Rashbaum Ira G, Sarno John E
Department of Rehabilitation Medicine, New York University Medical Center. New York, NY 10016, USA.
Arch Phys Med Rehabil. 2003 Mar;84(3 Suppl 1):S76-80; quiz S81-2. doi: 10.1053/apmr.2003.50144.
This self-directed learning module highlights the obstacles faced by physicians treating chronic pain, in particular, the occasional lack of correlation between test results and symptoms, and the treatment pitfalls that may occur. A review of psychosomatic pain disorders is presented along with a psychodynamically based diagnostic and management approach. Popular mind-body treatments for chronic pain are presented with pertinent references.
(a) To review the diagnostic and therapeutic limitations of conventional chronic pain management, (b) to explore a psychodynamically based psychosomatic chronic pain diagnostic and therapeutic construct, and (c) to examine several additional mind-body chronic pain treatments.
本自主学习模块着重介绍了治疗慢性疼痛的医生所面临的障碍，尤其是测试结果与症状之间偶尔缺乏相关性以及可能出现的治疗误区。本文回顾了心身疼痛障碍，并介绍了基于心理动力学的诊断和管理方法。还介绍了常见的慢性疼痛身心治疗方法及相关参考文献。
(a) 回顾传统慢性疼痛管理的诊断和治疗局限性；(b) 探索基于心理动力学的心身慢性疼痛诊断和治疗架构；(c) 研究几种其他的身心慢性疼痛治疗方法。
