Kuhn W F
South Med J. 1984 Sep;77(9):1103-6. doi: 10.1097/00007611-198409000-00011.
Chronic pain has attracted more and more attention lately as a condition in its own right, regardless of the disorder that started it. We now know more about the central mechanisms involved in modulation and modification of pain perception and understand better the multitude of factors involved in bringing it about. A similarity to depression is no coincidence, even though the two entities are not the same. Currently, the most often recommended treatment is interdisciplinary and multimodal, a combination of treatments leading to better results than any one mode. This paper presents some treatment recommendations that may enable the primary physician to treat this condition without referral to a pain center.
慢性疼痛近来作为一种独立的病症越来越受到关注，无论引发它的是何种疾病。我们现在对疼痛感知调节和改变所涉及的中枢机制有了更多了解，也更清楚引发疼痛的众多因素。与抑郁症存在相似之处并非巧合，尽管这两种情况并不相同。目前，最常推荐的治疗方法是跨学科和多模式的，多种治疗方法相结合比任何单一模式能产生更好的效果。本文提出了一些治疗建议，可能使初级医生在不转诊至疼痛中心的情况下治疗这种病症。
