The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.

The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.
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修订的国际疼痛研究协会的疼痛定义:概念,挑战和妥协。

DOI:
10.1097/j.pain.0000000000001939
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发表时间:
2020-09-01
期刊:
影响因子:
7.4
通讯作者:
Vader K
Vader K
中科院分区:
医学1区
文献类型:
--
作者:
Raja SN;Carr DB;Cohen M;Finnerup NB;Flor H;Gibson S;Keefe FJ;Mogil JS;Ringkamp M;Sluka KA;Song XJ;Stevens B;Sullivan MD;Tutelman PR;Ushida T;Vader K

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IASP目前对疼痛的定义是“与实际或潜在的组织损伤有关的或用这种损伤描述的令人不快的感觉和情绪体验”,这是分类小组委员会建议的,并于1979年被IASP理事会采纳。这一定义已经被疼痛领域的卫生保健专业人员和研究人员广泛接受,并被包括世界卫生组织在内的几个专业、政府和非政府组织采用。近年来,该领域的一些人认为,我们对疼痛的理解的进步需要重新评估这一定义,并提出了修改建议。因此,2018年,IASP成立了一个由14名成员组成的多国总统特别工作组,成员包括与疼痛相关的临床和基础科学方面的广泛专业知识,以评估当前的定义和附带说明,并建议是否应保留或更改这些定义。本审查概述了关键概念,分析了协会成员和公众的意见,以及委员会关于修订定义和说明的最后建议,并在两年的时间里对这些建议进行了讨论。特别工作组最终建议将疼痛的定义修改为“与实际或潜在的组织损伤相关或类似的令人不快的感觉和情绪体验”,并建议将附带的注释更新为包含词源的项目符号列表。经修订的定义和说明在今年年初得到协会理事会的一致接受。
The current IASP definition of pain as “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” was recommended by the Subcommittee on Taxonomy and adopted by the IASP Council in 1979. This definition has become accepted widely by health care professionals and researchers in the pain field and adopted by several professional, governmental, and nongovernmental organizations, including the World Health Organization. In recent years, some in the field have reasoned that advances in our understanding of pain warrant a re-evaluation of the definition and have proposed modifications. Therefore, in 2018, the IASP formed a 14-member, multinational Presidential Task Force comprising individuals with broad expertise in clinical and basic science related to pain to evaluate the current definition and accompanying note and recommend whether they should be retained or changed. This review provides a synopsis of the critical concepts, the analysis of comments from the IASP membership and public, and the committee’s final recommendations for revisions to the definition and notes, which were discussed over a 2-year period. The task force ultimately recommended that the definition of pain be revised to “An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage,” and that the accompanying notes be updated to a bulleted list that included the etymology. The revised definition and notes were unanimously accepted by the IASP Council early this year.
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