Arnold Lesley M, Bradley Laurence A, Clauw Daniel J, Glass Jennifer M, Goldenberg Don L
Women's Health Research Program, Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
J Clin Psychiatry. 2008 Oct 15;69(10):e28. doi: 10.4088/jcp.1008e28.
Fibromyalgia is a common and disabling chronic pain syndrome that is often accompanied by other chronic pain and/or psychiatric comorbidities, which impact fibromyalgia course and outcome. Although a primary care provider will likely take the lead in caring for patients with fibromyalgia, psychiatrists and other mental health professionals may play a role in the diagnosis, evaluation, and management of fibromyalgia. Psychiatrists' familiarity with many of the pharmacologic and nonpharmacologic treatments that are currently being used for fibromyalgia make them valuable partners in the multidisciplinary team of clinicians addressing fibromyalgia and its comorbidities. In this activity, experts on fibromyalgia discuss the nature of the syndrome and its diagnosis and evaluation.
纤维肌痛是一种常见的、导致功能障碍的慢性疼痛综合征,常伴有其他慢性疼痛和/或精神疾病共病,这些共病会影响纤维肌痛的病程和预后。虽然初级保健提供者可能会在照顾纤维肌痛患者方面发挥主导作用,但精神科医生和其他心理健康专业人员可能在纤维肌痛的诊断、评估和管理中发挥作用。精神科医生熟悉目前用于治疗纤维肌痛的许多药物和非药物治疗方法,这使他们成为处理纤维肌痛及其共病的多学科临床医生团队中的重要合作伙伴。在本次活动中,纤维肌痛专家讨论了该综合征的性质及其诊断和评估。