Dor e depressão
DOI:
https://doi.org/10.34024/rnc.2006.v14.8762Palavras-chave:
Antidepressivo, Depressão, DorResumo
Dor crônica é condição dispendiosa e clinicamente debilitante. É considerada como um fenômeno biopsicossocial. A dor crônica inclui uma grande variedade de condições clínicas bastante heterogênias. Os programas de reabilitação sem a participação de reabilitação na área de saúde mental proporcionam resultados insatisfatórios. A psicopatologia pode também aumentar a intensidade da dor e da incapacidade e pode perpetuar a disfunção relacionada a dor. Muito desse interesse se deve ao fato de elevada freqüência com que doentes com dor crônica sofrem depressão. Relação temporal entre essas anormalidades pode variar: a depressão pode preceder a ocorrência da dor crônica, ser conseqüência da dor crônica ou pode ser um evento biológico concomitante com a dor crônica. Ao mesmo tempo os fenômenos psicopatológicos intensificam a experiência dolorosa. A relação entre a dinâmica e o reforço entre dor psicopatologia torna impossível tratamento de cada condição independentemente de outra.
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