Sharp John, Keefe Brian
Department of Psychiatry, Beth Israel Deaconess Medical Center 1101 Beacon Street Brookline, MA 02446, USA.
Curr Psychiatry Rep. 2005 Jun;7(3):213-9. doi: 10.1007/s11920-005-0056-x.
As the field of pain management nears the halfway point of the Congressionally declared "Decade of Pain Control and Research," the prevalence of chronic pain and disability related thereto continue to escalate. In the context of rising costs and suffering associated with persistent pain worldwide, the chronic pain research community has increasingly recognized and investigated the role of the cognitive and affective dimensions of pain. In this paper, the authors review psychologic aspects of pain, psychopathology in chronic pain syndromes, suicidality in this population, and the use of psychotropic medications for treatment in these patients. Where possible, the authors have outlined limitations of previous research in these areas, and have highlighted and described recent studies that have addressed these perceived shortcomings. The role of the psychiatrist in the treatment of patients with chronic pain is reviewed.
随着疼痛管理领域接近国会宣布的“疼痛控制与研究十年”的中点，慢性疼痛及其相关残疾的患病率持续上升。在全球范围内与持续性疼痛相关的成本上升和痛苦加剧的背景下，慢性疼痛研究界越来越认识到并研究疼痛的认知和情感维度的作用。在本文中，作者回顾了疼痛的心理学方面、慢性疼痛综合征中的精神病理学、该人群中的自杀倾向以及在这些患者中使用精神药物进行治疗的情况。作者尽可能概述了此前这些领域研究的局限性，并重点介绍和描述了针对这些明显不足的最新研究。本文还回顾了精神科医生在慢性疼痛患者治疗中的作用。
