文章基本信息

标题：The role of psychological interventions in the management of patients with chronic pain
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作者：Daniela Roditi ; Michael E Robinson
期刊名称：Psychology Research and Behavior Management
印刷版ISSN：1179-1578
电子版ISSN：1179-1578
出版年度：2011
卷号：4
页码：41-49
DOI：10.2147/PRBM.S15375
出版社：Dove Medical Press Ltd
摘要：Chronic pain can be best understood from a biopsychosocial perspective through which pain is viewed as a complex, multifaceted experience emerging from the dynamic interplay of a patient's physiological state, thoughts, emotions, behaviors, and sociocultural influences. A biopsychosocial perspective focuses on viewing chronic pain as an illness rather than disease, thus recognizing that it is a subjective experience and that treatment approaches are aimed at the management, rather than the cure, of chronic pain. Current psychological approaches to the management of chronic pain include interventions that aim to achieve increased self-management, behavioral change, and cognitive change rather than directly eliminate the locus of pain. Benefits of including psychological treatments in multidisciplinary approaches to the management of chronic pain include, but are not limited to, increased self-management of pain, improved pain-coping resources, reduced pain-related disability, and reduced emotional distress – improvements that are effected via a variety of effective self-regulatory, behavioral, and cognitive techniques. Through implementation of these changes, psychologists can effectively help patients feel more in command of their pain control and enable them to live as normal a life as possible despite pain. Moreover, the skills learned through psychological interventions empower and enable patients to become active participants in the management of their illness and instill valuable skills that patients can employ throughout their lives.
关键词：chronic pain management; psychology; multidisciplinary pain treatment; cognitive behavioral therapy for pain