Integrating Pain Management in Clinical Practice

被引：34
作者：
Jamison, Robert N. [1 ,2 ,3 ,4 ]
Edwards, Robert R. [2 ,3 ,4 ]
机构：
[1] Brigham & Womens Hosp, Pain Management Ctr, Chestnut Hill, MA 02467 USA
[2] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Anesthesiol, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Perioperat, Boston, MA 02115 USA
[4] Harvard Univ, Sch Med, Brigham & Womens Hosp, Dept Pain Med & Psychiat, Boston, MA 02115 USA
来源：
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2012年 / 19卷 / 01期
关键词：
Chronic pain; Assessment; Coping; Behavioral; Psychological interventions; Substance abuse; QUALITY-OF-LIFE; LOW-BACK-PAIN; CHRONIC MUSCULOSKELETAL PAIN; INTERACTIVE COMPUTER METHOD; CONTROLLED-RELEASE CODEINE; LUMBAR SPINAL STENOSIS; DOUBLE-BLIND; OPIOID MISUSE; PATIENT CHARACTERISTICS; CATASTROPHIZING SCALE;
D O I：
10.1007/s10880-012-9295-2
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
There is much evidence to suggest that psychological and social issues are predictive of pain severity, emotional distress, work disability, and response to medical treatments among persons with chronic pain. Psychologists can play an important role in the identification of psychological and social dysfunction and in matching personal characteristics to effective interventions as part of a multidisciplinary approach to pain management, leading to a greater likelihood of treatment success. The assessment of different domains using semi-structured clinical interviews and standardized self-report measures permits identification of somatosensory, emotional, cognitive, behavioral and social issues in order to facilitate treatment planning. In this paper, we briefly describe measures to assess constructs related to pain and intervention strategies for the behavioral treatment of chronic pain and discuss related psychiatric and substance abuse issues. Finally, we offer a future look at the role of integrating pain management in clinical practice in the psychological assessment and treatment for persons with chronic pain.
引用
收藏
页码：49 / 64
页数：16
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