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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Chronic pain and psychopathology: research findings and theoretical considerations.
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Chronic pain and psychopathology: research findings and theoretical considerations.

机译：慢性疼痛和精神病理学：研究发现和理论考虑。

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OBJECTIVE: Numerous studies have documented a strong association between chronic pain and psychopathology. Previous research has shown that chronic pain is most often associated with depressive disorders, anxiety disorders, somatoform disorders, substance use disorders, and personality disorders. The primary objective of this review article is to describe the nature of the relationship between chronic pain and each of these types of psychopathology. In addition, this article will explore how each of these disorders are expressed within the context of chronic pain, with a consideration of both diagnostic and treatment issues. METHODS: Medline and PsychLit searches of the chronic pain/psychopathology literature from 1980 through 2000 were conducted using the keywords chronic pain, psychopathology, psychiatric disorders, and psychological disorders. RESULTS: The relationship between chronic pain and psychopathology has generated substantial empirical and theoretical interest, with depressive disorders receiving much of the attention. CONCLUSIONS: Although no single theoretical model can fully explain the causal relationship between chronic pain and psychopathology, a diathesis-stress model is emerging as the dominant overarching theoretical perspective. In this model, diatheses are conceptualized as preexisting, semidormant characteristics of the individual before the onset of chronic pain that are then activated and exacerbated by the stress of this chronic condition, eventually resulting in diagnosable psychopathology.
机译：目的：大量研究表明，慢性疼痛与精神病理学之间有很强的联系。先前的研究表明，慢性疼痛最常与抑郁症，焦虑症，躯体形式障碍，物质使用障碍和人格障碍有关。这篇综述文章的主要目的是描述慢性疼痛与这些类型的心理病理学之间的关系的性质。此外，本文还将探讨诊断和治疗方面的问题，从而探讨在慢性疼痛的背景下如何表达这些疾病。方法：使用关键词慢性疼痛，精神病理学，精神疾病和心理疾病，对1980年至2000年的慢性疼痛/精神病理学文献进行Medline和PsychLit搜索。结果：慢性疼痛与心理病理学之间的关系已经引起了广泛的经验和理论兴趣，抑郁症得到了很多关注。结论：尽管没有单一的理论模型能够完全解释慢性疼痛与心理病理学之间的因果关系，但代代相传的压力模型正在成为占主导地位的总体理论视角。在该模型中，将糖尿病概念化为慢性疼痛发作之前个体的既存的半休眠特征，然后这种慢性病的应激会激活并加剧这种疼痛，最终导致可诊断的精神病理学。

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