Federal University of São Paulo, UNIFESP, São Paulo, Brazil.
Curr Pain Headache Rep. 2012 Oct;16(5):399-406. doi: 10.1007/s11916-012-0286-7.
Musculoskeletal pain (MP) is common in the general population and has been associated with anxiety in several ways: (a) muscle tension is included as a part of the diagnostic criteria for generalized anxiety disorder, (b) pain can be a common symptom and a good indicator of an anxiety disorder, (c) anxiety is an independent predictor of quality of life in patients with chronic MP, (d) anxiety leads to higher levels of pain chronification, and (e) fear, anxiety, and avoidance are related to MP. The objective of this article is to explore the mechanisms underlying the relation between anxiety disorders and musculoskeletal pain as well as its management. We have also highlighted the role of spirituality and religiosity in MP treatment. We found some similarities between proposed mechanisms and explicative models for both conditions as well as an overlapping between the treatments available. The recognition of this association is important for professionals who deal with chronic pain.
肌肉骨骼疼痛（MP）在普通人群中很常见，并且与焦虑有多种关联方式：（a）肌肉紧张被包括在广泛性焦虑障碍的诊断标准中，（b）疼痛是常见症状，也是焦虑症的良好指标，（c）焦虑是慢性 MP 患者生活质量的独立预测因素，（d）焦虑导致疼痛慢性化程度更高，（e）恐惧、焦虑和回避与 MP 有关。本文的目的是探讨焦虑症与肌肉骨骼疼痛之间关系的潜在机制及其管理。我们还强调了灵性和宗教信仰在 MP 治疗中的作用。我们发现，两种疾病的潜在机制和解释模型之间存在一些相似之处，并且可用的治疗方法也存在重叠。认识到这种关联对处理慢性疼痛的专业人员很重要。
