CAJ | 학술논문

常见的心身障碍共病可以理解为一种新的精神疾病结构模型：情绪障碍、抑郁、焦虑及躯体化障碍等归为内化性疾病谱系的组成元素，物质滥用和反社会行为障碍归为外化性疾病谱系的组成元素。本文分析探讨评估慢性疼痛与这一模型的联系。社会心理和生物学的研究证据表明慢性疼痛与内化性障碍密切相关，提示内化－外化性疾病模型可以作为一个有效的研究架构，为探讨慢性疼痛与情感、抑郁焦虑及其他相关精神障碍的关联共病机制提供新的研究方向和新思路。
상견적심신장애공병가이리해위일충신적정신질병결구모형：정서장애、억욱、초필급구체화장애등귀위내화성질병보계적조성원소，물질람용화반사회행위장애귀위외화성질병보계적조성원소。본문분석탐토평고만성동통여저일모형적련계。사회심리화생물학적연구증거표명만성동통여내화성장애밀절상관，제시내화－외화성질병모형가이작위일개유효적연구가구，위탐토만성동통여정감、억욱초필급기타상관정신장애적관련공병궤제제공신적연구방향화신사로。
Psychosomatic disorders involving depression and anxiety co‐occur frequently enough that they can be conceptualized as elements within a broad spectrum of internalizing disorders. Patterns of comorbidity among common mental disorders can be understood from the perspective of a model that regards mood ,anxiety and somatization disorders as elements with an internalizing spectrum of disorder ,and substance use and antisocial behavior disorder as elements within a separate externalizing spectrum of disorder. In this article ,we evaluate the possibility of linking this model to literatures on chronic pain. Evidence from psychosocial and biological perspectives points out the mechanisms that link chronic pain to internalizing disorder ,and such evidence indicates that the internalizing‐externalizing model may provide a useful framework for suggesting new directions for research on connections between chronic pain and mood ,anxiety and related disorders and traits.