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慢性疼痛中的气质、性格和人格障碍。

Temperament, character, and personality disorders in chronic pain.

机构信息

Department of Psychosomatic Medicine and Psychotherapy, University of Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany.

出版信息

Curr Pain Headache Rep. 2013 Mar;17(3):318. doi: 10.1007/s11916-012-0318-3.

DOI:10.1007/s11916-012-0318-3
PMID:23338770
Abstract

In the past decades investigators have used personality inventories to help explain the relationship between personality and pain experience. This article reviews empirical research, which has examined temperament and character features in chronic pain patients. Robert Cloninger's temperament and character model of personality based on a bio-psychosocial approach to personality and psychopathology has been used in multiple studies investigating the temperament and character profile of chronic pain patients. According to Cloninger's model, research portrayed a common personality profile of chronic pain patients characterized by prevailing harm avoidance and lower self-directedness, which has been shown to predict the presence of a personality disorder. Pain-prone patients could benefit from the measurement of personality by the temperament and character inventory with improved treatment response.

摘要

在过去几十年中,研究人员使用人格量表来帮助解释人格与疼痛体验之间的关系。本文综述了已有的关于慢性疼痛患者气质和性格特征的实证研究。罗伯特·克朗伯勒(Robert Cloninger)基于人格和精神病理学的生物-心理-社会方法的人格气质和性格模型,已被用于多项研究中,用以调查慢性疼痛患者的气质和性格特征。根据克朗伯勒的模型,研究描绘了慢性疼痛患者的常见人格特征,表现为普遍的回避伤害和较低的自我导向,这已被证明可以预测人格障碍的存在。疼痛敏感患者可以通过气质和性格量表的测量来改善治疗反应,从而受益于人格的测量。

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