Biopsychosocial Approach to Assessing and Managing Patients with Chronic Pain

被引:69
作者
Cheatle, Martin D. [1 ]
机构
[1] Univ Penn, Perelman Sch Med, Dept Psychiat, Ctr Studies Addict, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
Chronic pain; Biopsychosocial; Cognitive Behavioral Therapy; E-Health; Primary care; COGNITIVE-BEHAVIORAL THERAPY; PRIMARY-CARE; UNITED-STATES; SUBSTANCE USE; DEPRESSION; MANAGEMENT; EFFICACY; VALIDATION; INDIVIDUALS; DELIVERY;
D O I
10.1016/j.mcna.2015.08.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic pain affects nearly one-third of the American population. Chronic pain can lead to a variety of problems for a pain sufferer, including developing secondary medical problems, depression, functional and vocational disability, opioid abuse, and suicide. Current pain care models are deficient in providing a necessary comprehensive approach. Most patients with chronic pain are managed by primary care clinicians who are typically ill prepared to effectively and efficiently manage these cases. A biopsychosocial approach to evaluate and treat chronic pain is clinically and economically efficacious, but unique delivery systems are required to meet the challenge of access to specialty care.
引用
收藏
页码:43 / +
页数:12
相关论文
共 54 条
[1]  
[Anonymous], 2000, BECK DEPRESSION INVE
[2]  
[Anonymous], 2011, REL PAIN AM BLUEPR T
[3]   The RAFFT as a screening tool for adult substance use disorders [J].
Bastiaens, L ;
Riccardi, K ;
Sakhrani, D .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2002, 28 (04) :683-693
[4]   AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[5]   The DIRE Score: Predicting outcomes of opioid prescribing for chronic pain [J].
Belgrade, Miles J. ;
Schamber, Cassandra D. ;
Lindgren, Bruce R. .
JOURNAL OF PAIN, 2006, 7 (09) :671-681
[6]   Pain Management by Primary Care Physicians, Pain Physicians, Chiropractors, and Acupuncturists: A National Survey [J].
Breuer, Brenda ;
Cruciani, Ricardo ;
Portenoy, Russell K. .
SOUTHERN MEDICAL JOURNAL, 2010, 103 (08) :738-747
[7]  
Brown R L, 1995, Wis Med J, V94, P135
[8]   The AUDIT alcohol consumption questions (AUDIT-C) - An effective brief screening test for problem drinking [J].
Bush, K ;
Kivlahan, DR ;
McDonell, MB ;
Fihn, SD ;
Bradley, KA .
ARCHIVES OF INTERNAL MEDICINE, 1998, 158 (16) :1789-1795
[9]   Validation of a screener and opioid assessment measure for patients with chronic pain [J].
Butler, SF ;
Budman, SH ;
Fernandez, K ;
Jamison, RN .
PAIN, 2004, 112 (1-2) :65-75
[10]   Development and validation of the current opioid misuse measure [J].
Butler, Stephen F. ;
Budman, Simon H. ;
Fernandez, Kathrine C. ;
Houle, Brian ;
Benoit, Christine ;
Katz, Nathaniel ;
Jamison, Robert N. .
PAIN, 2007, 130 (1-2) :144-156