Hasenbring Monika I, Chehadi Omar, Titze Christina, Kreddig Nina
Department of Medical Psychology & Medical Sociology, Faculty of Medicine, Ruhr-University of Bochum, Germany.
Pain Manag. 2014;4(5):363-74. doi: 10.2217/pmt.14.36.
Substantial evidence reveals that the fear of pain and pain anxiety play a significant role in the development of chronic pain and disability, although underlying mechanisms remain widely unknown. Recent studies indicate that endurance pain responses are important besides avoidance. The purpose of this brief narrative review is to provide an overview of research that argues for the integration of the mechanisms of associative learning, motivation and emotion regulation in order to understand the questions of how and why individuals respond with pain responses, which lead to long-term suffering. By using the avoidance-endurance model of pain, we provide a concept that elucidates a range of responses to pain, fear and anxiety that mediate the transition from acute to chronic pain.
大量证据表明，对疼痛的恐惧和疼痛焦虑在慢性疼痛和残疾的发展中起着重要作用，尽管其潜在机制仍广为人知。最近的研究表明，除了回避之外，持续性疼痛反应也很重要。这篇简短的叙述性综述的目的是概述一些研究，这些研究主张整合联想学习、动机和情绪调节机制，以便理解个体如何以及为何以疼痛反应做出回应的问题，而这些反应会导致长期痛苦。通过使用疼痛的回避 - 持续性模型，我们提出了一个概念，该概念阐明了一系列对疼痛、恐惧和焦虑的反应，这些反应介导了从急性疼痛到慢性疼痛的转变。
