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Chronic pain and the psychiatrist

Published online by Cambridge University Press:  18 September 2015

Summary

Chronic pain is a phenomenon with important psychiatric aspects from a diagnostic as well as a therapeutic point of view. The place of chronic pain in the different versions of the Diagnostic and Statistical Manual of Mental Disorders, and the differential-diagnosis are critically discussed. The comorbidity with depression, anxiety disorders, substance abuse and personality disorders is extensively treated. Finally, the essential role of the psychiatrist in the multidisciplinary therapeutic approach of these patients is emphasised.

Type
Articles
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 2001

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References

Literatuur

1.Van Houdonhovc, B. Mijn pijn is loch niet ingebeeld ?Chronische pijn in bio-psychosociaal perspectief. Leuven / Amersfoort. Acco. 1989.Google Scholar
2.Koenig, TW. Clark, MR. Advances in comprehensive pain management. Psychiatr Clin North Am 1996:19:589611.CrossRefGoogle ScholarPubMed
3.Turk, DC. Gatchel, RJ. Psychosocial Factors in Pain. Critical Perspectives. New York. Guilford. 1999.Google Scholar
4.King, SA. DSM IV and pain. Clin J Pain 1995:11:171176.Google ScholarPubMed
5.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Third Edition. Washington DC.APA. 1980.Google Scholar
6.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Third Edition Revised. Washington DC.APA. 1987.Google Scholar
7.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition Washington DC.APA. 1994.Google Scholar
8.Van Houdenhove, B. Somatoformc stoornissen. State-of-the-art. Tijdschr Psychiatrie 2000:in press.Google Scholar
9.Freud, S. Breuer, J. Studien über Hysterie. Gesammelte Werke. Band 1.1895.99312.Google Scholar
10.Engel, G. ‘Psychogenic’ pain and the pain-prone patient. Am J Med 1959:26:899918.CrossRefGoogle ScholarPubMed
11.Sharpe, M. Bass, C. Pathophysiological mechanisms in somatization. Int Rev Psychiatry 1992:4:8197.CrossRefGoogle Scholar
12.Reid, S. Wesselv, S. Somatoform Disorders. Curr Opin Psychiatry 1999:12:163168.CrossRefGoogle Scholar
13.Tromp, CN. Simulatie van pijnklachten: mythe of gezichtsbedrog? Pijn-Informatorium 1994:CS 1300:118.Google Scholar
14.Chaturvedi, SK. Prevalence of chronic pain in psychiatric patients. Pain 1987:29:231237.CrossRefGoogle ScholarPubMed
15.Fishbain, DA. Goldberg, M. Meagher, BR. Steele, R. Rosomoff, H. Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria. Pain 1986:26:181197.CrossRefGoogle ScholarPubMed
16.Gatchel, RJ. Psychological disorders and chronic pain. Cause-and-ef-fect relationships. In: Gatchel, RJ. Turk, DC (eds). Psychological Approaches to Pain Management. A Practitioner's Handbook. New York. Guilford Press. 1996. 3352.Google Scholar
17.Merskey, H. Pain and psychological medicine. In: Wall, P. Melzack, R (eds). Textbook of Pain, third edition. Edingburgh. Churchill-Livingstone. 1994.903920.Google Scholar
18.Tunks, E. Comorbidity of psychiatric disorder and chronic pain. In: Campbell, JN (ed). Pain 1996 - an Updated Review. Seattle. IASP Press. 1996.287296.Google Scholar
19.Turk, DC. Biopsychosocial perspective on chronic pain. In: Gatchel, RJ. Turk, DC (eds). Psychological Approaches to Pain Management. A Practitioner's Handbook. New York. Guilford Press. 1996.332.Google Scholar
20.Kouvanou, K, Pithcher, CE. Rabe-Hesketh, S. Wessely, S. A comparative study of iatrogenesis. medication abuse, and psychiatric morbidity in chronic pain patients with and without medically unexplained symptoms. Pain 1998:76:417426.Google Scholar
21.Van Houdenhove, B. Onghena, P. Pain and Depression. In: Robertson, M. Katona, C (eds). Depression and Physical Illness. Chichester. Wiley & Sons. 1997. 465497.Google Scholar
22.Banks, SM. Kerns, RD. Explaining high rates of depression in chronic pain. A diathesis-stress framework. Psychol Bull 1996:119:95110.CrossRefGoogle Scholar
23.Magni, G. Marchetti, M. Moreschi, C. Merskey, H. Rigatti-Luchini, S. Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination. I. Epidemiological follow-up study. Pain 1993:53:163168.CrossRefGoogle Scholar
24.Solomon, P. Tunks, E. The role of litigation in predicting disability outcomes in chronic pain patients. Clin J Pain 1991:7:300304.CrossRefGoogle ScholarPubMed
25.Fields, H. Depression and pain: A neurobiological model. Neuropsychiatr Neuropsychol Behav Neurol 1991:4:8392.Google Scholar
26.Hasenbring, M. Marienfeld, G, Kuhlendahl, D. Soyka, D. Risk factors of chronicity in lumbar disk patients. A prospective investigation of biologic, psychologic and social predictors of outcome. Spine 1994:19:27592765.CrossRefGoogle Scholar
27.Van Houdenhove, B. Interpersonal and psychodynamic links between pain and depression. Eur J Psychiatry 1991:5:177185.Google Scholar
28.von Knorring, L. Ekselius, L. Idiopathie pain and depression. Qual Life Res 1994:3:5768.CrossRefGoogle Scholar
29.Blumer, D. Heilbronn, M. Chronic pain as a variant of depressive disease. The pain-prone disorder. J Nerv Ment Dis 1982:170:381414.CrossRefGoogle ScholarPubMed
30.Watson, D. Pennebaker, JW. Ilealth complaints, stress and distress. Exploring the role of negative affectivitv. Psychol Rev 1989:96:233254.CrossRefGoogle Scholar
31.Onghena, P. Van Houdenhove, B. Antidepressant-induced analgesia. A meta-analysis of 39 placebocontroled studies. Pain 1992:49:205219.CrossRefGoogle Scholar
32.Fishbain, DA. Cutler, RB. Rosomolf, H. Rosomoff, RS. Do antidepressants have an analgesic effect in psychogenic pain and somatoform pain disorder? A meta-analysis. Psychosom Med 1998:60:503509.CrossRefGoogle ScholarPubMed
33.Onghena, P. Van Houdonhovc, B. The antidepressant-induced analgesic effect. Baillière's Clin Anaosthesiol 1998:12:5368.Google Scholar
34.Tyrer, SP. Psychological and psychiatric assessment of patients in pain. In: Campbell, JN (ed). Pain 1996 - an Updated Review. Seattle. IASP Press. 1996. 495504.Google Scholar
35.McCrackon, LM. Gross, RT. Does anxiety affect coping with chronic pain? Clin J Pain 1993:9:253259.CrossRefGoogle Scholar
36.Van Houdenhove, B. Vasquez, G. Is there a relationship between reflex sympathetic dystrophy and helplessness? Gen Hosp Psychiatry 1993:15:325329.CrossRefGoogle Scholar
37.Vlaeyen, JWS. Kole-Snijders, AMJ. van Eek, H. Chronische pijn en revalidate. Houten. Bohn-Stafleu-Van Loghum. 1996.Google Scholar
38.Crombez, G. Vlaeyen, JWS. Heuts, PHTG. Lysens, R. Pain-related fear is more disabling than pain itself: Evidence on the role of pain-related fear in chronic back-pain disability. Pain 1999:80:329340.CrossRefGoogle ScholarPubMed
39.Miotto, K. Compton, P. Ling, W. Conolly, M. Diagnosing addictive disease in chronic pain patients. Psychosomatics 1996:37:223235.CrossRefGoogle ScholarPubMed
40.Fishbain, DA. Rosomoff, ML, Rosomoff, RS. Drug abuse, dependence, and addiction in chronic pain patients. Clin J Pain 1992:8:7785.CrossRefGoogle ScholarPubMed
41.Maron, J. Looser, JD. Spinal Opioid infusions in the treatment of chronic pain of nonmalignant origin. Clin J Pain 1996:12:174179.CrossRefGoogle ScholarPubMed
42.Largo, RG. DSM-III diagnoses in chronic pain. Confusion or clarity? J Nerv Mont Dis 1986:174:295303.CrossRefGoogle Scholar
43.Turk, DC. Customizing treatment for chronic pain patients: Who. what, and why. Clin J Pain 1990:6:255270.CrossRefGoogle ScholarPubMed
44.Weisberg, JN. Keefe, FJ. Personality, individual differences, and psychopathology in chronic pain. In: Gatchel, RJ. Turk, DC (eds). Psychosocial Aspects in Chronic Pain. Critical Perspectives. Now-York. Guilford. 1999.5673.Google Scholar
45.Grzcsiak, RC. Ciccone, DS. eds. Psychological Vulnerability to Chronic Pain. New York. Springer. 1994.Google Scholar
46.Van Houdenhove, B. Neerinckx, E. Is ‘ergomania’ a lifestyle factor that makes people more vulnerable to chronic pain and fatigue? Psychosomatics 1999:40:529530.CrossRefGoogle Scholar
47.Passchicr, J. Trijsburg, RW. de Wit, R. Eerdmans-Dubbelt, SLG. red. Psychologic van onbegrepen chronische pijn. Assen, Van Gorcum. 1998.8498.Google Scholar
48.Van Houdenhove, B. Moet de pijn weg…of kan men ermoe leren omgaan? Bedenkingen bij het concept ‘multidisciplinaire pijnkliniek’ en de rol van de psychiater bij de diagnostiek en behandeling van chronische pijn. Tijdschr Psychiatrie 1997:39:802808.Google Scholar
49.Anooshian, J. Streltzer, J. Goebert, D. Effectiveness of a psychiatric pain clinic. Psychosomatics 1999:40:226232.CrossRefGoogle ScholarPubMed
50.Heim, C. Ehlcrt, U. Hanker, JP. Hellhammer, DH. Abuse-related posttraumatic stress disorder and alterations of the hypothalamic-pitui-tarv-adrenal axis in women with chronic pelvic pain. Psychosom Med 1998:60:309318.CrossRefGoogle ScholarPubMed
51.Demitrack, MA. Croffort, LJ. Evidence for and pathophysiological implications of hypothalamic-pituitary-adrenal axis dysregulation in fibromyalgia and chronic fatigue syndrome. Ann NY Acad Sci 1998:840:684697.CrossRefGoogle ScholarPubMed
52.Melzack, R. Pain and stress: A now perspective. In: Gatchel, RJ. Turk, DC (eds). Psychosocial Aspects in Chronic Pain. Critical Perspectives. New York. Guilford. 1999.89106.Google Scholar
53.Morley, S. Eccleston, C. Williams, A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain 1999:80:113.CrossRefGoogle ScholarPubMed
54.Maruta, T. Malinchoc, M. Offord, KP. Colligan, RC. Status of patients with chronic pain 13 years after treatment in a pain management center. Pain 1998:74:199204.CrossRefGoogle Scholar
55.Clark, MR. The role of psychiatry in the treatment of chronic pain. In: Cohen, MJM. Campbeil, JN (eds). Pain Treatment Centers at the Crossroads: A Practical and Conceptual reappraisal. Seattle. IASP Press. 1996.5968.Google Scholar
56.Kupers, R. Van Den Oever, R. Van Houdenhove, B. Van Mechelen, W. Hopp, B. Nuttin, B. Gybols, J. Spinal cord stimulation in Belgium. A nation-wide survey on the incidence, indications and therapeutic efficacy by the health insurer. Pain 1995:56:211216.CrossRefGoogle Scholar
57.Nelson, DV. Kennington, M. Novy, DM. Squitiozi, P. Psychological selection criteria for implantable spinal cord stimulators. Pain Forum 1996:5:93103.CrossRefGoogle Scholar
58.Van Houdenhove, B. Ziek zonder ziekte. Beter begrijpon van psychosomatische klachten. Tielt. Lannoo. 1998.Google Scholar
59.Van Houdenhove, B. ‘Renteneurose’. Inleiding tot een symposium overdo medisch-sociale en medicolegal aspecten van ziektegevoel zonder ziekte. Tijdschr Gencesk 1997:53:16411643.Google Scholar
60.Allaz, AF. Vannotti, M. Desmeules, J. Piguet, V. Celic, Y. Pyroth, O. Guex, P. Dayer, P. Use of the label ‘litigation neurosis’ in patients with somatoform pain disorder. Gen Hosp Psychiatry 1998:20:9197.CrossRefGoogle ScholarPubMed
61.Linton, SJ. Bradley, LA. Strategies for the prevention of chronic pain. In: Gatchel, RJ. Turk, DC (eds). Psychological Approaches to Pain Management. A Practitioners Handbook. New York. Guilford. 1996. 438457.Google Scholar
62.Mendclson, G. Chronic pain, compensation and clinical knowledge. Theoret Med 1991:12:227246.CrossRefGoogle Scholar
63.Mavou, R. Radanov, P. Whiplash neck injury. J Psychosom Res 1996:40:461474.Google Scholar
64.Egle, UT. Hoffmann, SO. Der Schmerzkranke. Stuttgart. Schatlauer. 1993.Google Scholar
65.Van Houdenhove, B. Wyckaerl, S. Goossens, L. Neerinckx, E. Ackaert, Y. De psychosomatische revalidatieafdeling: leren omgaan met chronische pijn en vermoeidheid. Tijdschr Geneesk 1999:55:17461752.CrossRefGoogle Scholar