Psychological and behavioral aspects of complex regional pain syndrome management
Psychological and behavioral aspects of complex regional pain syndrome management
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DOI：
10.1097/01.ajp.0000194282.82002.79
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发表时间：
2006-06-01
影响因子：
2.9
通讯作者：
Chung, Ok Yung
中科院分区：
文献类型：
--
作者：
Bruehl, Stephen;Chung, Ok Yung
心理和行为因素可加重与复杂区域疼痛综合征(CRPS)相关的疼痛和功能障碍，并有助于维持某些患者的状况。CRPS的有效管理要求将这些心理、社会和行为方面作为综合多学科治疗方法的一部分加以解决。目前还没有良好控制的研究来指导CRPS管理的心理学方法的发展。因此，在现有数据和临床经验的基础上，提出了CRPS中心理护理的序贯方案。无论病情持续多长时间，所有CRPS患者及其家人都应该接受关于停用的负面影响、综合征的病理生理学以及可能与心理/行为因素相互作用的教育。病人。急性CRPS(
Psychological and behavioral factors can exacerbate the pain and dysfunction associated with complex regional pain syndrome (CRPS) and could help maintain the condition in some patients. Effective management of CRPS requires that these psychosocial and behavioral aspects be addressed as part of an integrated multidisciplinary treatment approach. Well-controlled studies to guide the development of a psychological approach to CRPS management are not currently available. A sequenced protocol for psychological care in CRPS is therefore proposed based on available data and clinical experience. Regardless of the duration of the condition, all CRPS patients and their families should receive education about the negative effects of disuse, the pathophysiology of the syndrome, and possible interactions with psycho logical/behavioral factors. Patients. with acute CRPS (