摘要

The link between stress and pain is very present in clinical practice, stress often used as an explanatory model of the psychological dimension of pain. Epidemiological studies show that chronic pain sufferers report abuse in childhood more often than other subjects. Prospective studies are lacking to formally confirm these data. Moreover, there is a significant comorbidity between post-traumatic stress and chronic pain, implying the systematic search for this syndrome in pain consultation. Explanatory models of the relationship between stress and pain refer to abnormalities of the hypothalamic-pituitary-adrenal axis on a biological level and to variables such as catastrophizing or fear of pain on a psychological level. Several non-drug therapies for stress management have now been evaluated in the field of chronic pain.

  • 出版日期2014-3

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