Turk D C, Salovey P
J Nerv Ment Dis. 1984 Jul;172(7):398-404. doi: 10.1097/00005053-198407000-00004.
This paper critically examines the hypothesis that chronic pain is the physical manifestation of an underlying depressive disorder, as proposed by Blumer and Heilbronn in 1982 ( Blumer , D., and Heilbronn , M. Chronic pain as a variant of depressive disease. The pain-prone disorder. J. Nerv . Ment . Dis., 170: 381-406, 1982). The logic of this argument and the empirical evidence provided by Blumer and Heilbronn to support their hypothesis are discussed and their validity challenged. Alternative interpretations for the results as well as for the relationship between pain and depression are noted. Although it may be plausible to view a small subset of chronic pain patients as manifesting a " muted depressive state," the burden of proof still lies with those theorists who adhere to this formulation.
本文批判性地审视了一种假说，该假说由布卢默和海尔布伦在1982年提出，即慢性疼痛是潜在抑郁症的身体表现（布卢默，D.，和海尔布伦，M. 慢性疼痛作为抑郁症的一种变体。易疼痛障碍。《神经与精神疾病杂志》，170: 381 - 406，1982）。讨论了这一论点的逻辑以及布卢默和海尔布伦为支持他们的假说而提供的实证证据，并对其有效性提出了质疑。还指出了对结果以及疼痛与抑郁之间关系的其他解释。尽管将一小部分慢性疼痛患者视为表现出“隐匿性抑郁状态”可能看似合理，但坚持这一表述的理论家仍需承担举证责任。
