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Báo cáo y học: "Psychosocial factors and their role in chronic pain: A brief review of development and current stat"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Psychosocial factors and their role in chronic pain: A brief review of development and current status. | Chiropractic Osteopathy BioMed Central Review Open Access Psychosocial factors and their role in chronic pain A brief review of development and current status Stanley I Innes Address Private Practice 35 Maroondah Highway Lilydale 3140 Australia Email Stanley I Innes - sinn0235@bigpond.net.au Corresponding author Published 27 April 2005 Received 09 April 2005 Chiropractic Osteopathy 2005 13 6 doi 10.1186 1746-1340-13-6 Accepted 27 April 2005 This article is available from http www.chiroandosteo.cOm content 13 1 6 2005 Innes licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract The belief that pain is a direct result of tissue damage has dominated medical thinking since the mid 20th Century. Several schools of psychological thought proffered linear causal models to explain non-physical pain observations such as phantom limb pain and the effects of placebo interventions. Psychological research has focused on identifying those people with acute pain who are at risk of transitioning into chronic and disabling pain in the hope of producing better outcomes. Several multicausal Cognitive Behavioural models dominate the research landscape in this area. They are gaining wider acceptance and some aspects are being integrated and implemented into a number of health care systems. The most notable of these is the concept of Yellow Flags. The research to validate the veracity of such programs has not yet been established. In this paper I seek to briefly summarize the development of psychological thought both past and present then review current cognitive-behavioural models and the available supporting evidence. I conclude by discussing these factors and identifying those that have been shown to be reliable predictors of chronicity and