PiD - Psychotherapie im Dialog 2016; 17(04): 69-72
DOI: 10.1055/s-0042-116706
Aus der Praxis
© Georg Thieme Verlag KG Stuttgart · New York

Chronischer Schmerz bei Traumatisierung

Komplexität und Herausforderung bei Diagnostik und Therapie
Nina Bischoff
,
Naser Morina
,
Niklaus Egloff
Further Information

Publication History

Publication Date:
28 December 2016 (online)

Schmerz wird von Menschen mit posttraumatischen Belastungs­störungen (PTBS) als häufigstes somatisches Symptom berichtet. Die Komplexität und Verschiedenartigkeit der Schmerzen bei ­Traumafolgestörungen sind sehr herausfordernd in Diagnostik und Therapie. Dieser Artikel will einen Überblick hinsichtlich der ­häufigsten Schmerzformen bei Traumatisierung schaffen.

 
  • Literatur

  • Dirkzwager AJ, van der Velden PG, Grievnik L et al. ­Disaster-related posttraumatic stress disorder and ­physical health. Psychosom Med 2007; 69: 435-440
  • Egloff N, Maecker F, Stauber S et al. Nondermatomal somatosensory deficits in chronic pain patients: are they really hysterical?. Pain 2012; 153: 1847-1851
  • Egloff N, Cámara R, von Känel R et al. Hypersensitivity and ­Hyperalgesia in Somatoform Pain Disorders. Gen Hosp Psych 2014; 36: 284-290
  • Foa EB, Davidson JRT, Frances A et al The expert consensus guideline series: Treatment of posttraumatic stress disorder. J Clin Psychiatry 1999; 60 (Suppl. 16) 4-76
  • Hoffman BM, Papas RK, Chatkoff DK et al. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol 2007; 26: 1-9
  • Khasar SG, Burkham J, Dina OA et al. Stress induces a switch of intracellular signaling in sensory neurons in a model of generalized pain. J Neurosci 2008; 28: 5721-5730
  • Morina N, Egloff N. The Complexity of Chronic Pain in ­Traumatized People – Diagnostic and Therapeutic ­Challenges. In: Schnyder U, Cloitre M. eds. Evidence Based Treatments for Trauma Related Psychological Disorders – A Practical Guide for Clinicians. Springer Publishers; 2015: 347-360
  • Nair J, Singh Ajit S. The role of the glutamatergic system in posttraumatic stress disorder. CNS Spectr 2008; 13: 585-991
  • Neugebauer V, Li W, Bird GC et al. The amygdala and ­persistent pain. Neuroscientist 2004; 10: 221-234
  • Olsen DR, Montgomery E, Boholm S et al. Prevalence of pain in the head, back and feet in fegugees previously exposed to torture: a ten year follow-up study. Disabil ­Rehabil 2007; 29: 163-171
  • Poundja J, Fikretoglu D, Brunet A. The co-occurence of posttraumatic stress disorder symptoms and pain: is ­depression a mediator?. J Trauma Stress 2006; 19: 747-751
  • Shipherd JC, Keyes M, Jovanovic T et al. Veterans seeking treatment for posttraumatic stress disorder: what about ­comorbid chronic pain?. J Rehabil Res Dev 2007; 44: 153-165
  • Tushima WT, Stoddard VM. Ethnic group similarities in the ­biofeedback training of pain. Med Psychother 1990; 3: 69-75
  • Whalley MG, Farmer E, Brewin CR. Pain flashbacks following the July 7th 2005 London bombings. Pain 2007; 132: 332-336
  • Williams AC, Pena CR, Rice AS. Persistent pain in survivors of torture: a cohort study. J Pain Symptom Manage 2010; 40: 715-722