Turk Dennis C, Okifuji Akiko
Department of Anesthesiology, University of Washington School of Medicine, Seattle 98195, USA.
J Consult Clin Psychol. 2002 Jun;70(3):678-90. doi: 10.1037//0022-006x.70.3.678.
Research has demonstrated the importance of psychological factors in coping, quality of life, and disability in chronic pain. Furthermore, the contributions of psychology in the effectiveness of treatment of chronic pain patients have received empirical support. The authors describe a biopsychosocial model of chronic pain and provide an update on research implicating the importance of people's appraisals of their symptoms, their ability to self-manage pain and related problems, and their fears about pain and injury that motivate efforts to avoid exacerbation of symptoms and further injury or reinjury. They provide a selected review to illustrate treatment outcome research, methodological issues, practical, and clinical issues to identify promising directions. Although there remain obstacles, there are also opportunities for psychologists to contribute to improved understanding of pain and treatment of people who suffer from chronic pain. The authors conclude by noting that pain has received a tremendous amount of attention culminating in the passage of a law by the U.S. Congress designating the period 2001-2011 as the "The Decade of Pain Control and Research."
研究已证明心理因素在慢性疼痛的应对、生活质量及残疾状况中的重要性。此外，心理学在慢性疼痛患者治疗效果方面的作用也得到了实证支持。作者描述了一种慢性疼痛的生物心理社会模型，并提供了最新研究情况，这些研究表明人们对自身症状的评估、自我管理疼痛及相关问题的能力，以及他们对疼痛和受伤的恐惧（这些恐惧促使他们努力避免症状加重及进一步受伤或再次受伤）具有重要意义。他们进行了一次有选择性的综述，以说明治疗结果研究、方法学问题、实践及临床问题，从而确定有前景的方向。尽管仍存在障碍，但心理学家也有机会为增进对疼痛的理解及治疗慢性疼痛患者做出贡献。作者在结论中指出，疼痛已受到大量关注，最终美国国会通过了一项法律，将2001年至2011年这段时期指定为“疼痛控制与研究十年”。
