Pain Prevention and Treatment Research Program, Duke University Medical Center, Box 90399, Durham, NC 27708, USA.
Nat Rev Rheumatol. 2010 Apr;6(4):210-6. doi: 10.1038/nrrheum.2010.22.
Arthritis pain has traditionally been evaluated from a biomedical perspective, but there is increasing evidence that psychological factors have an important role in patients' adjustment to arthritis pain. The evolution of pain theories has led to the development of models, such as the cognitive-behavioral model, which recognize the potential involvement of psychological factors in pain. Emotional, cognitive, behavioral and social context variables are useful in understanding pain in patients with arthritis, and have led to the development of psychological approaches for treating arthritis pain. These include pain coping skills training, interventions that include patients' partners, and emotional disclosure strategies.
关节炎疼痛传统上从生物医学角度进行评估,但越来越多的证据表明心理因素在患者对关节炎疼痛的适应中起着重要作用。疼痛理论的发展导致了认知行为模型等模型的发展,这些模型认识到心理因素在疼痛中的潜在作用。情绪、认知、行为和社会背景变量有助于理解关节炎患者的疼痛,并导致了治疗关节炎疼痛的心理方法的发展。这些方法包括疼痛应对技能训练、包括患者伴侣的干预措施和情绪披露策略。