HIV/AIDS-related pain as a chronic pain condition: Implications of a biopsychosocial model for comprehensive assessment and effective management

被引:40
作者
Marcus, KS
Kerns, RD
Rosenfeld, B
Breitbart, W
机构
[1] VA Connecticut Healthcare Syst, West Haven, CT USA
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA
[3] Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York, NY 10021 USA
[4] Fordham Univ, Dept Psychol, Bronx, NY 10458 USA
关键词
AIDS; pain; multidimensional pain treatment; pain assessment; HIV;
D O I
10.1046/j.1526-4637.2000.00033.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This paper reviews the current literature focusing on pain in HIV/AIDS, including prevalence, pathophysiology, substance abuse, treatment issues, and psychosocial contributions. In light of the high prevalence of pain among individuals with HIV/AIDS, attention is paid to the negative psychosocial impacts of pain in this population and to psychosocial barriers to optimal HIV/AIDS-related pain treatment. The paper conceptualizes HIV/AIDS pain as chronic pain. Subsequently, a biopsychosocial model of chronic pain assessment and treatment is applied. A multidimensional framework is presented for appropriate assessment and treatment of HIV/AIDS patients with pain, and specific recommendations and guidelines are offered for assessment and multimodal treatment of HIV/AIDS-related pain informed by the model.
引用
收藏
页码:260 / 273
页数:14
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