Departments of Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.
Harv Rev Psychiatry. 2009;17(6):407-20. doi: 10.3109/10673220903463226.
The care of patients who suffer from physical pain and a psychiatric illness is typically challenging because of the complex interplay of affective, behavioral, cognitive, and physical aspects of pain. Psychiatrists are often asked to evaluate patients with pain because of a concern for comorbid depression and anxiety, and fears of suicidality as a result of pain. This article reviews the pathophysiology of comorbid pain, anxiety, and depression, along with the treatment modalities (pharmacologic, psychotherapeutic, and "alternative") that may benefit all three conditions.
患有躯体疼痛和精神疾病的患者的护理通常具有挑战性，因为疼痛的情感、行为、认知和身体等方面存在复杂的相互作用。由于对共病性抑郁和焦虑的担忧，以及对疼痛导致自杀的恐惧，精神科医生经常被要求评估疼痛患者。本文综述了共病性疼痛、焦虑和抑郁的病理生理学，以及可能对这三种疾病都有益的治疗方法（药物治疗、心理治疗和“替代”治疗）。
