PDF(Pubmed)
Abstract：
The perception of pain is strongly influenced by various social, emotional, and cognitive factors. A psychological variable which has consistently been shown to exert its influence on pain is a cognitive process referred to as pain catastrophizing. Numerous studies have found it to be a strong predictor of pain intensity and disability across different clinical populations. It signifies a maladaptive response to pain marked by an exaggerated negative assessment, magnification of symptoms related to pain, and, in general, a tendency to experience marked pain-related worry, as well as experiencing feelings of helplessness when it comes to dealing with pain. Pain catastrophizing has been correlated to many adverse pain-related outcomes, including poor treatment response, unsatisfactory quality of life, and high disability related to both acute and chronic pain. Furthermore, there has been consistent evidence in support of a correlation between pain catastrophizing and mental health disorders, such as anxiety and depression. In this review, we aim to provide a comprehensive overview of the current state of knowledge regarding pain catastrophizing, with special emphasis on its clinical significance, and emerging treatment modalities which target it.
摘要：
对疼痛的感知受到各种社会的强烈影响，情感,和认知因素。一直被证明对疼痛施加影响的心理变量是称为疼痛灾难化的认知过程。许多研究发现，它是不同临床人群疼痛强度和残疾的强有力预测指标。它表示对疼痛的适应不良反应，其特征是夸大的负面评估，放大与疼痛有关的症状，and,总的来说,倾向于经历明显的疼痛相关的担忧，以及在处理痛苦时感到无助。疼痛灾难与许多疼痛相关的不良结局有关，包括不良的治疗反应，生活质量不满意，与急性和慢性疼痛相关的高残疾。此外，有一致的证据支持疼痛灾难化和精神健康障碍之间的相关性，如焦虑和抑郁。在这次审查中,我们的目标是提供有关痛苦灾难的知识的当前状态的全面概述，特别强调其临床意义，以及针对它的新兴治疗方式。
