Raichle Katherine A, Osborne Travis L, Jensen Mark P
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, 98195-6490, USA.
Phys Med Rehabil Clin N Am. 2009 Nov;20(4):705-17. doi: 10.1016/j.pmr.2009.06.005.
Dysvascular and diabetic patients are faced with high rates of chronic pain as a consequence of numerous secondary sequelae, including diabetic neuropathy and limb loss. Researchers and scientists have put forth a tremendous amount of effort to understand the complex nature of pain in this population of individuals, as well as others with chronic pain secondary to illness and injury. The emergent understanding of anatomy and sensory physiology within the past century has fueled an initial focus of understanding pain from a purely neurologic and biochemical perspective. Over the past few decades, the field has moved toward an understanding of pain as a process involving the dynamic interaction of biologic, psychological, behavioral, and social variables. This article provides a brief overview of several psychosocial processes, cognitive, affective, and behavioral, that have emerged as influential to the experience, impact, and treatment of pain.
血管性疾病患者和糖尿病患者由于包括糖尿病神经病变和肢体缺失在内的众多继发性后遗症而面临着较高的慢性疼痛发生率。研究人员和科学家付出了巨大努力来了解这一人群以及其他因疾病和损伤导致慢性疼痛的人群中疼痛的复杂本质。在过去的一个世纪里，对解剖学和感觉生理学的新认识促使人们最初从纯粹的神经学和生物化学角度来理解疼痛。在过去几十年里，该领域已转向将疼痛理解为一个涉及生物、心理、行为和社会变量动态相互作用的过程。本文简要概述了几种心理社会过程，包括认知、情感和行为方面的，这些过程已被证明对疼痛的体验、影响和治疗具有重要影响。
