这两种疾病的共同特征。心理应对模式有利于疼痛患者出现抑郁症状，或在精神疾病框架内引发疼痛。在诊断检查中，会采用病史采集、检查、器质性检查以及必要时的心理测试。在诊断和治疗领域，一种经过充分验证的策略是跨学科合作，涉及医生、心理学家以及相关机构内的护理人员。
