Assessment of cognitive factors in chronic pain: a worthwhile enterprise?
Assessment of cognitive factors in chronic pain: a worthwhile enterprise?
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评估慢性疼痛的认知因素：一项有价值的事业吗？
DOI：
10.1037//0022-006x.54.6.760
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发表时间：
1986
影响因子：
5.9
通讯作者：
Rudy,TE
中科院分区：
文献类型：
--
作者：
Turk,DC;Rudy,TE
从历史上看，认知因素被视为疼痛的主要（如果不是唯一的）组成部分，或者仅仅是对感觉现象的反应。在最近的概念化中，认知、情感、行为和感觉等多种因素的贡献在疼痛感知中得到了承认。在这篇文章中，我们提供了一个简短的回顾疼痛理论的历史和认知在疼痛的各种概念化的经常性作用。然后，我们从实验室研究、临床研究和心理生理学数据中收集证据，以支持在慢性疼痛的概念化和治疗中继续纳入认知因素。接下来，我们将讨论现有的工具（a）评估认知贡献者的疼痛经验，（B）评估认知后果的疼痛，（c）的全球评估的感知影响的慢性疼痛。我们还注意到，精神疾病诊断与统计手册（DSM-III）的心因性疼痛类别依赖于似乎是过时的疼痛概念。最后，我们讨论了未来的研究需要交叉验证和完善现有的评估工具和程序，并描述了一个多轴疼痛评估（MAP）系统。
Historically, cognitive factors have been treated as either major (if not sole) components of pain or as mere reactions to sensory phenomena. In recent conceptualizations the contributions of multiple factors, cognitive, affective, behavioral, and sensory, have been acknowledged in the perception of pain. In this article we provide a brief review of the history of pain theory and the recurrent role of cognition in various conceptualizations of pain. We then marshall evidence from laboratory studies, clinical research, and psychophysiological data to support the continued inclusion of cognitive factors in conceptualizations and treatment of chronic pain. Next, we discuss the available instruments for (a) the assessment of cognitive contributors to the pain experience,(b) the assessment of cognitive consequences of pain, and (c) the global assessment of the perceived impact of chronic pain. We also note the reliance of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) Psychogenic Pain category on what appears to be an outmoded conceptualization of pain. Finally, we discuss the need for future research to cross-validate and refine existing assessment instruments and procedures and describe a multiaxial assessment of pain (MAP) system.