Toward a Biopsychomotor Conceptualization of Pain: Implications for Research and Intervention
Toward a Biopsychomotor Conceptualization of Pain: Implications for Research and Intervention
复制标题
疼痛的生物精神运动概念化：对研究和干预的影响
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
M. Sullivan
中科院分区：
文献类型：
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作者：
M. Sullivan
近400年前，勒内·笛卡尔提出了一种疼痛感知模型，将疼痛描述为一种纯粹的物理现象，没有心理影响。将疼痛描述为一种纯粹的感官（或经验）现象仍然主导着当前的疼痛概念。方法本文提出的观点认为，专门关注疼痛感觉或经验的疼痛系统的基本特征引起的概念框架是不完整的和有缺陷的。有人认为，有疼痛的人与没有疼痛的人不仅在他们的“感觉”上不同，而且在他们的“行为”上也不同。结果提出主张疼痛的生物心理学概念，疼痛行为被解释为疼痛系统的组成部分。生物心理学模型提出至少有3个部分独立的行为子系统是疼痛的组成部分。这些包括沟通性疼痛行为，保护性疼痛行为和社会反应行为。有证据表明，不同层面的疼痛行为的功能是不同的，并提出了问题的性质负责的运动程序的启发和维护不同形式的疼痛行为。DiscussionClinical和理论意义的生物心理学概念的疼痛进行了讨论。
ObjectivesNearly 400 years ago, René Descartes proposed a model of pain perception that characterized pain as a purely physical phenomenon, devoid of psychologic influence. The characterization of pain as an exclusively sensory (or experiential) phenomenon continues to dominate current conceptualizations of pain. MethodsThis paper advances the view that the exclusive focus on pain sensation or experience as the essential feature of the pain system has given rise to conceptual frameworks that are incomplete and flawed. It is argued that individuals with pain differ from individuals without pain not only in how they “feel” but they differ in how they “behave.” ResultsArguments are put forward advocating for a biopsychomotor conceptualization of pain where pain behaviors are construed as integral components of the pain system. The biopsychomotor model proposes that at least 3 partially independent behavioral subsystems are integral components of pain. These include communicative pain behaviors, protective pain behaviors, and social response behaviors. Evidence is reviewed suggesting that different dimensions of pain behavior are functionally distinct, and questions are raised about the nature of motor programs responsible for the elicitation and maintenance of different forms of pain behavior. DiscussionClinical and theoretical implications of a biopsychomotor conceptualization of pain are discussed.
影响因子：
7.4
作者：
Labus, JS;Keefe, FJ;Jensen, MP
通讯作者：
Jensen, MP
影响因子：
2.1
作者：
LUND, JP;DONGA, R;STOHLER, CS
通讯作者：
STOHLER, CS