The IASP classification of chronic pain for ICD-11: chronic primary pain

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

  • Michael Nicholas, Pain Management Research Institute, Royal North Shore Hospital, University of Sydney, Sydney, Australia., Australien
  • Johan W S Vlaeyen, Research Group Health Psychology, University of Leuven, Leuven, Belgium, Department of Clinical Psychological Science, Maastricht University, Maastricht, The Netherlands, TRACE, Center for Translational Health Research, KU Leuven-Ziekenhuis Oost-Limburg, Genk, Belgium., Belgien
  • Winfried Rief, Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Marburg, Germany., Tyskland
  • Antonia Barke, Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Marburg, Germany., Tyskland
  • Qasim Aziz, Centre for Neuroscience and Trauma, Wingate Institute of Neurogastroenterology, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom., Storbritannien
  • Rafael Benoliel, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, United States., USA
  • Milton Cohen, St Vincent's Clinical School, UNSW Medicine, Sydney, New South Wales, Australia., Australien
  • Stefan Evers, Department of Neurology, Krankenhaus Lindenbrunn and Faculty of Medicine, University of Münster, Münster, Germany., Tyskland
  • Maria Adele Giamberardino, Department of Medicine and Science of Aging, CeSI-MeT, G D'Annunzio University of Chieti, Chieti, Italy., Italien
  • Andreas Goebel, Pain Research Institute, University Hospital Aintree, University of Liverpool, Liverpool, United Kingdom., Storbritannien
  • Beatrice Korwisi, Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Marburg, Germany., Tyskland
  • Serge Perrot, INSERM U 987, Pain Clinic, Cochin Hospital, Paris Descartes University, Paris, France., Frankrig
  • Peter Svensson
  • Shuu-Jiun Wang, The Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan., Brain Research Center and Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan., Taiwan
  • Rolf-Detlef Treede, Department of Neurophysiology, CBTM, Medical Faculty Mannheim of Heidelberg University, Mannheim, Germany., Tyskland
  • IASP Taskforce for the Classification of Chronic Pain

This article describes a proposal for the new diagnosis of chronic primary pain (CPP) in ICD-11. Chronic primary pain is chosen when pain has persisted for more than 3 months and is associated with significant emotional distress and/or functional disability, and the pain is not better accounted for by another condition. As with all pain, the article assumes a biopsychosocial framework for understanding CPP, which means all subtypes of the diagnosis are considered to be multifactorial in nature, with biological, psychological, and social factors contributing to each. Unlike the perspectives found in DSM-5 and ICD-10, the diagnosis of CPP is considered to be appropriate independently of identified biological or psychological contributors, unless another diagnosis would better account for the presenting symptoms. Such other diagnoses are called "chronic secondary pain" where pain may at least initially be conceived as a symptom secondary to an underlying disease. The goal here is to create a classification that is useful in both primary care and specialized pain management settings for the development of individualized management plans, and to assist both clinicians and researchers by providing a more accurate description of each diagnostic category.

OriginalsprogEngelsk
TidsskriftPain
Vol/bind160
Nummer1
Sider (fra-til)28-37
Antal sider10
ISSN0304-3959
DOI
StatusUdgivet - 2019

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