Smith M S, Tyler D C, Womack W M, Chen A C
Department of Pediatrics, University of Washington School of Medicine, Seattle.
Pediatrician. 1989;16(1-2):85-93.
The pediatrician presented with an adolescent complaining of recurrent or chronic pain should assess the antecedents, sustainers and consequences of the pain syndrome. Particular attention should be paid to the developmental tasks of adolescence and the presence of psychosocial stress in the adolescent's family, school, peer relationships or community. Regardless of its etiology, effective management of recurrent or chronic pain in adolescence involves a balance of cognitive, behavioral and pharmacologic interventions.
面对一名抱怨反复出现或慢性疼痛的青少年患者，儿科医生应评估疼痛综合征的起因、持续因素和后果。应特别关注青少年的发育任务以及青少年家庭、学校、同伴关系或社区中社会心理压力的存在情况。无论其病因如何，青少年反复出现或慢性疼痛的有效管理都需要认知、行为和药物干预措施的平衡。
