Comorbid Pain, Depression, and Anxiety: Multifaceted Pathology Allows for Multifaceted Treatment

被引：47

作者：

Nicolson, Stephen E. ^{[2
]}

Caplan, Jason P. ^{[1
,3
]}

Williams, Deldre E. ^{[4
]}

Stern, Theodore A. ^{[5
,6
]}

机构：

[1] St Josephs Hosp, Dept Psychiat, Phoenix, AZ 85013 USA

[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Psychiat, Bronx, NY USA

[3] Creighton Univ, Sch Med, Omaha, NE USA

[4] Baylor Coll Med, Houston, TX 77030 USA

[5] Massachusetts Gen Hosp, Boston, MA 02114 USA

[6] Harvard Univ, Sch Med, Cambridge, MA 02138 USA

来源：

HARVARD REVIEW OF PSYCHIATRY | 2009年 / 17卷 / 06期

关键词：

analgesics; anxiety; depression; geriatrics; pain; psychiatry; psychosomatic medicine; psychotherapy; selective serotonin reuptake inhibitors; NEUROPATHIC PAIN; PLACEBO-RESPONSE; DOUBLE-BLIND; PHARMACOLOGICAL MANAGEMENT; PROPHYLACTIC TREATMENT; SUICIDAL IDEATION; PHYSICAL SYMPTOMS; PERSISTENT PAIN; PRIMARY-CARE; DISORDERS;

D O I：

10.3109/10673220903463226

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The care of patients who suffer from physical pain and a psychiatric illness is typically challenging because of the complex interplay of affective, behavioral, cognitive, and physical aspects of pain. Psychiatrists are often asked to evaluate patients with pain because of a concern for comorbid depression and anxiety, and fears of suicidality as a result of pain. This article reviews the pathophysiology of comorbid pain, anxiety, and depression, along with the treatment modalities (pharmacologic, psychotherapeutic, and "alternative") that may benefit all three conditions. (HARV REV PSYCHIATRY 2009;17:407-420.)

引用

页码：407 / 420

页数：14

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