Department of Rehabilitation Medicine, Box 359612, University of Washington School of Medicine, Seattle, WA 98195-6490, USA.
Pain. 2011 Apr;152(4):717-725. doi: 10.1016/j.pain.2010.09.002. Epub 2010 Dec 18.
Many different psychosocial treatments for pain have been described in the literature. All of these treatments have at least some evidence supporting their efficacy. However, each treatment is based on a theory or model that is most useful only for that particular intervention. An overarching model or framework that includes all of the factors hypothesized to play a role in the effects of these treatments would be useful for (1) understanding the similarities and differences between existing and future psychosocial pain treatments, (2) guiding the psychosocial evaluation of patients with chronic pain, and (3) giving clinicians greater flexibility for including psychosocial interventions that have proven efficacy, but that may not be explained by their preferred (but perhaps limited) model. This article proposes an initial version of such a framework, with the hope that it will increase our understanding of the role that psychosocial factors play in the experience of pain and its negative effects on functioning, and informs future research seeking to identify the common and specific factors associated with psychosocial pain treatments.
文献中描述了许多不同的针对疼痛的心理社会治疗方法。所有这些治疗方法都至少有一些证据支持其疗效。然而，每种治疗方法都是基于一种理论或模型，这些理论或模型对于特定的干预措施最有用。一个包含所有假设在这些治疗方法的效果中起作用的因素的总体模型或框架，将有助于：(1) 理解现有和未来心理社会疼痛治疗方法之间的异同，(2) 指导慢性疼痛患者的心理社会评估，(3) 为临床医生提供更大的灵活性，纳入已证明有效的心理社会干预措施，而这些措施可能无法用他们首选的(但可能有限的)模型来解释。本文提出了这样一个框架的初步版本，希望它能增加我们对心理社会因素在疼痛体验及其对功能的负面影响中所起作用的理解，并为未来旨在确定与心理社会疼痛治疗相关的共同和特定因素的研究提供信息。
