Beyond pain, distress, and disability: the importance of social outcomes in pain management research and practice.

Beyond pain, distress, and disability: the importance of social outcomes in pain management research and practice.
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DOI:
10.1097/j.pain.0000000000002404
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发表时间:
2022-03-01
期刊:
影响因子:
7.4
通讯作者:
Darnall BD
Darnall BD
中科院分区:
医学1区
文献类型:
--
作者:
Ashton-James CE;Anderson SR;Mackey SC;Darnall BD

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多模式慢性疼痛治疗的成功通常通过疼痛强度、心理痛苦和残疾(身体功能和活动干扰)的变化来衡量。23、28、48、119疼痛、痛苦和残疾是至关重要的治疗目标。然而,疼痛的社会后果-深刻影响患者的慢性疼痛体验和生活质量22、24、38、60-从临床角度来看同样重要,从患者及其家人的角度来看,甚至可能是更重要的治疗目标。我们主张在临床研究和实践中扩大对疼痛的社会后果的测量,包括对社会角色的满意度、感知的不公正、二元和家庭关系的运作、社会联系和社会支持。更系统和更全面的测量将使我们能够评估疼痛管理对患者社会结果的治疗影响,以及社会结果对患者痛苦、痛苦和残疾体验的贡献。
The success of multimodal chronic pain management is typically measured by changes in pain intensity, psychological distress, and disability (physical function and activity interference). 23, 28, 48,119 Pain, distress, and disability are vitally important therapeutic targets. However, the social outcomes of pain—profoundly influencing both patients’ experience of chronic pain and quality of life22, 24, 38, 60—are equally important from a clinical perspective and may even be more important therapeutic targets from the patient and their families’ perspective. We argue for expanded measurement of the social consequences of pain in clinical research and practice, including satisfaction with social roles, perceived injustice, dyadic and family relationship functioning, social connectedness, and social support. More systematic and comprehensive measurement will allow us to evaluate the therapeutic impact of pain management on patients’ social outcomes and the contribution of social outcomes to patients’ experience of pain, distress, and disability.
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