共病
慢性疼痛
焦虑
心理干预
精神科
注意
医学
重性抑郁障碍
临床心理学
认知
标识
DOI:10.1002/9781119701170.ch43
摘要
In this chapter, high rates of comorbidity, overlapping symptom profiles and neurobiological aetiologies are discussed to highlight the importance of detection and treatment of psychiatric disorders in individuals with pain since comorbidity of psychiatric illness and chronic pain negatively affects prognosis and treatment success. Depressive disorders, anxiety disorders, adjustment disorders and post-traumatic stress disorder are common comorbidities in individuals with chronic pain. Rarely are these disorders the cause of the pain, but they can exacerbate overall suffering. They often have common symptom profiles and shared pathophysiology. In addition to pharmacological interventions, psychotherapeutic treatments such as cognitive behavioral therapy and mindfulness-based therapies have been demonstrated to lead to sustained improvements in a number of functional domains in both depressive and pain disorders with very few side effects.
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