Hendler N
J Clin Psychiatry. 1984 Mar;45(3 Pt 2):30-8.
The chronic pain patient presents a difficult diagnostic and management challenge. The relationships between depression and chronic pain, and the stages of chronic pain with their associated psychiatric symptoms, are reviewed. The methods of validating pain and the most commonly missed causes of chronic pain are described. It is clear that depression associated with chronic pain is a complex problem necessitating a careful multidisciplinary approach if misdiagnosis and inappropriate or insufficient treatment are to be avoided.
慢性疼痛患者带来了诊断和管理方面的难题。本文回顾了抑郁症与慢性疼痛之间的关系，以及慢性疼痛各阶段及其相关精神症状。描述了疼痛验证方法以及慢性疼痛最常被漏诊的病因。显然，与慢性疼痛相关的抑郁症是一个复杂的问题，如果要避免误诊以及不适当或不充分的治疗，就需要采取谨慎的多学科方法。
