Brena S F, Chapman S L, Decker R
NIDA Res Monogr. 1981 May;36:76-83.
Chronic pain is often a conditioned socioeconomic disease. A majority of chronic pain patients show pain behavior in excess of biomedical findings and disability ratings out of proportion to their actual physical impairment. Biomedical data and pain behavior are independent variables, as the latter is heavily controlled by socioeconomic factors. The diagnosis of chronic pain patients requires evaluation and matching of both variables. When disability claims are present, a comprehensive vocational evaluation should be performed and matched with biomedical and behavioral findings. The Emory Pain Estimate Model for diagnosis of chronic pain states is discussed briefly and techniques of vocational evaluation are presented also. The structure of the Emory Pain Control Program and data from treatment outcome are presented and discussed.
慢性疼痛通常是一种受社会经济因素影响的疾病。大多数慢性疼痛患者表现出的疼痛行为超出了生物医学检查结果，且残疾评定与其实际身体损伤程度不成比例。生物医学数据和疼痛行为是独立变量，因为后者很大程度上受社会经济因素控制。慢性疼痛患者的诊断需要对这两个变量进行评估和匹配。当存在残疾索赔时，应进行全面的职业评估，并与生物医学和行为学检查结果相匹配。本文简要讨论了用于诊断慢性疼痛状态的埃默里疼痛评估模型，并介绍了职业评估技术。还介绍并讨论了埃默里疼痛控制项目的结构和治疗结果数据。
