疼痛与心理关系的探究
A Review of the Relationship between Pain and Psychology
DOI: 10.12677/AP.2016.612162, PDF, HTML, XML, 下载: 1,742  浏览: 4,092  科研立项经费支持
作者: 马 超, 冯君凤：西南大学心理学部，重庆；教育部认知与人格重点实验室，重庆；张 猛：新乡医学院心理学系，河南 新乡；生理心理学河南省高校重点实验室培育基地(新乡医学院)，河南 新乡
关键词: 疼痛；慢性疼痛；心理；Pain； Chronic Pain； Psychology
摘要: 疼痛被称为“五大生命体征”，对个体的生存和健康有十分重要的意义。与此同时，慢性疼痛等常见的疼痛相关疾病常常难以治愈，患者长期受到疼痛的折磨，给个体和社会造成了巨大的影响。对疼痛的深入了解有助于认识并减轻疼痛的负面影响。疼痛是一种复杂的生理现象，与心理有着密切的关系。本文通过对疼痛和心理之间的关系进行整理，有助于我们对二者的关系形成系统的认识，进而提高疼痛的临床治疗效果。
Abstract: Pain is known as “the five vital signs”, and it is very important for the survival and health of the in-dividual. At the same time, chronic pain and other pain-related diseases are often difficult to cure. Patients suffer from pain for a long time causing a negative impact on individual and society. A deep understanding of pain can help us to understand pain and mitigate its negative effects. Pain, as a complex physiological phenomenon, has a close relationship with psychology. In order to help us to understand their relationship, we reviewed the relationship between pain and psychology in this paper, which may improve the effect of clinical treatment.
文章引用：马超, 冯君凤, 张猛 (2016). 疼痛与心理关系的探究. 心理学进展, 6(12), 1280-1288. http://dx.doi.org/10.12677/AP.2016.612162

参考文献

[1] 吕振勇, 纪晓蕾, 黄丽, Jackson, Todd, 陈红(2013). 疼痛恐惧对疼痛的影响及其认知机制. 心理科学进展, 21(5), 817- 826.
[2] 孟景, 沈林, 陈红(2011). 疼痛对心理的影响及其机制. 心理科学进展, 19(10), 1493-1501.
[3] Alanoğlu, E., Ulaş, U. H., Özdağ, F., Odabaşı, Z., Çakçı, A., & Vural, O. (2005). Auditory Event-Related Brain Potentials in Fibro-myalgia Syndrome. Rheumatology International, 25, 345-349. https://doi.org/10.1007/s00296-004-0443-3
[4] Almeida, T. F., Roizenblatt, S., & Tufik, S. (2004). Afferent Pain Pathways: A Neuroanatomical Review. Brain Research, 1000, 40-56. https://doi.org/10.1016/j.brainres.2003.10.073
[5] Antepohl, W., Kiviloog, L., Andersson, J., & Gerdle, B. (2003). Cognitive Impairment in Patients with Chronic Whiplash- Associated Disorder—A Matched Control Study. NeuroRehabi-litation, 18, 307-315.
[6] Arntz, A., & Claassens, L. (2004). The Meaning of Pain Influences Its Experienced Intensity. Pain, 109, 20-25. https://doi.org/10.1016/j.pain.2003.12.030
[7] Asghari, A., & Nicholas, M. K. (2001). Pain Self-Efficacy Beliefs and Pain Behaviour. A Prospective Study. Pain, 94, 85- 100. https://doi.org/10.1016/S0304-3959(01)00344-X
[8] Asmundson, G. J. G., Norton, P. J., & Norton, G. R. (1999). Beyond Pain: The Role of Fear and Avoidance in Chronicity. Clinical Psychology Review, 19, 97-119. https://doi.org/10.1016/S0272-7358(98)00034-8
[9] Bailey, K. M., Carleton, R. N., Vlaeyen, J. W. S., & Asmundson, G. J. G. (2010). Treatments Addressing Pain-Related Fear and Anxiety in Patients with Chronic Musculoskeletal Pain: A Preliminary Review. Cognitive Behaviour Therapy, 39, 46- 63. https://doi.org/10.1080/16506070902980711
[10] Banik, R., Kouya, F., & Iqbal, Z. (2010). Acute Postoperative Pain Induces Anxiety-Like Behaviors in a Rat Model. The Journal of Pain, 11, S27. https://doi.org/10.1016/j.jpain.2010.01.116
[11] Bement, M., Weyer, A., Keller, M., Harkins, A. L., & Hunter, S. K. (2010). Anxiety and Stress Can Predict Pain Perception Following a Cognitive Stress. Physiology & Behavior, 101, 87-92. https://doi.org/10.1016/j.physbeh.2010.04.021
[12] Bosma, F. K., & Kessels, R. P. C. (2002). Cognitive Impairments, Psychological Dysfunction, and Coping Styles in Patients with Chronic Whiplash Syndrome. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 15, 56-65.
[13] Buffington, A. L. H., Hanlon, C. A., & McKeown, M. J. (2005). Acute and Persistent Pain Modulation of Attention-Related Anterior Cingulate fMRI Activations. Pain, 113, 172-184. https://doi.org/10.1016/j.pain.2004.10.006
[14] Burns, J. W. (1997). Anger Management Style and Hostility: Predicting Symptom-Specific Physiological Reactivity among Chronic Low Back Pain Patients. Journal of Behavioral Medicine, 20, 505-522. https://doi.org/10.1023/A:1025564707137
[15] Calandre, E. P., Bembibre, J., Arnedo, M. L., & Becerra, D. (2002). Cognitive Disturbances and Regional Cerebral Blood Flow Abnormalities in Migraine Patients: Their Relationship with the Clinical Manifestations of the Illness. Cephalalgia, 22, 291-302. https://doi.org/10.1046/j.1468-2982.2002.00370.x
[16] Campo, J. V., Bridge, J., Ehmann, M., Altman, S., Lucas, A., Birmaher, B., Brent, D. A. et al. (2004). Recurrent Abdominal Pain, Anxiety, and Depression in Primary Care. Pediatrics, 113, 817-824. https://doi.org/10.1542/peds.113.4.817
[17] Chou, K.-L.. (2007). Reciprocal Relationship between Pain and Depression in Older Adults: Evidence from the English Longitudinal Study of Ageing. Journal of Affective Disorders, 102, 115-123. https://doi.org/10.1016/j.jad.2006.12.013
[18] Dersh, J., Gatchel, R. J., Mayer, T., Polatin, P., & Temple, O. R. (2006). Prevalence of Psychiatric Disorders in Patients with Chronic Disabling Occupational Spinal Disorders. Spine, 31, 1156-1162. https://doi.org/10.1097/01.brs.0000216441.83135.6f
[19] Dick, B. D., & Rashiq, S. (2007). Disruption of Attention and Working Memory Traces in Individuals with Chronic Pain. Anesthesia & Analgesia, 104, 1223-1229. https://doi.org/10.1213/01.ane.0000263280.49786.f5
[20] Dick, B., Eccleston, C., & Crombez, G. (2002). Attentional Functioning in Fibromyalgia, Rheumatoid Arthritis, and Musculoskeletal Pain Patients. Arthritis Care & Research, 47, 639-644. https://doi.org/10.1002/art.10800
[21] Fernandez, E., & Turk, D. C. (1995). The Scope and Significance of Anger in the Experience of Chronic Pain. Pain, 61, 165-175. https://doi.org/10.1016/0304-3959(95)00192-U
[22] Gaskin, M. E., Greene, A. F., Robinson, M. E., & Geisser, M. E. (1992). Negative Affect and the Experience of Chronic Pain. Journal of Psychosomatic Research, 36, 707-713. https://doi.org/10.1016/0022-3999(92)90128-O
[23] Gatchel, R. J., Peng, Y., Peters, M., Fuchs, P., & Turk, D. (2007). The Biopsychosocial Approach to Chronic Pain: Scientific Advances and Future Directions. Psychological Bulletin, 133, 581-624. https://doi.org/10.1037/0033-2909.133.4.581
[24] Grisart, J., & Van der Linden, M. (2001). Conscious and Automatic Uses of Memory in Chronic Pain Patients. Pain, 94, 305-313. https://doi.org/10.1016/S0304-3959(01)00366-9
[25] Harman, K., & Ruyak, P. (2005). Working through the Pain: A Controlled Study of the Impact of Persistent Pain on Performing a Computer Task. The Clinical Journal of Pain, 21, 216-222. https://doi.org/10.1097/00002508-200505000-00004
[26] Karp, J. F., Reynolds, C. F., Butters, M. A., Dew, M., Mazum-dar, Sati, B., Amy, E., Weiner, D. et al. (2006). The Relationship between Pain and Mental Flexibility in Older Adult Pain Clinic Patients. Pain Medicine, 7, 444-452. https://doi.org/10.1111/j.1526-4637.2006.00212.x
[27] Katon, W., Egan, K., & Miller, D. (1985). Chronic Pain: Lifetime Psychiatric Diagnoses. American Journal of Psychiatry, 142, 1156-1160. https://doi.org/10.1176/ajp.142.10.1156
[28] Keefe, F., Caldwell, D., Baucom, D., Salley, A., Robinson, E., Timmons, K., Helms, M. et al. (1996). Spouse-Assisted Coping Skills Training in the Management of Osteoarthritic Knee Pain. Arthritis & Rheumatism, 9, 279-291. https://doi.org/10.1002/1529-0131(199608)9:4<279::AID-ANR1790090413>3.0.CO;2-6
[29] Keefe, F. J., Lefebvre, J. C., Maixner, W., Salley, A. N., & Caldwell, D. S. (1997). Self-Efficacy for Arthritis Pain: Relationship to Perception of Thermal Laboratory Pain Stimuli. Arthritis & Rheumatism, 10, 177-184. https://doi.org/10.1002/art.1790100305
[30] Kerns, R. D., Rosenberg, R., & Jacob, M. (1994). Anger Expression and Chronic Pain. Journal of Behavioral Medicine, 17, 57-67. https://doi.org/10.1007/BF01856882
[31] Kewman, D. G, Vaishampayan, N., Zald, D., & Han, B. (1991). Cognitive Impairment in Musculoskeletal Pain Patients. The International Journal of Psychiatry in Medicine, 21, 253-262. https://doi.org/10.2190/FRYK-TMGA-AULW-BM5G
[32] Khatibi, A., Dehghani, M., Sharpe, L., Asmundson, G., & Pouretemad, H. (2009). Selective Attention towards Painful Faces among Chronic Pain Patients: Evidence from a Modified Version of the Dot-Probe. Pain, 142, 42-47. https://doi.org/10.1016/j.pain.2008.11.020
[33] Kirwilliam, S. S., & Derbyshire, S. W. G. (2008). Increased Bias to Report Heat or Pain Following Emotional Priming of Pain-Related Fear. Pain, 137, 60-65. https://doi.org/10.1016/j.pain.2007.08.012
[34] Leavitt, F., & Katz, R. S. (2006). Distraction as a Key Determinant of Impaired Memory in Patients with Fibromyalgia. The Journal of Rheumatology, 33, 127-132.
[35] Lee, D. M., Pendleton, N., Tajar, A., O’Neill, T. W., O’Connor, D. B., Bartfai, G., Forti, G. et al. (2010). Chronic Widespread Pain Is Associated with Slower Cognitive Processing Speed in Middle-Aged and Older European Men. Pain, 151, 30-36. https://doi.org/10.1016/j.pain.2010.04.024
[36] Luerding, R., Weigand, T., Bogdahn, U., & Schmidt-Wilcke, T. (2008). Working Memory Performance Is Correlated with Local Brain Morphology in the Medial Frontal and Anterior Cingulate Cortex in Fibromyalgia Patients: Structural Correlates of Pain-Cognition Interaction. Brain, 131, 3222-3231. https://doi.org/10.1093/brain/awn229
[37] McCracken, L. M., & Gross, R. T. (1998). The Role of Pain-Related Anxiety Reduction in the Outcome of Multidisciplinary Treatment for Chronic Low Back Pain: Preliminary Results. Journal of Occupational Rehabilitation, 8, 179-189. https://doi.org/10.1023/A:1021374322673
[38] McCracken, L. M., & Iverson, G. L. (2001). Predicting Complaints of Impaired Cognitive Functioning in Patients with Chronic Pain. Journal of Pain and Symptom Management, 21, 392-396. https://doi.org/10.1016/S0885-3924(01)00267-6
[39] Meagher, M. W., Arnau, R. C., & Rhudy, J. L. (2001). Pain and Emotion: Effects of Affective Picture Modulation. Psychosomatic Medicine, 63, 79-90. https://doi.org/10.1097/00006842-200101000-00010
[40] Merboth, M. K, & Barnason, S. (2000). Managing Pain: The Fifth Vital Sign. The Nursing Clinics of North America, 35, 375-383.
[41] Merskey, H., & Bogduk, N. (1994). Classifi-cation of Chronic Pain, IASP Task Force on Taxonomy. Seattle, WA: International Association for the Study of Pain Press. www.iasp-painorg
[42] Moriarty, O., McGuire, B. E., & Finn, D. P. (2011). The Effect of Pain on Cognitive Function: A Review of Clinical and Preclinical Research. Progress in Neurobiology, 93, 385-404. https://doi.org/10.1016/j.pneurobio.2011.01.002
[43] Müller, M. J., & Netter, P. (2000). Relationship of Subjective Hel-plessness and Pain Perception after Electric Skin Stimuli. Stress Medicine, 16, 109-115.
[44] Munoz, M., & Esteve, R. (2005). Reports of Memory Functioning by Patients with Chronic Pain. The Clinical Journal of Pain, 21, 287-291. https://doi.org/10.1097/01.ajp.0000173993.53733.2e
[45] Okifuji, A., Turk, D. C., & Curran, S. L. (1999). Anger in Chronic Pain: Investigations of Anger Targets and Intensity. Journal of Psychosomatic Research, 47, 1-12. https://doi.org/10.1016/S0022-3999(99)00006-9
[46] Oosterman, J., Derksen, L., van Wijck, A. J. M., Veldhuijzen, D. S., & Kessels, R. P. C. (2011). Memory Functions in Chronic Pain: Examining Contributions of Attention and Age to Test Performance. The Clinical Journal of Pain, 27, 70-75. https://doi.org/10.1097/AJP.0b013e3181f15cf5
[47] Park, D. C., Glass, J. M., Minear, M., & Crofford, L. J. (2001). Cognitive Function in Fibromyalgia Patients. Arthritis & Rheumatism, 44, 2125-2133. https://doi.org/10.1002/1529-0131(200109)44:9<2125::AID-ART365>3.0.CO;2-1
[48] Parker, J. C., Smarr, K. L., Buckelew, S. P., Stucky-Ropp, R. C., Hewett, J. E., Johnson, J. C., Walker, S. E. et al. (1995). Effects of Stress Management on Clinical Outcomes in Rheumatoid Arthritis. Arthritis & Rheumatism, 38, 1807-1818. https://doi.org/10.1002/art.1780381214
[49] Parmelee, P. A., Harralson, T. L., Smith, L. A., & Schumacher, H. R. (2007). Necessary and Discretionary Activities in Knee Osteoarthritis: Do They Mediate the Pain-Depression Relationship? Pain Medicine, 8, 449-461. https://doi.org/10.1111/j.1526-4637.2007.00310.x
[50] Pavlin, D J., Rapp, S. E., Polissar, N. L., Malmgren, J. A., Koer-schgen, M., & Keyes, H. (1998). Factors Affecting Discharge time in Adult Outpatients. Anesthesia & Analgesia, 87, 816-826.
[51] Ploghaus, A., Becerra, L., Borras, C., & Borsook, D. (2003). Neural Circuitry Underlying Pain Modulation: Expectation, Hypnosis, Placebo. Trends in Cognitive Sciences, 7, 197-200. https://doi.org/10.1016/S1364-6613(03)00061-5
[52] Price, D. D., Finniss, D. G., & Benedetti, F. (2008). A Comprehen-sive Review of the Placebo Effect: Recent Advances and Current Thought. Annual Review of Psychology, 59, 565-590. https://doi.org/10.1146/annurev.psych.59.113006.095941
[53] Rhudy, J. L., & Meagher, M. W. (2000). Fear and Anxiety: Divergent Effects on Human Pain Thresholds. Pain, 84, 65-75. https://doi.org/10.1016/S0304-3959(99)00183-9
[54] Salomons, T. V., Johnstone, T., Backonja, M.-M., & Davidson, R. J. (2004). Perceived Controllability Modulates the Neural Response to Pain. The Journal of Neuroscience, 24, 7199-7203. https://doi.org/10.1523/JNEUROSCI.1315-04.2004
[55] Samwel, H. J. A., Evers, A. W. M., Crul, B. J. P., & Kraaimaat, F. W. (2006). The Role of Helplessness, Fear of Pain, and Passive Pain-Coping in Chronic Pain Patients. The Clinical Journal of Pain, 22, 245-251. https://doi.org/10.1097/01.ajp.0000173019.72365.f5
[56] Schellinck, H. M., Stanford, L., & Darrah, M. (2003). Repetitive Acute Pain in Infancy Increases Anxiety but Does Not Alter Spatial Learning Ability in Juvenile Mice. Behavioural Brain Research, 142, 157-165. https://doi.org/10.1016/S0166-4328(02)00406-0
[57] Schwartz, L., Slater, M. A., Birchler, G. R., & Atkinson, J. H. (1991). Depression in Spouses of Chronic Pain Patients: The Role of Patient Pain and Anger, and Marital Satisfaction. Pain, 44, 61-67. https://doi.org/10.1016/0304-3959(91)90148-Q
[58] Severeijns, R., Vlaeyen, J. W. S., van den Hout, M. A., & Picavet, H. S. J. (2005). Pain Catastrophizing and Consequences of Musculoskeletal Pain: A Prospective Study in the Dutch Community. The Journal of Pain, 6, 125-132. https://doi.org/10.1016/j.jpain.2004.11.006
[59] Smeets, R., Vlaeyen, J., Kester, A., & Knottnerus, J. A. (2006). Reduction of Pain Catastrophizing Mediates the Outcome of Both Physical and Cognitive-Behavioral Treatment in Chronic Low Back Pain. The Journal of Pain, 7, 261-271. https://doi.org/10.1016/j.jpain.2005.10.011
[60] Smith, W. B., Gracely, R., & Safer, M. (1998). The Meaning of Pain: Cancer Patients’ Rating and Recall of Pain Intensity and Affect. Pain, 78, 123-129. https://doi.org/10.1016/S0304-3959(98)00122-5
[61] Stegen, K., Van Diest, I., Van de Woestijne, K., & Van den Bergh, O. (2000). Negative Affectivity and Bodily Sensations Induced by 5.5% CO2 Enriched Air Inhalation: Is There a Bias to Interpret Bodily Sensations Negatively in Persons with Negative Affect? Psychology and Health, 15, 513-525. https://doi.org/10.1080/08870440008402010
[62] Summers, J., Rapoff, M., Varghese, G., Porter, K., & Palmer, R. (1991). Psychosocial Factors in Chronic Spinal Cord Injury Pain. Pain, 47, 183-189. https://doi.org/10.1016/0304-3959(91)90203-A
[63] Turk, D. C., & Monarch, E. S. (1996). Biopsychosocial Perspective on Chronic Pain. In D. C. Turk, & R. J. Gatchel (Eds.), Psychological Approaches to Pain Management: A Practitioner’s Handbook (pp. 3-32). New York: Guilford Press.
[64] Turk, D. C., & Wilson, H. D. (2010). Fear of Pain as a Prognostic Factor in Chronic Pain: Conceptual Models, Assessment, and Treatment Implications. Current Pain and Headache Reports, 14, 88-95. https://doi.org/10.1007/s11916-010-0094-x
[65] Turk, D. C., Okifuji, A., & Scharff, L. (1995). Chronic Pain and Depression: Role of Perceived Impact and Perceived Control in Different Age Cohorts. Pain, 61, 93-101. https://doi.org/10.1016/0304-3959(94)00167-D
[66] Turner, J. A., Jensen, M. P., & Romano, J. M. (2000). Do Beliefs, Coping, and Catastrophizing Independently Predict Functioning in Patients with Chronic Pain? Pain, 85, 115-125. https://doi.org/10.1016/S0304-3959(99)00259-6
[67] Verdejo-Garcia, A., López-Torrecillas, F., Calandre, E., Delga-do-Rodríguez, A., & Bechara, A. (2009). Executive Function and Decision-Making in Women with Fibromyalgia. Archives of Clinical Neuropsychology, 24, 113-122. https://doi.org/10.1093/arclin/acp014
[68] Wade, J. B., Price, D. D., Hamer, R. M., Schwartz, S. M., & Hart, R. P. (1990). An Emotional Component Analysis of Chronic Pain. Pain, 40, 303-310. https://doi.org/10.1016/0304-3959(90)91127-5
[69] Wang, C., Ma, Y., & Han, S. (2014). Self-Construal Priming Mod-ulates Pain Perception: Event-Related Potential Evidence. Cognitive Neuroscience, 5, 3-9. https://doi.org/10.1080/17588928.2013.797388
[70] Woby, S., Watson, P., Roach, N., & Urmston, M. (2005). Coping Strategy Use: Does It Predict Adjustment to Chronic Back Pain after Controlling for Catastrophic Thinking and Self-Efficacy for Pain Control? Journal of Rehabilitation Medicine, 37, 100-107. https://doi.org/10.1080/16501970410021535
[71] Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., Clark, P. et al. (1990). The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Arthritis & Rheumatism, 33, 160-172. https://doi.org/10.1002/art.1780330203