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Yıl:1999; Cilt: 2; Sayı: 2>> Özet
Klinik Psikiyatri Dergisi; 1999;2(2):109-116
Kronik Ağrı Tedavisinde Psikiyatrik Yaklaşımlar
A Soykan, H Kumbasar
Ankara Üniversitesi, ANKARA
Herhangi bir patolojik lezyon, algısal farklılıklarla ilişkili olarak değişik şiddetlerde ağrıya yol açabilir. Hem elimizdeki klinik veriler hem de deneysel çalışmalar hastanın ağrısının psikososyal faktörlerle artabileceğine işaret etmektedir. Hastanın ağrısı hakkındaki düşünceleri, ağrıya dikkatini ne derece yönelttiği, ruhsal durumu ve ağrının ortaya çıktığı sosyal ortam ağrının algısal ya da merkezi seviyede şiddetini etkileyen en önemli özelliklerdir. Öte yandan, bu etkenlere yönelik müdahaleler ağrıyı azaltıcı tedavilerin etkisini en üst düzeye çıkartmak amacıyla kullanılabilirler. Bilgi verme, gevşeme ve hayal kurma, dikkati dağıtma, aile tedavileri kronik ağrılı hastalarda etkinlikleri gösterilmiş tekniklerdir. Ek olarak, psikofarmakolojik müdahaleler yanlızca psikiyatrik bir bozukluğu olanlarda değil, olmayanlarda da yararlı etkiler ortaya çıkartabilmektedir. Psikiyatristin kronik ağrısı bulunan hastalarda yapabileceği pekçok şey olduğu unutulmamalı ve psikiyatristin bu tür hastalarla uğraşan multidisipliner bir takımda mutlaka yerini alması planlanmalıdır.
Psychiatric Interventions in Chronic Pain Treatment
Any given pathological lesion can produce pain whose intensity varies widely among different patients in relation with the perceptual differences among sufferers. There is enough clinical and experimental evidence that a patient’s level of pain is amplified by various psychosocial factors. The thoughts he has about his pain, the degree to which he pays attention to it, his mood and the context of situation where pain emerges have been most prominent features that effects the severity of pain on perceptual or central level. Interventions to these factors, on the other hand, can be used therapeutically in maximizing the effectiveness of pain relieving treatments. Providing information, relaxation and imagery, dikkati dagitma, family interventions are among the techniques that have proven to be effective in chronic pain patients. Additionally, not only the cases that demonstrate some kind of psychiatric disorders but also some patients without any significant psychiatric problems may benefit from psychopharmacological treatments. As psychiatrists have much to do with chronic pain patients, they must be included in the multidisciplinary team that deals with these patients.

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