Psychology Department, Arizona State University, 950 S. McAllister, Tempe, AZ 85287-1104, USA.
Curr Pain Headache Rep. 2013 Mar;17(3):317. doi: 10.1007/s11916-012-0317-4.
Pain is a complex construct that contributes to profound physical and psychological dysfunction, particularly in individuals coping with chronic pain. The current paper builds upon previous research, describes a balanced conceptual model that integrates aspects of both psychological vulnerability and resilience to pain, and reviews protective and exacerbating psychosocial factors to the process of adaptation to chronic pain, including pain catastrophizing, pain acceptance, and positive psychological resources predictive of enhanced pain coping. The current paper identifies future directions for research that will further enrich the understanding of pain adaptation and espouses an approach that will enhance the ecological validity of psychological pain coping models, including introduction of advanced statistical and conceptual models that integrate behavioral, cognitive, information processing, motivational and affective theories of pain.
疼痛是一种复杂的构造，会导致严重的身心功能障碍，尤其是在那些应对慢性疼痛的个体中。本文基于以往的研究，描述了一个平衡的概念模型，该模型整合了心理脆弱性和对疼痛的适应能力两方面的内容，并回顾了保护性和加剧性的心理社会因素对慢性疼痛适应过程的影响，包括疼痛灾难化、疼痛接受和预测增强疼痛应对能力的积极心理资源。本文确定了未来的研究方向，将进一步丰富对疼痛适应的理解，并倡导一种方法，以增强心理疼痛应对模型的生态有效性，包括引入先进的统计和概念模型，整合疼痛的行为、认知、信息处理、动机和情感理论。
