Van Houdenhove B, Vasquez G
University Psychiatric Center, Pellenberg, K.U. Leuven, Louvain, Belgium.
Gen Hosp Psychiatry. 1993 Sep;15(5):325-9. doi: 10.1016/0163-8343(93)90025-j.
Five case reports that illustrate the possible contribution of psychological factors in the etiopathogenesis of reflex sympathetic dystrophy (RSD) are presented. All five patients at the time of physical trauma were confronted with a significant loss that either accidentally coincided with the trauma, or was related to the experience of the trauma itself. The patients' reaction to the loss was invariably characterized by helplessness. A biopsychosocial hypothesis which considers the possible role of psychophysiological and behavioral aspects of helplessness in the precipitation, maintenance, and/or enhancement of RSD is outlined.
本文呈现了五例病例报告，这些报告说明了心理因素在反射性交感神经营养不良（RSD）病因学中可能起到的作用。所有五名患者在遭受身体创伤时，都面临着重大损失，这种损失要么与创伤意外同时发生，要么与创伤本身的经历有关。患者对损失的反应无一例外都表现为无助。本文概述了一种生物心理社会假说，该假说认为无助的心理生理和行为方面在RSD的诱发、维持和/或加重过程中可能发挥的作用。
