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Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.204 个国家和地区 1990-2019 年 369 种疾病和伤害导致的全球负担:2019 年全球疾病负担研究的系统分析。
Lancet. 2020 Oct 17;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
4
[Chronic pain and society].[慢性疼痛与社会]
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[Chronic pain and society : Sociological analysis of a complex interconnection].[慢性疼痛与社会:一种复杂相互联系的社会学分析]
Schmerz. 2019 Jun;33(3):220-225. doi: 10.1007/s00482-019-0361-7.
6
Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11).慢性疼痛:作为一种症状或疾病——国际疼痛学会(IASP)对《国际疾病分类》第 11 版(ICD-11)中慢性疼痛的分类。
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7
Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.全球、区域和国家层面 195 个国家和地区 1990 年至 2017 年 354 种疾病和伤害导致的发病率、患病率和伤残损失寿命年:基于 2017 年全球疾病负担研究的系统分析。
Lancet. 2018 Nov 10;392(10159):1789-1858. doi: 10.1016/S0140-6736(18)32279-7. Epub 2018 Nov 8.
8
[Erratum to: pain and poverty].
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慢性疼痛是抑郁社会诊断中的盲点。论抑郁与慢性疼痛之间的联系对当代社会解释的影响。

Chronic pain as a blind spot in the diagnosis of a depressed society. On the implications of the connection between depression and chronic pain for interpretations of contemporary society.

机构信息

Department of Medical Ethics at CAU Kiel, Kiel, Germany.

出版信息

Med Health Care Philos. 2022 Dec;25(4):671-680. doi: 10.1007/s11019-022-10109-9. Epub 2022 Aug 11.

DOI:10.1007/s11019-022-10109-9
PMID:35951277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9368690/
Abstract

One popular description of current society is that it is a depressed society and medical evidence about depression's prevalence may well make such an estimation plausible. However, such normative-critical assessments surrounding depression have to date usually operated with a one-sided understanding of depression. This understanding widely neglects the various ways depression manifests as well as its comorbidities. This becomes evident at the latest when considering one of depression's most prominent and well-known comorbidities: chronic pain. Against this background, we aim in this article to substantiate our leading claim that the phenomenal interconnection between depression and chronic pain must be acknowledged in the global diagnosis of a depressive society. Thus, we argue here for a complementation of the dominant interpretation of a depressed society. This would support the overcoming of oversimplified images and estimations about depression in current society and further, help to recognize chronic pain properly on the larger scale of assessments that address society as a whole.

摘要

目前有一种流行的说法,认为当今社会是一个压抑的社会,而有关抑郁普遍性的医学证据可能使这种说法变得合理。然而,迄今为止,围绕抑郁的这种规范-批判评估通常基于对抑郁的片面理解。这种理解广泛忽视了抑郁表现的各种方式及其共病现象。当考虑到抑郁最突出和广为人知的共病之一:慢性疼痛时,这一点尤其明显。有鉴于此,我们旨在本文中证实我们的主要主张,即必须在全球范围内诊断抑郁社会时承认抑郁和慢性疼痛之间的现象联系。因此,我们在这里主张对抑郁社会的主导解释进行补充。这将有助于克服当前社会中对抑郁的简单化形象和估计,并进一步帮助在更广泛的评估中正确认识慢性疼痛,这些评估涉及整个社会。