{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:36:55Z","timestamp":1793306215900,"version":"4.5.0"},"reference-count":43,"publisher":"FapUNIFESP (SciELO)","issue":"2A","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2000,6]]},"abstract":"<jats:p>O conhecimento dos mecanismos biol\u00f3gicos da dor n\u00e3o \u00e9 suficiente para a compreens\u00e3o das s\u00edndromes de dor cr\u00f4nica frequentemente encontradas pelos neurologistas, como lombalgias, cervicobraquialgias e mialgias, nas quais nenhuma anormalidade significativa \u00e9 encontrada. Aspectos psicol\u00f3gicos, como dist\u00farbios do humor e ansiedade, e aspectos sociais, como ganhos secund\u00e1rios do tipo aposentadorias e indeniza\u00e7\u00f5es, podem ter papel relevante na inicia\u00e7\u00e3o e perpetua\u00e7\u00e3o dos sintomas. Fatores psicol\u00f3gicos e sociais produzem um comportamento de doen\u00e7a anormal, caracterizado basicamente por uma despropor\u00e7\u00e3o entre sinais objetivos escassos, queixas exacerbadas e alega\u00e7\u00e3o de incapacidade. A identifica\u00e7\u00e3o de um comportamento de doen\u00e7a anormal, atrav\u00e9s da observa\u00e7\u00e3o e avalia\u00e7\u00e3o dos comportamentos dos pacientes, \u00e9 um m\u00e9todo v\u00e1lido e \u00fatil para fins diagn\u00f3sticos e quanto a natureza das queixas. O m\u00e9dico deve agir de modo a n\u00e3o refor\u00e7ar as convic\u00e7\u00f5es organicistas dos pacientes, orientando-se quanto \u00e0 proped\u00eautica e tratamento pelos sinais objetivos e n\u00e3o pelo vigor das queixas e alega\u00e7\u00e3o de incapacidade. A sociedade deve tamb\u00e9m abster-se de adotar pol\u00edticas que estimulam comportamentos de doente anormais.<\/jats:p>","DOI":"10.1590\/s0004-282x2000000200027","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T14:25:47Z","timestamp":1113575147000},"page":"360-365","source":"Crossref","is-referenced-by-count":7,"title":["Aspectos comportamentais das s\u00edndromes de dor cr\u00f4nica"],"prefix":"10.1590","volume":"58","author":[{"given":"JOS\u00c9 TEOTONIO DE","family":"OLIVEIRA","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais; Universidade Federal de Minas Gerais"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00003086-199703000-00009","article-title":"Doctors, diagnosis, and disability: a disastrous diversion","volume":"336","author":"Loeser JD","year":"1997","journal-title":"Clin 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