Sherman Richard A, Sherman Crystal J, Bruno Glenda M
Psychophysiology, Department of Clinical Investigation D.D. Eisenhower Army Medical Center, Fort Gordon, GAU.S.A. Department of Neurology, Medical College of Georgia, Augusta, GAU.S.A. Medical Research Service, Veterans Administration Medical Center, Augusta, GAU.S.A.
Pain. 1987 Mar;28(3):285-295. doi: 10.1016/0304-3959(87)90064-9.
The behavioral literature concerning chronic phantom limb pain was reanalyzed in order to determine the role of psychological factors in initiating and controlling the intensity of its episodes. Some of the behavioral literature presents an inaccurate picture of amputees who have phantom pain. This apparently happened because many of the data were gathered from those amputees requesting treatment for phantom pain who were referred to mental health professionals. We conclude that phantom pain is similar to other chronic pain syndromes in that episodes are greatly influenced by psychological factors such as stress and depression. Repeated requests for treatment are influenced by personality structure. There is no convincing evidence that major personality disorders are important in the etiology of chronic phantom pain nor that they are more prevalent among those amputees reporting phantom pain than among those not reporting it.
对有关慢性幻肢痛的行为学文献进行了重新分析，以确定心理因素在引发和控制其发作强度方面所起的作用。一些行为学文献对患有幻肢痛的截肢者的描述并不准确。这种情况显然是因为许多数据是从那些因幻肢痛而寻求治疗并被转介给心理健康专业人员的截肢者那里收集来的。我们得出结论，幻肢痛与其他慢性疼痛综合征相似，其发作会受到压力和抑郁等心理因素的极大影响。反复寻求治疗受人格结构的影响。没有令人信服的证据表明，严重人格障碍在慢性幻肢痛的病因中很重要，也没有证据表明，报告有幻肢痛的截肢者比未报告幻肢痛的截肢者中此类障碍更普遍。
