Chronic Pain: An Integrated Biobehavioral Approach

摘要: Herta Flor and Dennis Turk have contributed greatly in their careers to the expansion of research chronic pain psychology. In Chronic Pain: An Integrated Biobehavioral Approach, co-authors pull together a vast field advocate model unite biomedical psychological approaches medicine, which all too frequently are used separately. The is intended primarily for numerous musculoskeletal syndromes that make up majority pain, but authors consider approach, with minor modifications, be useful any pain. book arranged three sections includes CD replete 65 appendices comprise many guides tools both patients providers. Part I provides an excellent comprehensive review basic historical concepts neural mechanisms. At end this section, present biobehavioural focus remainder book. There much evidence presented support view, there also acknowledgement significant gaps regarding way learning processes influence development maintenance syndromes. information readable style sufficient background allow practitioners who may less familiar psychology digest integrate ideas into own practice. II multiaxial assessment people To emphasize importance broad context assessment, quick point out distinction between person structure similar first section. introductory chapter covering objectives, tools, limitations subsequent chapters dedicated physical psychophysiologic characteristics behaviours, psychosocial assessment. These well-written summaries literature on They not exhaustive condensed discussion methods procedures acceptable psychometric properties common use. Limitations weaknesses discussed. Anger post-traumatic stress disorder given more attention as underrepresented literature. final heart book, describe integrative process brings subjective (patient responses interviews questionnaires), behavioural (casual standardized observation diary), physiological (surface electromyography autonomic responses) identify patient subgroups match them treatment. validating work provide examples improved outcomes. place predicting disability early during acute transition period suggestions given. However, they acknowledge improvement still needed area costeffective manner. III deal treatment topics include general principles, relaxation biofeedback, operant therapy, cognitivebehavioural therapy. these treatments large cover fashion, were able summarize especially M. Negraeff, MD (&) Vancouver General Hospital, Vancouver, Canada