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疼痛管理作为一种抗抑郁疗法:疼痛相关性抑郁的长期缓解

Pain management as an antidepressant: long-term resolution of pain-associated depression.

作者信息

Maruta Toshihiko, Vatterott Mary K, McHardy Mary Jane

机构信息

Department of Psychiatry and Psychology, Mayo Clinic and Mayo Foundation, Rochester, MN 55905 U.S.A. Department of Pediatrics, Mayo Clinic and Mayo Foundation, Rochester, MN 55905 U.S.A.

出版信息

Pain. 1989 Mar;36(3):335-337. doi: 10.1016/0304-3959(89)90093-6.

DOI:10.1016/0304-3959(89)90093-6
PMID:2710562
Abstract

Of 100 consecutive patients admitted to a pain management program for patients without malignant disease who had chronic pain, 54 were definitely or probably depressed and 46 were not depressed by Research Diagnostic Criteria. As a result of 98% improvement of depression and low frequency (2%) of new development of depression, 98 of the original 100 patients were not depressed at the time of dismissal. This progress was maintained at long-term follow-up (average, 11.6 months): 89 of 100 patients remained non-depressed.

摘要

在100名连续入住无痛恶性疾病慢性疼痛患者疼痛管理项目的患者中,根据研究诊断标准,54名患者明确或可能患有抑郁症,46名患者未患抑郁症。由于抑郁症改善率达98%,且抑郁症新发病率较低(2%),最初的100名患者中有98名在出院时未患抑郁症。这一进展在长期随访(平均11.6个月)中得以维持:100名患者中有89名仍未患抑郁症。

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2
Opioids for chronic pain of non-malignant origin--caring or crippling.
Health Care Anal. 1995 Feb;3(1):5-11. doi: 10.1007/BF02197187.
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Psychological aspects of pain.疼痛的心理因素
Ann Rheum Dis. 1996 Jun;55(6):340-5. doi: 10.1136/ard.55.6.340.
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Treatment of persistent pain.持续性疼痛的治疗。
BMJ. 1989 Nov 18;299(6710):1239-40. doi: 10.1136/bmj.299.6710.1239.