Amris Kirstine, Williams Amanda C de C
The Parker Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg & Frederiksberg, Copenhagen, Nordre Fasanvej 57, DK-2000 Frederiksberg, Denmark.
Pain Manag. 2015;5(1):5-12. doi: 10.2217/pmt.14.50.
All generalist and specialist clinicians are likely to encounter torture survivors among refugees and asylum seekers. A minority of people survive torture and a smaller minority reach a developed country; those who do tend to be the more resilient and resourceful. They have many health, social and welfare problems; persistent pain in the musculoskeletal system is one of the most common. There is little specific evidence on pain in survivors of torture; the guidelines on interdisciplinary specialist management are applicable. Most of the literature on refugee survivors of torture has an exclusive focus on psychological disorders, with particularly poor understanding of pain problems. This article summarizes the current status of assessment and treatment of pain problems in the torture survivor.
所有全科医生和专科医生都有可能在难民和寻求庇护者中遇到酷刑幸存者。少数人在酷刑中幸存下来,而更少的一部分人能够抵达发达国家;那些成功抵达的人往往更具韧性和智谋。他们面临着诸多健康、社会和福利问题;肌肉骨骼系统的持续性疼痛是最常见的问题之一。关于酷刑幸存者疼痛的具体证据很少;跨学科专科管理指南是适用的。大多数关于酷刑难民幸存者的文献都只专注于心理障碍,对疼痛问题的理解尤其不足。本文总结了酷刑幸存者疼痛问题的评估和治疗现状。