Fisher Emma, de C Williams Amanda C
Centre for Pain Research, University of Bath, Bath, United Kingdom.
Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Curr Opin Psychol. 2025 Apr;62:101993. doi: 10.1016/j.copsyc.2025.101993. Epub 2025 Jan 22.
Pain is influenced by biological, psychological and social factors. Whilst analgesics are often prescribed for chronic pain, they provide little benefit for most patients. Psychological therapies manage pain and disability in children and adults with chronic pain. Evidence for cognitive behavioural therapies is the most robust in the field, although benefits are modest. Technological innovation has led to Internet-delivered therapies, but innovation in research often lags behind technological developments due to funding and regulation. Despite the promising outlook, critical gaps in our knowledge of how to manage pain need addressing for both adults and children and their parents. Here we summarise the evidence base of psychological therapies using Cochrane reviews, gaps, and the role of preventing chronic pain onset.
疼痛受生物、心理和社会因素的影响。虽然镇痛药常用于治疗慢性疼痛，但对大多数患者益处不大。心理治疗可控制慢性疼痛儿童和成人的疼痛及残疾状况。认知行为疗法在该领域的证据最为充分，不过益处不大。技术创新催生了互联网提供的治疗方式，但由于资金和监管问题，研究创新往往落后于技术发展。尽管前景乐观，但对于成人、儿童及其父母在如何管理疼痛方面，我们的知识仍存在关键空白需要填补。在此，我们利用Cochrane综述总结心理治疗的证据基础、存在的差距以及预防慢性疼痛发作的作用。
