Chronic pain, emotional variables
The role of psychological factors in the experience of pain is great. In particular, anxiety, depression, declining trust, hysteria and exhaustion lead to an increase in the severity of pain.
Many chemical substances secreted by the body as a result of these changes. This is the heart rate varies with the secretion of chemical substances, blood pressure rises, the stomach and intestine occurs in various disorders. The effects of different factors, especially chronic pain disorders depends on the patient's psychological state. In this case both the patient and the patient is usually not considered enough by the treating physician.
There are many common points between the pain and anxiety. Scientifically shown to troubled women suffering more pain. A good example of this, labor pain. Women are more afraid of pain and suffering displayed on pain. Therefore, before birth, especially in women with very severe fears that the new relaxations are taught in new ways.
There is also a significant relationship between pain and depression. At this point the pain caused by depression resulting in various psychiatric disorders and the symptoms manifested in the form of pain is necessary to distinguish from each other. Because the long-term depression, a person with pain caused by chronic, but appears to be the result.
Of depression in patients with pain caused by pain at the same time also further aggravated known. Against those already in pain, fatigue, depression, and also leads to different forms of control systems to malfunction.
Depression and despair, the answer against the person's treatment and the physician-patient relationship affects the breaks. This emotional and psychological disorders in chronic pain patients should be overcome. Patients suffering from chronic pain, physicians constantly trying to express a variety of problems. This is a psychiatric disorder in patients with problems resulting from the situation must be distinguished from each other. As mentioned before, pain is usually a sign of a disease or danger. Chronic pain is different from the situation. Therefore, a chronic pain problem does not arise. Sleepless nights and social activities of the mind is constantly busy every day reduction in illness in humans lead to personality changes. Cheerful, export becomes a human time, an introvert. Patient cranky, irritable, aggressive, his friends paid attention takes on a personality. Patients with depression, anxiety, neuroses associated disorders such as back pain patients using a variety of psychological interventions in this direction should be supported. Pain in patients with chronic pain patients, one of the most important points is to accept as fact.
After listening to the patient, "you do not have a major disorder, psychological pain is the main reason that" the treatment fit the patient, not the cause could not be treated the exact opposite. Psychological disorders in patients undergoing more to the fore. Underestimation of the patient's emotional and psychological state of the same meaning, with underestimation of pain. Because the pain, she has become a part of human life and are dealt with, wanted to fix.
In contrast, patients with various psychiatric disorders. 10-20% of patients with chronic pain have found all this situation is called somatization. Social pressure on them is very high work of man, senior managers, housewives bored by the monotony of the environment at home, under the burden of the exam, students in courses leading to a situation often encountered. This is a small organic pathological disorders, although most patients in various parts of their bodies and physicians complain of pain exceeding physician.
This usually does not work in patients, such as pain relievers used, the patient already has a psychological, psychiatric disorder that is connected to an even worse situation. This type of treatment in patients with the most important first step in putting the correct diagnosis.
Otherwise, the status of the patient to be treated as a simple pain patient does not benefit the patient. Many painful conditions in patients with this type of method, as well as psychological factors and psychological treatment methods are also used. There are four common feature of this applied psychological methods. First, the patient, other patients revealed by landing in a different concept. In other words, help to make these conceptualizations. Are carried into the minds of human beings is a concept of pain. To provide protection as new applications are made for him in the face of pain. The period of re-conceptualization in the face of the patient experience of pain can be considered as providing a point to intervene.
Second, the patient's hope for a method of increasing the body's resources and fighting against the re-use of low mood is a feature oriented.
Third, the patient actively in the treatment process, to ensure the effective participation and to take responsibility.
Fourth, the patient's ability to recover and re-evaluation of existing resources better is for learning. Changing environmental conditions is also important to ensure these patients. Reminiscent of the behavior that is causing pain or pain around the patient and the patient should be assessed to remove restrictions around the seams. The patient be treated like a healthy person, but the patient should be evaluated as protected.
Psychiatric disorders in patients with the patient must be seen by a psychiatrist, a psychologist by the continuous monitoring is essential. One other important cultural factors in the evaluation of the patient's pain points. Pain and suffering people, regardless of culture emerges. That is a disorder in the body, a pulse of human religious, gender, gender and cultural characteristics and of course there is more of a relationship. However, in each case depends on factors such as cultural forms of expression. Because, as previously described in pain all the past experiences of people with an unpleasant feeling. Human, while expressing their thoughts and feelings from these experiences, benefit from the knowledge. When it is in culture, that separates man from other people of faith, thought, traditions, customs, interpersonal relations and all forms of behavior must be addressed. This concept is jointly shared by people in a ball of a complex behavioral forms. The person's geographic, religious and racial characteristics, many studies related to pain were related. Ethnic and cultural variables, combined with many psychological and social variables play an important role in chronic pain.
As long as the social environment of pain and pain associated behavioral changes occur. Acute pain of sudden onset of pain that we call the feeling of suffering as a reflex of certain forms of action are placed. If pain persists, this behavior changes when it becomes chronic pain no longer is in a habit. The behavior of people suffering from chronic pain and the shape structures, and cultural show in the scopes. Some medicines or medical advice immediately directed, while others called alternative medicine, a variety of different forms of treatment or religious methods, will benefit from making. Detailed evaluation of the patient's physician or other methods seen that an important role in the accumulation of environmental or cultural factors. The first step taken by the patient in a closed economic environment, growing non-medical people around to ask for help facilities, resort and hope the experience of its neighbors.
Many patients recover in this way are known to work. This type of activity is still preserved in the treatment of patients with non-medical people are known by everyone. Heritages of people dealing with the pain and the pain has been linked Ethnocultural reported forms of expression. For example, the Jewish people in an exaggerated way to express the pain and the Italians, Irish and Americans are more fatalistic, have been revealed. Entirely subjective pain, a subjective phenomenon that that person's economic and social demands resulting from the longings, images, thought to carry an important role in the case of normal structure of the pain.
Contrary to popular belief to pain complaints of women against men is expressed in a more understated. Whether you're in a society where, if because of personal characteristics of women seek medical attention, but the pain is so unbearable. Pain patients, especially from rural areas to the people of the city than to speak up is closed seen.
Urban people, especially in an exaggerated manner than semi-educated city people would like to raise complaints. All these features play an important role in the evaluation of the patient's pain. Ultimately, pain, appears to be a sense of people covering the whole. So the evaluation of pain is no longer a new discipline in medicine, may accompany a new name, we have become the subject of a medical discipline.
After a period of a patient with chronic pain, unease even depression is expected to become a phenomenon. Here, depending on the person's psychological pain, changes in the structure occurs. The patient has a cause of psychological disorders and physical disease that was a lot of pain.
However, around 5% of the patients, patients with psychological causes of physical pain as a result only occurs psychological pain that it is called. In other words, there is an event that will cause pain, psychological pain, but pain is still as it name the patient. Psychological diagnosis and treatment of pain is thought to require more difficult and detailed assessment.
There was a pain in the patient defines as physical findings. However, when the inspection is not a physical disorder. A lot of tests. Another finding is detected. In this case, the patient must be seen by a psychiatrist, should be evaluated by a psychologist. Medical measurements point to note here is whether any psychological disorder is detected, all the pain. Psychological pain, pain due to inexperience of the physician diagnose immediately qualify as extremely wrong. Those who are under stress for long periods headaches, low back pain and bowel problems, stomach ulcers develop. Such pain is called somatization. This is due to stress reactions, psychogenic pain is not pain, lies under the obvious physical reasons. For example, a very severe condition called spastic colitis, abdominal pain occurs.
Both the medical findings as well as psychologists and psychiatrists' assessments of overlap is diagnosed with the psychological pain.
Therapy in patients with psychogenic pain, unfortunately, very difficult. Because the patient does not want to go before the psychiatrist or psychologist. One reason that the treatment of pain and believes that this cause. Normal painkillers, physiotherapy or similar methods, thinks would work. Physician physician runs. Psychogenic pain treatment must be conducted by a psychiatrist