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Psychogenic pain

L E Lim1

  • 1Institute of Mental Health/Woodbridge Hospital, Singapore.

Singapore Medical Journal
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

When physical causes are ruled out, consider psychogenic pain. Early psychiatric referral is crucial for effective pain management, though patient acceptance requires sensitive handling and rapport-building.

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Area of Science:

  • Psychiatry
  • Pain Medicine
  • Psychosomatic Medicine

Background:

  • Pain is a frequent medical complaint.
  • Organic causes must be excluded first.
  • Psychogenic mechanisms are often overlooked.

Purpose of the Study:

  • To outline diagnostic clues for psychogenic pain.
  • To describe principles for managing patients with psychogenic pain.
  • To highlight the importance of early psychiatric referral.

Main Methods:

  • Review of diagnostic clues from history and physical examination.
  • Discussion of management principles, including rapport-building.
  • Consideration of cognitive behavioral methods.

Main Results:

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  • Diagnostic indicators for psychogenic pain can be identified.
  • Sensitive referral and early rapport are key to management.
  • Cognitive behavioral therapies show potential but need more research.

Conclusions:

  • Psychogenic pain requires careful consideration after excluding organic causes.
  • Effective management hinges on skillful handling, early referral, and establishing patient rapport.
  • Further controlled studies are needed to validate cognitive behavioral approaches.