Turk Dennis C, Flor Herta
Center for Pain Evaluation and Treatment, University of Pittsburgh School of Medicine, 3600 Forbes Ave., Pittsburgh, PA 15213 U.S.A. Department of Clinical and Physiological Psychology, University of Tubingen, Cartenstr. 29, D-7400 TübingenF.R.G.
Pain. 1987 Dec;31(3):277-295. doi: 10.1016/0304-3959(87)90158-8.
A great deal of attention has been given to the importance of learning factors in communications of pain and suffering--pain behaviors. The concept of pain behaviors has served a heuristic function, however, there remain a number of important questions to be answered regarding the assessment and conceptual limitations of the construct. These concerns and questions must be acknowledged if the construct is to be of use in enhancing our understanding of chronic pain syndromes and to be employed in treatment. Current conceptualizations of pain behaviors are examined and methods of assessing pain behaviors are evaluated. The validity and utility of the construct and its limitations are discussed. It is concluded that failure to consider psychosocial, psychophysiological, and medical-physical factors may lead to an inadequate understanding of the patient and results in inappropriate treatment interventions. Suggestions for refined understanding of the scope of the construct are provided.
在疼痛与痛苦的交流（即疼痛行为）中，学习因素的重要性已得到了大量关注。然而，疼痛行为的概念发挥了启发作用，但关于该概念在评估和概念局限性方面仍有许多重要问题有待解答。如果要使该概念有助于增进我们对慢性疼痛综合征的理解并应用于治疗，就必须承认这些问题。本文审视了当前对疼痛行为的概念化，并评估了评估疼痛行为的方法。讨论了该概念的有效性、实用性及其局限性。得出的结论是，未能考虑心理社会、心理生理和医学物理因素可能导致对患者的理解不足，并导致不适当的治疗干预。本文还提供了一些建议，以更精确地理解该概念的范围。
