Psychosocial Factors and Central Sensitivity Syndromes

被引:134
作者
Adams, Leah M. [1 ]
Turk, Dennis C. [2 ]
机构
[1] Grp Hlth Res Inst, Seattle, WA USA
[2] Univ Washington, Seattle, WA 98195 USA
关键词
Central sensitivity syndromes (CSS); chronic pain; biopsychosocial; cognitive-behavior therapy; fear avoidance; post-traumatic stress disorder; psychological factors; social factors;
D O I
10.2174/1573397111666150619095330
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Central sensitivity syndromes (CSSs) represent a heterogeneous group of disorders (e.g., fibromyalgia [FM], irritable bowel syndrome [IBS], chronic headache, temporomandibular disorders [TMDs], pelvic pain syndromes) that share many common symptoms, with persistent pain being the most prominent feature. Although the etiology and pathophysiology of CSSs are currently incompletely understood, central sensitization has emerged as one of the significant mechanisms. Given that there are currently no known cures for CSSs, people living with these disorders must learn to cope with and manage their symptoms throughout their lives. Medical interventions alone have not proven to be sufficient for helping people with CSSs manage their symptoms. A biopsychosocial perspective that considers the ways that biological, psychological, and social factors work independently and jointly to affect a person's experience is the most effective conceptualization and guide for effective treatment. In this article, we discuss several psychological and social features that may influence the experience of a person with CSS and their symptom management, regardless of their specific diagnosis. We highlight the longitudinal aspect of adjustment to illness, the distinction between psychosocial factors as causes of symptoms versus modifiers and perpetuators of symptoms, dispel the notion that all patients with the same diagnosis are a homogeneous group (the "patient-uniformity myth"), and acknowledge the importance of environmental and situational context on symptom management for individuals with any CSS.
引用
收藏
页码:96 / 108
页数:13
相关论文
共 112 条
[61]   Lifetime prevalence and age-of-onset distributions' of DSM-IV disorders in the national comorbidity survey replication [J].
Kessler, RC ;
Berglund, P ;
Demler, O ;
Jin, R ;
Walters, EE .
ARCHIVES OF GENERAL PSYCHIATRY, 2005, 62 (06) :593-602
[62]   Psychiatric disorders as assessed with SCID in chronic pain patients: the anxiety disorders precede the onset of pain [J].
Knaster, Peter ;
Karlsson, Hasse ;
Estlander, Ann-Mari ;
Kalso, Eija .
GENERAL HOSPITAL PSYCHIATRY, 2012, 34 (01) :46-52
[63]   Reciprocal Relationship Between Pain and Depression: A 12-Month Longitudinal Analysis in Primary Care [J].
Kroenke, Kurt ;
Wu, Jingwei ;
Bair, Matthew J. ;
Krebs, Erin E. ;
Damush, Teresa M. ;
Tu, Wanzhu .
JOURNAL OF PAIN, 2011, 12 (09) :964-973
[64]   The ties that bind: perceived social support, stress, and IBS in severely affected patients [J].
Lackner, J. M. ;
Brasel, A. M. ;
Quigley, B. M. ;
Keefer, L. ;
Krasner, S. S. ;
Powell, C. ;
Katz, L. A. ;
Sitrin, M. D. .
NEUROGASTROENTEROLOGY AND MOTILITY, 2010, 22 (08) :893-900
[65]   Depression and abdominal pain in IBS patients: The mediating role of catastrophizing [J].
Lackner, JM ;
Quigley, BM ;
Blanchard, EB .
PSYCHOSOMATIC MEDICINE, 2004, 66 (03) :435-441
[66]   The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence [J].
Leeuw, Maaike ;
Goossens, Marielle E. J. B. ;
Linton, Steven J. ;
Crombez, Geert ;
Boersma, Katja ;
Vlaeyen, Johan W. S. .
JOURNAL OF BEHAVIORAL MEDICINE, 2007, 30 (01) :77-94
[67]  
Leventhal H., 2003, SELF REGULATION HLTH, V1, P42, DOI DOI 10.1093/RHEUMATOLOGY/KEM060
[68]   Perceived social support and coping responses are independent variables explaining pain adjustment among chronic pain patients [J].
Lopez-Martinez, Alicia E. ;
Esteve-Zarazaga, Rosa ;
Ramirez-Maestre, Carmen .
JOURNAL OF PAIN, 2008, 9 (04) :373-379
[69]   RECOLLECTION OF CHILDHOOD EVENTS IN ADULTS WITH IRRITABLE-BOWEL-SYNDROME [J].
LOWMAN, BC ;
DROSSMAN, DA ;
CRAMER, EM ;
MCKEE, DC .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1987, 9 (03) :324-330
[70]   Pain and Emotion: A Biopsychosocial Review of Recent Research [J].
Lumley, Mark A. ;
Cohen, Jay L. ;
Borszcz, George S. ;
Cano, Annmarie ;
Radcliffe, Alison M. ;
Porter, Laura S. ;
Schubiner, Howard ;
Keefe, Francis J. .
JOURNAL OF CLINICAL PSYCHOLOGY, 2011, 67 (09) :942-968