Keefe F J, Beckham J C
Duke University Medical Center.
Anesth Prog. 1990 Mar-Jun;37(2-3):76-81.
Orofacial pain is usually evaluated and treated from a biomedical perspective. There is no question that the large majority of individuals having acute orofacial pain benefit from timely and appropriate medical intervention. When orofacial pain persists, however, the likelihood that this pain can influence and be influenced by behavioral factors increases. While some individuals are able to adapt and cope with chronic orofacial pain, others develop significant behavioral problems. These problems may include an overly sedentary lifestyle, dependence on habit-forming narcotic medications, or severe depression or anxiety. The hallmark of the behavioral perspective on chronic pain is the insistence that a careful assessment and treatment of such behavioral problems is just as important as appropriate biomedical intervention.(1)
口面部疼痛通常从生物医学角度进行评估和治疗。毫无疑问，绝大多数患有急性口面部疼痛的个体能从及时且恰当的医学干预中获益。然而，当口面部疼痛持续存在时，这种疼痛受行为因素影响以及影响行为因素的可能性就会增加。虽然一些个体能够适应和应对慢性口面部疼痛，但另一些人会出现严重的行为问题。这些问题可能包括过度久坐的生活方式、对成瘾性麻醉药物的依赖，或严重的抑郁或焦虑。慢性疼痛行为视角的标志在于坚持认为，对此类行为问题进行仔细评估和治疗与恰当的生物医学干预同样重要。(1)
