Interdisciplinary Chronic Pain Management Past, Present, and Future
Interdisciplinary Chronic Pain Management Past, Present, and Future
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DOI：
10.1037/a0035514
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发表时间：
2014-02-01
影响因子：
16.4
通讯作者：
Lippe, Ben
中科院分区：
文献类型：
--
作者：
Gatchel, Robert J.;McGeary, Donald D.;Lippe, Ben
慢性疼痛在美国和整个工业化世界都是一个严重且代价高昂的问题。不幸的是，人们一直对传统医疗干预的有效性感到担忧，这表明有必要采取替代的慢性疼痛治疗策略。然而，在过去的十年中，疼痛的生物-心理-社会模型的引入刺激了更多治疗效果和成本效益更高的跨学科慢性疼痛管理计划的发展。在本文中，我们简要回顾了疼痛管理的历史，讨论了“真正的”跨学科疼痛管理计划的主要组成部分，重点关注了记录这种跨学科疼痛管理计划有效性的循证结果，并指出了阻碍此类计划广泛使用的障碍。最后，我们讨论了未来跨学科疼痛管理的方向。
Chronic pain is a significant and costly problem in the United States as well as throughout the industrialized world. Unfortunately, there have been concerns about the effectiveness of traditional medical interventions, suggesting the need for alternative chronic pain treatment strategies. However, the introduction of the biopsychosocial model of pain during the past decade stimulated the development of more therapeutically effective and cost-effective interdisciplinary chronic pain management programs. In the present article we briefly review the history of pain management, discuss the major components of a "true" interdisciplinary pain management program, focus on the evidence-based outcomes that have documented the effectiveness of such interdisciplinary pain management programs, and note the barriers that have blocked the wider use of such programs. Finally, we discuss future directions in interdisciplinary pain management.