The establishment, maintenance, and adaptation of high- and low-impact chronic pain: a framework for biopsychosocial pain research.
The establishment, maintenance, and adaptation of high- and low-impact chronic pain: a framework for biopsychosocial pain research.
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DOI：
10.1097/j.pain.0000000000002951
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发表时间：
2023-10-01
期刊：
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
作者：
我们提出了一个框架，研究慢性疼痛的状态和这些状态之间的过渡。我们在这个框架中捕捉到了疼痛的动态本质：人们生活在随着时间而变化的疼痛中。首先，我们提供了急性和慢性疼痛的定义，并探讨了这种时间二分法的共同使用相关的背景考虑。第二，我们提倡将疼痛对人的生活的影响纳入其中的重要性。最后，我们讨论了实施这一共同方法所固有的挑战和机遇。我们的目标是为慢性疼痛的发展、维持和解决提供一个研究框架。无论是单一的短暂事件还是生活的恒定特征，疼痛都会中断优先保护，干扰活动，降低生活质量，并可以改变身份。44.保护是通过逃避伤害、避免感知到的危险、撤退以获得喘息和修复、以及沟通丧失能力和环境风险来实现的;长期保护是通过了解疼痛和伤害的线索来实现的。[53]从这个角度来看，疼痛被认为是一种最有效的需求状态，从根本上说是一种保护的动机。49.这种方法将我们的注意力集中在疼痛对人在其环境中的后果、其持续时间和影响上。
We present a framework for the study of states of chronic pain and transitions between those states. We capture in the framework the dynamic nature of pain: people live with pain that changes over time. First, we offer definitions of both acute and chronic pain and explore the contextual considerations related to the common use of this temporal dichotomy. Second, we promote the importance of incorporating the impact pain has on a person’s life. Finally, we discuss the challenges and opportunities inherent in implementing this common approach. Our goal is to produce a framework for the study of the development, maintenance, and resolution of chronic pain.Whether a single brief event or a constant feature of life, pain interrupts to prioritise protection, interferes with activity, reduces quality of life, and can alter identity. 44 Protection is achieved by escape from harm, avoidance of perceived danger, withdrawal for respite and repair, and communication of incapacity and environmental risk; longer-term protection is achieved by learning the cues for pain and injury. 53 From this perspective, pain is most usefully considered a need state, fundamentally a motivational drive to protect. 49 This approach centres our attention on the consequences of pain for the person in their context, on its duration and its impact.
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影响因子：
4
作者：
Herman, Patricia M.;Qureshi, Nabeel;Arick, Susan D.;Edelen, Maria O.;Hays, Ron D.;Rodriguez, Anthony;Weir, Rebecca L.;Coulter, Ian D.
通讯作者：
Coulter, Ian D.
影响因子：
2.3
作者：
Kongsted A;Kent P;Axen I;Downie AS;Dunn KM
通讯作者：
Dunn KM
影响因子：
7.4
作者：
Borsook D;Youssef AM;Simons L;Elman I;Eccleston C
通讯作者：
Eccleston C
DOI：
10.1080/24740527.2018.1442677
发表时间：
2018
期刊：
Canadian journal of pain = Revue canadienne de la douleur
影响因子：
--
作者：
Noel M;Chambers CT;Parker JA;Aubrey K;Tutelman PR;Morrongiello B;Moore C;McGrath PJ;Yanchar NL;Von Baeyer CL
通讯作者：
Von Baeyer CL
影响因子：
7.4
作者：
Johansen, Aslak;Romundstad, Luis;Stubhaug, Audun
通讯作者：
Stubhaug, Audun