Magni G, de Bertolini C
Postgrad Med. 1983 Mar;73(3):79-85. doi: 10.1080/00325481.1983.11697795.
In some cases, chronic pain is due not to an organic cause but rather to psychologic factors. Among these, chronic pain as a depressive equivalent is particularly interesting. By this term, we mean a painful state caused by depression and manifesting itself almost entirely in this somatic form, thus making diagnosis difficult. There are, however, some features that may positively orient diagnosis: age at onset and sex, clinical history, presence of a subdepressive state, attitude during the medical examination, absence of delusions and hallucinations, and the Rorschach test pattern. These features permit correct differential diagnosis and justify pharmacologic therapy with antidepressants.
在某些情况下，慢性疼痛并非由器质性病因引起，而是由心理因素导致。其中，作为抑郁等效症的慢性疼痛尤其引人关注。我们所说的这个术语，指的是由抑郁症引起、几乎完全以这种躯体形式表现出来的疼痛状态，从而使得诊断困难。然而，有一些特征可能有助于明确诊断方向：发病年龄和性别、临床病史、亚抑郁状态的存在、体格检查时的态度、无妄想和幻觉以及罗夏墨迹测验结果。这些特征有助于进行正确的鉴别诊断，并证明使用抗抑郁药进行药物治疗的合理性。
