Chapman C R
Arch Surg. 1977 Jun;112(6):767-72. doi: 10.1001/archsurg.1977.01370060099015.
Acute and chronic pain complaints are in part determined by psychological factors unrelated to disease or trauma. Suffering associated with acute pain is greatly influenced by the anxiety of the patient, and it can be managed by helping him form useful defensive attitudes toward the pain he will experience. Chronic pain, in contrast, tends to be linked to personality problems and payoffs in the home and job situation for adopting a sick role. Both pain states may be usefully construed as problems of perceptual distortion. A model for the perception of pain is presented and suggestions for applying psychological considerations in the diagnosis and management of pain states are offered.
急慢性疼痛主诉部分由与疾病或创伤无关的心理因素决定。与急性疼痛相关的痛苦受患者焦虑情绪的极大影响，可通过帮助患者对即将经历的疼痛形成有效的防御态度来加以控制。相比之下，慢性疼痛往往与人格问题以及在家庭和工作环境中因扮演病人角色而获得的益处有关。两种疼痛状态都可被有效地理解为感知扭曲问题。本文提出了一个疼痛感知模型，并给出了在疼痛状态的诊断和管理中应用心理学考量因素的建议。
