Development and maintenance of chronic pain

作者：Kappesser Judith^*; Hermann Christiane

来源：Psychotherapeut, 2013, 58(5): 503-515.

DOI：10.1007/s00278-013-1004-6

• Chronic disease
• Pain measurement
• Pain management
• Neuronal plasticity
• Fear-avoidance model

Chronic pain has previously been defined as lasting longer than 3 or 6 months. This criterion, however, does not adequately describe the process of pain becoming chronic. Consequently, pain chronicity is not only assessed by pain duration but by consideration of other factors, such as disability or intensity. A number of learning processes affect pain chronicity as they mediate changes in neural networks involved in pain processing. Furthermore, a number of psychosocial risk factors have been identified that affect not only the transition from acute to chronic pain but also the maintenance of chronic pain. The fear-avoidance model takes into account many of these risk factors to explain the development and maintenance of chronic musculoskeletal pain.

• 出版日期2013-9