Flink Ida K, Reme Silje, Jacobsen Henrik Børsting, Glombiewski Julia, Vlaeyen Johan W S, Nicholas Michael K, Main Chris J, Peters Madelon, Williams Amanda C de C, Schrooten Martien G S, Shaw William, Boersma Katja
The Center for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Scand J Pain. 2020 Apr 28;20(2):229-238. doi: 10.1515/sjpain-2019-0180.
Background and aims In the spring of 2019, Professor Steven J. Linton, the founder of the Center for Health and Medical Psychology (CHAMP) at Örebro University, Sweden, formally retired. As a tribute to his scholarly work covering decades of influence and inspiration to the field of pain psychology, the research center organized a topical conference titled "Pain in the 21st century: Where do we come from and where are we going?", which resulted in this state-of the-art synthesis. The aim of this declaration is to highlight lessons learned but not in the least is meant to inspire and guide our continued journey forward, developing pain psychology into the 21st century. Methods Several collaborators of Professor Linton have summarized and reflected on the current state-of-the-art of pain psychology from the perspective of his input to the field, as well as on developments from the last years of advancements in pain psychology. Results The topics have been divided into six themed sections covering the fear avoidance model, transdiagnostics, secondary prevention, risk- and protective factors, communication and contextual factors. The sections cover a broad spectrum, from basic experimental studies, integrating emotion and motivational theories into current theoretical models, to applied research on the effect of early interventions as well as sophisticated emotion-focused treatment models for pain patients with concurrent emotional ill-health. Conclusions There have been major advancements within pain psychology research during the last decades, moving the field towards a more comprehensive picture, taking emotional and motivational aspects into account to understand pain sufferers. Although psychologically informed interventions in general mainly focus on the individual, it has been put forward that pain management is highly influenced by the surrounding environment, including communication with health care providers, and the occupational and social context. Implications Professor Steven J. Linton has been at the forefront of pain psychology research during the last decades, and inspired by his work this journey will continue into the 21st century, with the ultimate goal of enhancing the understanding and treatment for all people suffering from persistent and disabling pain.
背景与目标 2019年春，瑞典厄勒布鲁大学健康与医学心理学中心（CHAMP）的创始人史蒂文·J·林顿教授正式退休。为了致敬他数十年来对疼痛心理学领域产生影响并带来启发的学术成果，该研究中心组织了一场主题为“21世纪的疼痛：我们从何而来，将向何处去？”的专题会议，由此形成了本前沿综述。本宣言的目的是突出所汲取的经验教训，但最重要的是激发并指导我们在21世纪继续前行，推动疼痛心理学的发展。方法 林顿教授的几位合作者从他对该领域的贡献以及疼痛心理学近年来的进展角度，对疼痛心理学的当前前沿状况进行了总结与反思。结果 这些主题被分为六个主题部分，涵盖恐惧回避模型、跨诊断、二级预防、风险与保护因素、沟通与情境因素。这些部分涵盖范围广泛，从基础实验研究，将情感和动机理论整合到当前理论模型中，到早期干预效果的应用研究，以及针对同时患有情绪问题的疼痛患者的复杂的以情绪为中心的治疗模型。结论 在过去几十年中，疼痛心理学研究取得了重大进展，使该领域朝着更全面的方向发展，将情感和动机方面纳入考量以理解疼痛患者。尽管一般而言，基于心理学的干预主要侧重于个体，但有人提出疼痛管理受到周围环境的高度影响，包括与医疗保健提供者的沟通以及职业和社会背景。启示 史蒂文·J·林顿教授在过去几十年一直处于疼痛心理学研究的前沿，受其工作启发，这一征程将延续至21世纪，最终目标是增进对所有遭受持续性和致残性疼痛的人的理解与治疗。
