Rusu A C, Hülsebusch J
Abteilung für Medizinische Psychologie und Medizinische Soziologie, Ruhr-Universität Bochum, Universitätsstraße 150, MA 0/144, 44801, Bochum, Deutschland.
Department of Psychology, Royal Holloway, University of London, London, Großbritannien.
Schmerz. 2018 Aug;32(4):236-242. doi: 10.1007/s00482-018-0289-3.
Chronic back pain is of enormous health and economic relevance for industrialized countries because a small group of patients with chronic disease is responsible for a large proportion of medical costs. The prevention of chronic disease is therefore a primary goal in the treatment of patients with acute low back pain. Psychological factors are the central risk factors for later chronification. Above all, especially depressive symptoms and occupational distress, as well as various maladaptive forms of pain management are central risk factors. It remains unclear which exact cognitive mechanisms are involved in the maintenance and reinforcement of depression and pain-related disability. In this review, the current results of cognitive bias research and theoretical models are presented and summarized regarding the relationship between chronic pain and depression. Finally, the clinical implications and recommendations for clinical research will be presented.
慢性背痛对工业化国家的健康和经济具有重大影响，因为一小部分慢性病患者承担了很大一部分医疗费用。因此，预防慢性病是急性下背痛患者治疗的首要目标。心理因素是后期慢性病化的核心风险因素。最重要的是，尤其是抑郁症状和职业困扰，以及各种适应不良的疼痛管理方式都是核心风险因素。目前尚不清楚哪些确切的认知机制参与了抑郁症和疼痛相关残疾的维持和强化。在这篇综述中，我们展示并总结了关于慢性疼痛与抑郁症之间关系的认知偏差研究的当前结果和理论模型。最后，我们将阐述其临床意义以及对临床研究的建议。
