Wool Margaret S, Mor Vincent
Psychiatry and Human Behavior, Brown University, Providence, RI 02906, USA.
Cancer Invest. 2005;23(8):727-34. doi: 10.1080/07357900500360032.
The experience of pain pervades the physical and psychosocial domains of a patient's existence. It has a concrete underpinning in the form of an injury or disease process, yet subjective responses to pain sensations are psychosocial processes that influence the experience of pain and the capacity to cope with it. Anticipation of pain is one of the key fears associated with cancer, and uncontrolled pain strips away morale and quality of life. The interacting biopsychosocial dimensions are important areas for consideration in the comprehensive, skillful approach to assessment and treatment of cancer pain. This article addresses the interactive relationships between pain and mood using the biopsychosocial model as a heuristic for assessment.
疼痛的体验贯穿于患者生存的生理和心理社会领域。它以损伤或疾病过程的形式有着具体的基础，然而对疼痛感觉的主观反应是影响疼痛体验及应对能力的心理社会过程。对疼痛的预期是与癌症相关的主要恐惧之一，而无法控制的疼痛会消磨士气和生活质量。在全面、熟练地评估和治疗癌症疼痛的方法中，相互作用的生物心理社会层面是需要考虑的重要领域。本文运用生物心理社会模型作为评估的启发式方法，探讨疼痛与情绪之间的互动关系。
