Department of Anesthesiology, Back & Pain Center, University of Michigan, Burlington Building 1, Suite 100, 325 E. Eisenhower Parkway, Ann Arbor, MI, 48108, USA.
Department of Psychiatry, North Campus Research Complex, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.
Curr Psychiatry Rep. 2018 Mar 5;20(2):12. doi: 10.1007/s11920-018-0872-4.
Chronic pain impacts millions of people in the USA. At the heart of the problem of chronic pain remains the complex psychosocial aspects associated with living with chronic pain. Given the overlap between chronic pain and mental health, a promising treatment approach is to improve how we integrate psychiatry into pain management.
Treatment of chronic pain and comorbid mental health issues requires a multidisciplinary approach. Advancements in how pain is understood, especially centralized pain, have helped inform both pharmacological and behavioral interventions for pain. Given the growing concerns about the opioid epidemic and the lack of data supporting the use of opioids for long-term pain management, new treatment approaches are needed. Psychiatrist may be uniquely suited to help address comorbid mental health disorders and addiction in the context of chronic pain management. Addressing the psychiatric needs of chronic pain patients remains challenging and there is much room to improve how we address the complex issues associated with living with chronic pain. We believe psychiatrists are an important piece of the pain management puzzle.
慢性疼痛影响了美国数百万人的健康。慢性疼痛问题的核心仍然是与慢性疼痛共存相关的复杂心理社会方面。鉴于慢性疼痛和心理健康之间的重叠，一种有前途的治疗方法是改善我们将精神病学纳入疼痛管理的方式。
慢性疼痛和共病心理健康问题的治疗需要多学科方法。对疼痛的理解的进步，特别是中枢性疼痛，有助于为疼痛的药物和行为干预提供信息。鉴于人们对阿片类药物泛滥和缺乏长期疼痛管理中使用阿片类药物数据的担忧日益增加，需要新的治疗方法。精神科医生可能特别适合在慢性疼痛管理的背景下帮助解决共病精神健康障碍和成瘾问题。解决慢性疼痛患者的精神需求仍然具有挑战性，在解决与慢性疼痛共存相关的复杂问题方面还有很大的改进空间。我们相信精神科医生是疼痛管理难题的重要组成部分。
Zotero 插件