Résumé
La prise en charge de la douleur chronique est réputée difficile. Plusieurs études ont montré l’importance des facteurs psychologiques dans la chronicisation de la douleur. Les troubles de l’humeur sont le plus souvent réactionnels. Préexistant à l’état douloureux, ils sont des facteurs de vulnérabilité. Plus récemment a été soulignée l’importance des facteurs cognitifs, en particulier des croyances, des schémas cognitifs et des modes attentionnels pathologiques. Le modèle du stress semble approprié pour expliquer la spirale de la douleur chronique.
Abstract
Chronic pain management is known to be difficult and psychological factors play an important role in chronic pain development. Mood disturbances, when preexisting, are vulnerability factors. Moreover, beliefs, cognitive status, pathological attention dysfunction and especially stress, are feeders of the chronic pain spiral.
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Margot-Duclot, A. Émotions et douleurs chroniques. Douleur analg 26, 30–37 (2013). https://doi.org/10.1007/s11724-012-0321-9
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DOI: https://doi.org/10.1007/s11724-012-0321-9