心因性疼痛

WordNet

cause emotional anguish or make miserable; "It pains me to see my children not being taught well in school" (同)anguish, hurt
a symptom of some physical hurt or disorder; "the patient developed severe pain and distension" (同)hurting
a bothersome annoying person; "that kid is a terrible pain" (同)pain in the neck, nuisance
a somatic sensation of acute discomfort; "as the intensity increased the sensation changed from tickle to pain" (同)pain_sensation, painful sensation
emotional distress; a fundamental feeling that people try to avoid; "the pain of loneliness" (同)painfulness
mental or emotional rather than physiological in origin; "a psychogenic disorder"

PrepTutorEJDIC

〈C〉〈U〉(肉体のある部分の)『苦痛』,『痛み』 / 〈U〉(精神的な)『苦痛』,心痛 / 《複数形で》骨折り,苦労,努力 / 〈C〉不快感,いやな感じ;うんざりさせるもの,やっかい者 / (肉体的・精神的に)…‘に'苦痛を与える(受動態にできない)
心因性の(精神・心理作用から生じる)
《補語にのみ用いて》腹を立てて / 《補語にのみ用いて》(心が)鐘ついて / 不愉快な,気まずい
とうちゃん(papa)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/09/08 22:17:47」(JST)

wiki en

Psychogenic pain, also called psychalgia,^[1] is physical pain that is caused, increased, or prolonged by mental, emotional, or behavioral factors.^[2]^[3]^[4]

Headache, back pain, or stomach pain are some of the most common types of psychogenic pain.^[2] It may occur, rarely, in persons with a mental disorder, but more commonly it accompanies or is induced by social rejection, broken heart, grief, lovesickness, or other such emotional events.

Sufferers are often stigmatized, because both medical professionals and the general public tend to think that pain from psychological source is not "real". However, specialists consider that it is no less actual or hurtful than pain from other sources.

The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" (emphasis added). In the note accompanying that definition, the following can be found about pain that happens for psychological reasons:^[5]

Many people report pain in the absence of tissue damage or any likely pathophysiological cause; usually this happens for psychological reasons. There is usually no way to distinguish their experience from that due to tissue damage if we take the subjective report. If they regard their experience as pain and if they report it in the same ways as pain caused by tissue damage, it should be accepted as pain.

Medicine refers also to psychogenic pain or psychalgia as a form of chronic pain under the name of persistent somatoform pain disorder^[6] or functional pain syndrome.^[7] Causes may be linked to stress, unexpressed emotional conflicts, psychosocial problems, or various mental disorders. Some specialists believe that psychogenic chronic pain exists as a protective distraction to keep dangerous repressed emotions such as anger or rage unconscious.^[8]

It remains controversial, however, that chronic pain might arise purely from emotional causes.^[9] Treatment may include psychotherapy, antidepressants, analgesics, and other remedies that are used for chronic pain in general.^[10]

References

^ Psychalgia - Physical pain that is possibly of psychological origin. American Heritage Medical Dictionary. But see also psychalgia in the sense of psychological pain.
^ ^a ^b "Psychogenic & Psychological Pain&". Cleveland Clinic.
^ "Psychogenic pain". Biology-Online Dictionary.
^ Merskey and Spear defined psychogenic pain as "... pain which is independent of peripheral stimulation or of damage to the nervous system and due to emotional factors, or else pain in which any peripheral change (e.f. muscle tension) is a consequence of emotional factors." Merskey, H., Spear F.G. (1967). Pain, psychological and psychiatric aspects. London. Bailliere, Tindall & Cassell. ISBN 0-7020-0006-X
^ IASP Pain Terminology
^ "ICD-10 Version:2010".
^ http://www.iasp-pain.org/AM/Template.cfm?Section=IASP_Press_Books2&Template=/CM/HTMLDisplay.cfm&ContentID=10116
^ Sarno, John E., MD, et al., The Divided Mind: The Epidemic of Mindbody Disorders 2006 (ISBN 0-06-085178-3)
^ Stephen Tyrer, Psychosomatic pain, The British Journal of Psychiatry (2006) 188: 91-93
^ MedlinePlus Medical Encyclopedia

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 身体化：疫学、病因、臨床的特徴、医学的評価、および診断 somatization epidemiology pathogenesis clinical features medical evaluation and diagnosis
2. 経膣メッシュ曝露と骨盤手術後の疼痛のマネージメント management of transvaginal mesh exposure and pain following pelvic surgery
3. 頭蓋顔面痛の概要 overview of craniofacial pain
4. Nontraumatic chest pain in children and adolescents: Approach and initial management
5. 成人における胸痛の診断的アプローチ diagnostic approach to chest pain in adults

English Journal

Health care utilization following diagnosis of psychogenic nonepileptic seizures.

Salinsky M1, Storzbach D2, Goy E2, Kellogg M2, Boudreau E3.
Epilepsy & behavior : E&B.Epilepsy Behav.2016 May 17;60:107-111. doi: 10.1016/j.yebeh.2016.04.007. [Epub ahead of print]
OBJECTIVES: The long-term outcome of patients with psychogenic nonepileptic seizures (PNES) is of importance given the disabling symptoms and tendency to affect patients early in their productive years. Health care utilization (HCU) is an important outcome measure reflecting overall health status an
PMID 27206227

[Conversion disorder in an internal medicine department: A series of 37 cases].

Régny P1, Cathébras P2.
L'Encéphale.Encephale.2016 Apr;42(2):150-5. doi: 10.1016/j.encep.2014.11.004. Epub 2016 Jan 27.
OBJECTIVES: To describe the clinical characteristics of a series of patients presenting conversion disorder in a general internal medicine ward and outpatient clinic, the arguments retained by the physicians in favour of the diagnosis, the somatic and psychiatric co-morbidities, the management and t
PMID 26827119

A Nationwide Population-Based Cohort Study of Migraine and Organic-Psychogenic Erectile Dysfunction.

Wu SH1, Chuang E, Chuang TY, Lin CL, Lin MC, Yen DJ, Kao CH.
Medicine.Medicine (Baltimore).2016 Mar;95(10):e3065. doi: 10.1097/MD.0000000000003065.
As chronic illnesses and chronic pain are related to erectile dysfunction (ED), migraine as a prevalent chronic disorder affecting lots of people all over the world may negatively affect quality of life as well as sexual function. However, a large-scale population-based study of erectile dysfunction
PMID 26962838

Japanese Journal

Chronic Orofacial Pain in Dental Patients: Retrospective Investigation over 12 years

Tomoyasu Yumiko,Higuchi Hitoshi,Mori Megumi,Takaya Kumiko,Honda Yuka,Yamane Ayaka,Yabuki Akiko,Hayashi Tomoko,Ishii-Maruhama Minako,Jinzenji Ayako,Maeda Shigeru,Kohjitani Atsushi,Shimada Masahiko,Miyawaki Takuya
Acta Medica Okayama 68(5), 269-275, 2014-10
… Orofacial pain is often difficult to diagnose and treat. … However, there have been few reports on the clinical observation of dental patients with orofacial pain. … We retrospectively investigated the characteristics of 221 dental patients who had suffered from persistent orofacial pain. … More than half of the patients (53.8%) had suffered with pain for more than 6 months from pain onset until the first visit to our clinic. …
NAID 120005477125

当院における性交痛症例の背景

藤井祐美
日本性科学会雑誌 32(1), 53-59, 2014-07
NAID 40020241539

MRIを用いた女性腰部疾患例における大腰筋特性

佐藤成登志,地神裕史,島田雄司,山本智章,Sato Naritoshi,Jigami Hirohumi,Shimada Yuuzi,Yamamoto Noriaki
新潟医療福祉学会誌 13(2), 2-7, 2014-03
… Out of 70 to 80% of the total population of the world who have experienced at least ones in their life time low back pain, 85% of cases are not suitable for surgery. … The causes of the pain vary, including those derived from the spine's soft tissue myofascial uni, neurological disorders, visceral diseases, vascular diseases or those of psychogenic origin. …
NAID 120005442199