Okifuji Akiko, Neikrug Ariel
Department of Anesthesiology, Division of Pain Medicine, University of Utah, Salt Lake City, UT, USA 84108.
Department of Psychiatry, University of California Irvine, CA 92868, USA 92868.
Pain Manag. 2019 Mar 1;9(2):161-173. doi: 10.2217/pmt-2017-0055. Epub 2019 Feb 20.
Chronic pain is a biopsychosocial condition, and behavioral medicine has made significant contributions to the understanding of the phenomenon and optimization of therapeutic outcomes. The objective of this article is to provide future perspectives of behavioral medicine in pain management based upon recent development in the field. We will briefly review the mainstream approach of cognitive-behavioral therapy, its variations and new and innovative approaches that are on the horizon. We also review strategies that address potential barriers to pain management. Behavioral medicine is a promising field in pain medicine. The future growth is likely to come from addressing how we incorporate the patient heterogeneity into our treatment approaches and a better understanding of its role in a multimodal treatment.
慢性疼痛是一种生物心理社会状况，行为医学在理解这一现象以及优化治疗效果方面做出了重大贡献。本文的目的是基于该领域的最新发展，提供行为医学在疼痛管理方面的未来展望。我们将简要回顾认知行为疗法的主流方法、其变体以及即将出现的新的创新方法。我们还将回顾应对疼痛管理潜在障碍的策略。行为医学在疼痛医学领域是一个有前景的领域。未来的发展可能来自于解决如何将患者的异质性纳入我们的治疗方法，以及更好地理解其在多模式治疗中的作用。
