Liedl Alexandra, Knaevelsrud Christine
Treatment Center for Torture Victims, Berlin, Germany.
Torture. 2008;18(2):69-76.
Posttraumatic Stress Disorder (PTSD) and chronic pain are frequently seen in the aftermath of a traumatic experience. Torture survivors have an increased risk to suffer from these two disorders. Although many studies report high comorbidity,there is still insufficient knowledge on the mechanisms of the development and maintenance of PTSD and chronic pain. After providing an overview of the current literature concerning the comorbidity of these two disorders, we will present the "Perpetual Avoidance Model" (PAM). This model provides an explanation of the reciprocal maintenance of both disorders and offers treatment implications.
创伤后应激障碍（PTSD）和慢性疼痛在创伤经历后很常见。酷刑幸存者患这两种疾病的风险增加。尽管许多研究报告了高共病率，但关于PTSD和慢性疼痛的发生和维持机制仍知之甚少。在概述了有关这两种疾病共病的当前文献后，我们将介绍“永久回避模型”（PAM）。该模型解释了这两种疾病的相互维持，并提出了治疗建议。
