慢性疼痛与抑郁的心身医学整合观

Psychosomatic Perspectives on Chronic Pain and Depression

生物医疗观对慢性疼痛患者的诊疗作用较差。慢性疼痛常因为心理应激、个性、行为和疾病状况而复杂化,增加了患者诊疗的难度。患者常因情感症状、生活压力,而失去信心,陷入无助地痛苦选择冲突中。应用一种系统的跨学科方法重建和保持医生的共情和患者的积极心理,采用疾病状态、生活经历、个性特征和行为模式的四种心身整合观点,综合评估抑郁和慢性疼痛患者。设计综合诊疗方案评定的痛苦作用,在方案制定的过程中认识到这四个观点彼此不同,相互补充,全面阐释影响患者痛苦的生物、心理和社会的多种原因。心身整合观点为设计合理的治疗方案提供了方法,提高了医生成功治疗慢性疼痛患者的可行性。

Biomedical Model has little effect in the treatment of the patient experiencing chronic pain.Chronic pain is often complicated with stress,psychological personality,behavior and disease status,which make it difficult of treating patients.The patient may be demoralized by the syndrome of an affective disorder and stress of their life,helplessly trapped by poor choices conflicts.The physician＇s interest and the patient＇s optimism can be restored and sustained by utilizing a systematic interdisciplinary approach utilizing the four psychosomatic integration perspectives of diseases,life stories,dimensions,and behaviors to evaluate the patient who is disabled by depression and chronic pain.The design of a comprehensive treatment plan involves the determination of each perspective＇s contribution to the patient＇s suffering.The process of formulation recognizes that the perspectives are distinct from one another but complementary in illuminating the various reasons for a patient＇s suffering.Psychosomatic integration perspectives offer a recipe for designing a rational treatment plan.This approach improves the feasibility of doctors successfully treating patients with chronic pain.