Comorbidity of chronic pain and mental health disorders: The biopsychosocial perspective

Comorbidity of chronic pain and mental health disorders: The biopsychosocial perspective
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DOI:
10.1037/0003-066x.59.8.795
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发表时间:
2004-11-01
影响因子:
16.4
通讯作者:
Gatchel, RJ
Gatchel, RJ
中科院分区:
心理学1区
文献类型:
--
作者:
Gatchel, RJ

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心理和身体健康研究的一个激动人心的时期正在开始,这是从过时的生物医学还原方法到更全面的生物心理社会模型的范式转变的结果,该模型强调了更好地理解健康和疾病所需的生物、心理和社会因素之间的独特相互作用。这一生物心理社会观点在评估精神和身体健康问题的共病方面很重要。精神病理学和医学病理学在疼痛障碍中起着重要的作用。重要的主题在生物心理社会的方法,以共病的慢性心理和身体健康障碍,主要集中在疼痛,提出。尽管这种生物-心理-社会模式在过去20年里在健康心理学方面取得了巨大的进步,但推动该领域向前发展的重要挑战仍然存在。
An exciting period in mental and physical health research is beginning, resulting from a paradigm shift from an outdated biomedical reductionism approach to a more comprehensive biopsychosocial model, which emphasizes the unique interactions among biological, psychological, and social factors required to better understand health and illness. This biopsychosocial perspective is important in evaluating the comorbidity of mental and physical health problems. Psychiatric and medical pathologies interface prominently in pain disorders. Important topics in the biopsychosocial approach to comorbid chronic mental and physical health disorders, focusing primarily on pain, are presented. Though this biopsychosocial model has produced dramatic advances in health psychology over the past 2 decades, important challenges to moving the field,forward still remain.