Osborne Travis L, Raichle Katherine A, Jensen Mark P
Department of Rehabilitation Medicine, Box 356490, University of Washington School of Medicine, Seattle, WA 98195-6490, USA.
Phys Med Rehabil Clin N Am. 2006 May;17(2):415-33. doi: 10.1016/j.pmr.2005.12.002.
As a biopsychosocial understanding of chronic pain has become more sophisticated during recent decades, a variety of psychologically based treatment approaches have been developed and empirically validated for helping people better manage their pain. These approaches to pain management have much to offer persons with chronic pain in terms of enhancing quality of life and pain-related coping, as well as reducing disability and pain-related interference with functioning. Although some treatments, like hypnotic analgesia, may require referral to a specialized provider, several of the principles of other psychologically based treatment approaches for pain management (eg, operant behavioral therapy, cognitive-behavioral therapy, motivational interviewing) can easily be integrated into work with persons with pain in a rehabilitation setting. Rehabilitation providers who are interested in incorporating these treatment strategies into their clinical work who do not have prior exposure to these approaches are encouraged to review the suggested references and to seek out related training opportunities.
近几十年来，随着对慢性疼痛的生物心理社会理解日益成熟，人们开发了多种基于心理的治疗方法，并通过实证验证，以帮助人们更好地管理疼痛。这些疼痛管理方法在提高生活质量、增强与疼痛相关的应对能力、减少残疾以及减轻疼痛对功能的干扰等方面，能为慢性疼痛患者提供很多帮助。尽管有些治疗方法，如催眠镇痛，可能需要转诊给专科医生，但其他基于心理的疼痛管理治疗方法（如操作性行为疗法、认知行为疗法、动机访谈）的一些原则，可以很容易地融入到康复环境中与疼痛患者的工作中。鼓励那些有兴趣将这些治疗策略纳入其临床工作但之前没有接触过这些方法的康复治疗师查阅推荐参考文献，并寻找相关培训机会。
