Zarkowska E, Philips H C
Department of Clinical Psychology, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF U.K. Division of Psychology, Department of Psychiatry, Shaughnessy Hospital, 4500 Oak Street, Vancouver, B.C. V6H 3N1 Canada.
Pain. 1986 Jun;25(3):365-372. doi: 10.1016/0304-3959(86)90240-X.
Evidence for a distinction between chronic and recent onset pain on behavioural and subjective indices was reviewed. Pain behaviours and subjective indices of pain were studied in chronic and recent onset low back pain sufferers. No differences were found between chronic and acute sufferers on measures of pain behaviour, nor on subjective indices of pain. However, differences were found in the relationships between the subjective and behavioural indices of pain in these groups. Pain behaviours were found to be independent of the subjective pain experience in recent onset pain. The relationships between subjective pain experience and pain behaviour became stronger with increased pain duration. The relationships between behavioural dimensions of pain weakened with chronicity, as did the relationship between subjective pain dimensions. These findings were discussed in relation to current accounts of chronic and recent onset pain and their implications for both theory and treatment were considered.
回顾了关于基于行为和主观指标区分慢性疼痛和近期发作疼痛的证据。对慢性和近期发作的下背痛患者的疼痛行为和疼痛主观指标进行了研究。在疼痛行为测量方面，慢性患者和急性患者之间未发现差异，在疼痛主观指标方面也未发现差异。然而，在这些组中，疼痛主观指标和行为指标之间的关系存在差异。在近期发作的疼痛中，发现疼痛行为与主观疼痛体验无关。随着疼痛持续时间的增加，主观疼痛体验与疼痛行为之间的关系变得更强。疼痛行为维度之间的关系随着慢性化而减弱，主观疼痛维度之间的关系也是如此。结合当前关于慢性疼痛和近期发作疼痛的观点对这些发现进行了讨论，并考虑了它们对理论和治疗的影响。
