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癌症相关疼痛的心理因素及社会心理干预措施

Psychological factors and psychosocial interventions for cancer related pain.

作者信息

Ciucă Andrada, Băban Adriana

机构信息

Department of Psychology, "Babeş-Bolyai" University, Cluj-Napoca, Romania.

出版信息

Rom J Intern Med. 2017 Jun 1;55(2):63-68. doi: 10.1515/rjim-2017-0010.

Abstract

The present paper is aimed at briefly presenting psychological factors involved in cancer related pain and what psychosocial interventions are efficient in reducing it. Cancer related pain is a complex experience and the most integrative and recommended approach is the biopsychosocial model. It has been proved that chronic pain is more strongly related to psychological factors than to treatment or illness related factors. Psychological factors influencing pain experience can be intuitively grouped starting with awareness of pain (i.e., attentional factor), then with evaluation of pain (i.e., cognitive factors) which is leading to feelings (i.e., emotional factors), and behaviours (i.e., coping strategies) regarding pain. Psychosocial interventions (i.e., skill based and education based interventions) have strong evidence that is effective in reducing cancer related pain.

摘要

本文旨在简要介绍癌症相关疼痛所涉及的心理因素,以及哪些心理社会干预措施能有效减轻这种疼痛。癌症相关疼痛是一种复杂的体验,最综合且推荐的方法是生物心理社会模型。事实证明,慢性疼痛与心理因素的关联比与治疗或疾病相关因素的关联更为紧密。影响疼痛体验的心理因素可以直观地进行分类,首先是对疼痛的认知(即注意力因素),接着是对疼痛的评估(即认知因素),这会导致情感(即情绪因素),以及针对疼痛的行为(即应对策略)。心理社会干预措施(即基于技能和基于教育的干预措施)有充分证据表明能有效减轻癌症相关疼痛。

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