The biopsychosocial approach to chronic pain: Scientific advances and future directions

被引:2043
作者
Gatchel, Robert J.
Peng, Yuan Bo
Peters, Madelon L.
Fuchs, Perry N.
Turk, Dennis C.
机构
[1] Univ Texas, Dept Psychol, Arlington, TX 76093 USA
[2] Maastricht Univ, Dept Med Clin & Expt Psychol, Maastricht, Netherlands
[3] Univ Texas, Dept Psychol, Arlington, TX 76019 USA
[4] Univ Texas, Dept Biol, Arlington, TX 76019 USA
[5] Univ Washington, Dept Anesthesiol, Seattle, WA 98195 USA
关键词
biopsychosocial; chronic pain; neuroscience of pain; pain and cognition; pain and emotion;
D O I
10.1037/0033-2909.133.4.581
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
The prevalence and cost of chronic pain is a major physical and mental health care problem in the United States today. As a result, there has been a recent explosion of research on chronic pain, with significant advances in better understanding its etiology, assessment, and treatment. The purpose of the present article is to provide a review of the most noteworthy developments in the field. The biopsychosocial model is now widely accepted as the most heuristic approach to chronic pain. With this model in mind, a review of the basic neuroscience processes of pain (the bio part of biopsychosocial), as well as the psychosocial factors, is presented. This spans research on how psychological and social factors can interact with brain processes to influence health and illness as well as on the development of new technologies, such as brain imaging, that provide new insights into brain-pain mechanisms.
引用
收藏
页码:581 / 624
页数:44
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