Joukamaa M
Department of Psychiatry, University of Turku, Finland.
Acta Psychiatr Scand Suppl. 1994;377:83-6. doi: 10.1111/j.1600-0447.1994.tb05808.x.
Depressive and anxiety neuroses are the most common psychiatric disorders associated with back pain. In assessing the connections between back pain and depression, the different forms of depression should be considered. There are some depressed back pain patients with the traditional depressed mood as the principal symptom of mood disorder. It seems, however, that the depression associated with back pain is usually atypical in nature and that signs of depression other than the depressed mood have to be taken into account. Alexithymic features associated with the pain can also mask the depression.
抑郁性神经症和焦虑性神经症是与背痛相关的最常见精神障碍。在评估背痛与抑郁之间的联系时，应考虑不同形式的抑郁。有些背痛伴抑郁的患者以传统的情绪低落作为情绪障碍的主要症状。然而，与背痛相关的抑郁似乎通常在本质上是非典型的，必须考虑到除情绪低落之外的抑郁迹象。与疼痛相关的述情障碍特征也可能掩盖抑郁。
