Department of Psychiatry, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Pain Pract. 2009 Nov-Dec;9(6):449-67. doi: 10.1111/j.1533-2500.2009.00309.x. Epub 2009 Sep 3.
This is an evidence-based structured review.
The objectives of this review were to answer the following questions: (1) Are somatization/hypochondriasis associated with chronic pain? (2) Is the degree of somatization/hypochondriasis related to pain levels? (3) Does pain treatment improve somatization/hypochondriasis? (4) Are some pain diagnoses differentially associated with somatization/hypochondriasis?
Fifty-seven studies which fulfilled inclusion criteria and had high quality scores were sorted by the above-mentioned objectives. Agency for health care policy and research guidelines were utilized to type and characterize the strength/consistency of the study evidence within each objective.
Somatization and hypochondriasis were both consistently associated with chronic pain (consistency ratings B and A, respectively). Study evidence indicated a correlation between pain intensity and presence of somatization and hypochondriasis (consistency rating A and B, respectively). Pain treatment improved somatization and hypochondriasis (consistency rating B and A, respectively). Some chronic pain diagnostic groups somatized more (consistency rating B).
Somatization is commonly associated with chronic pain and may relate to pain levels.
这是一项基于证据的系统综述。
本次综述的目的是回答以下问题：（1）躯体化/疑病症与慢性疼痛有关吗？（2）躯体化/疑病症的严重程度与疼痛程度有关吗？（3）疼痛治疗是否能改善躯体化/疑病症？（4）某些疼痛诊断是否与躯体化/疑病症有差异？
根据上述目的，对符合纳入标准且具有较高质量评分的 57 项研究进行了分类。利用医疗保健政策和研究机构的指导方针，对每个目标内的研究证据的强度/一致性进行分类和描述。
躯体化和疑病症均与慢性疼痛密切相关（一致性评分分别为 B 和 A）。研究证据表明疼痛强度与躯体化和疑病症的存在呈正相关（一致性评分分别为 A 和 B）。疼痛治疗可改善躯体化和疑病症（一致性评分分别为 B 和 A）。某些慢性疼痛诊断组的躯体化症状更明显（一致性评分 B）。
躯体化与慢性疼痛密切相关，可能与疼痛程度有关。
