作者: Dennis C. Turk , Roger B. Fillingim , Richard Ohrbach , Kushang V. Patel
DOI: 10.1016/J.JPAIN.2016.02.006
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摘要: Abstract The psychosocial and functional consequences of chronic pain disorders have been well documented as having significant effects on the experience pain, presentation to health care providers, responsiveness participation in treatment, disability, health-related quality life. Thus, incorporated 1 5 dimensions within integrated Analgesic, Anesthetic, Addiction Clinical Trial Translations, Innovations, Opportunities, Networks (ACTTION)-American Pain Society (APS) Taxonomy (AAPT): 1) core diagnostic criteria; 2) common features; 3) common medical comorbidities; 4) neurobiological, psychosocial, consequences; 5) putative neurobiological mechanisms, risk factors, protective factors. In this article we review rationale for a biopsychosocial perspective, basis current evidence, describe set key behavioral factors (eg, mood/affect, coping resources, expectations, sleep quality, physical function, pain-related interference with daily activities) that are important persistent should be considered when classifying patients comprehensive AAPT structure. We include an overview measures procedures developed assess can used part assessment classification address specific research questions. Perspective Psychosocial considerations individuals pain. A (eg, mood/affect, by outlined examples methods each described.