Hart F D, Huskisson E C
Br Med J. 1972 Oct 28;4(5834):213-6. doi: 10.1136/bmj.4.5834.213.
Pain patterns vary greatly in the different types of arthritis, from the localized agony without mental overtones in acute gout to the diffuse disorder we call rheumatoid arthritis, where inflammation of many joints, systemic illness, anaemia, anxiety, and depression are usually all present in some degree. Each pain pattern calls for a different therapeutic approach, physical, psychological, and pharmacological. Few patients suffer as much pain and suffering over many years as do chronic arthritics. It is all the more important to instruct them in the essentials of their own treatment. A patient with an occupied and instructed mind usually suffers less than an ignorant and depressed one, fearful of her disease and its complications and of the dark uncertain future that lies ahead.
不同类型的关节炎疼痛模式差异很大，从急性痛风时无精神层面影响的局部剧痛，到我们称为类风湿性关节炎的弥漫性病症，后者通常在一定程度上存在多关节炎症、全身性疾病、贫血、焦虑和抑郁等症状。每种疼痛模式都需要不同的治疗方法，包括物理、心理和药物治疗。很少有患者会像慢性关节炎患者那样多年来承受如此多的痛苦。指导他们掌握自身治疗的要点就显得尤为重要。一个有事可做且接受过指导的患者通常比无知且抑郁的患者遭受的痛苦要少，后者害怕自己的疾病及其并发症以及未来黑暗不确定的前景。
