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慢性疼痛的心理治疗。

Psychological treatment of chronic pain.

机构信息

VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA.

出版信息

Annu Rev Clin Psychol. 2011;7:411-34. doi: 10.1146/annurev-clinpsy-090310-120430.

Abstract

Psychological treatment has emerged as a common component of a multidimensional and interdisciplinary plan of pain care for many persons with persistent pain. Treatments are informed by a biopsychosocial model of pain and a long history of psychological research that has identified the central role of behavioral, cognitive, and emotional factors that are believed to contribute to the perpetuation, if not the development, of chronic pain and pain-related disability and emotional distress. Empirically supported self-regulatory, behavioral, cognitive-behavioral, and acceptance and commitment interventions are reviewed, and current and future interventions are highlighted. Important issues related to individual differences and disparities in the experience of pain and pain treatment are discussed. In particular, race and ethnicity are considered, and special considerations for the management of pain in children and older adults are discussed.

摘要

心理治疗已成为许多持续性疼痛患者多维跨学科疼痛护理计划的常见组成部分。治疗方法基于疼痛的生物心理社会模型和长期的心理研究,这些研究确定了行为、认知和情绪因素的核心作用,这些因素被认为有助于慢性疼痛的持续存在(如果不是发展的话)以及与疼痛相关的残疾和情绪困扰。本文回顾了经过实证支持的自我调节、行为、认知行为和接纳与承诺干预措施,并强调了当前和未来的干预措施。讨论了与疼痛体验和疼痛治疗个体差异和差异相关的重要问题。特别是考虑了种族和民族问题,并讨论了儿童和老年人疼痛管理的特殊考虑因素。

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