Psychologische Psychotherapie bei persistierenden Schmerzen nach einer HWS-Distorsion

Umstritten und hochkomplex: Persistierende Schmerzen nach einer HWS-Distorsion erklären sich am besten aus der biopsychosozialen Perspektive. Zu wichtigen psychologischen Faktoren zählen ein passiver Krankheitsbewältigungsstil und Posttraumatische Belastungssyndrome. Im Schulterschluss mit der Physiotherapie bietet die verhaltenstherapeutisch orientierte Psychotherapie hierbei erfolgversprechende Therapieansätze.

Publication History

Article published online:
10 July 2020

• Literatur

• 1 Turk DC, Robinson JP, Duckworth MP. The Impact of psychosocial and contextual factors on indi-viduals who sustain whiplash-associated disorders in motor vehicle collisions. Psychol Inj and Law 2018; 11 (03) 218-232 doi:10.1007/s12207-018-9317-y
• 2 Weidner N, Hug A. Wirbelsäulen- und Rückenmarktraumen. In: Hacke W. Hrsg. Neurologie. 14. Auflage. Berlin, Heidelberg: Springer; 2016
• 3 Shearer HM, Carroll LJ, Wong JJ. et al. Are psychological inter-ventions effective for the management of neck pain and whiplash-associated disorders? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. The Spine Journal 2016; 16 (12) 1566-1581 doi:10.1016/j.spinee.2015.08.011
• 4 Campbell L, Smith A, McGregor L. et al. Psychological Factors and the Development of Chronic Whiplash-associated Disorder(s): A Systematic Review. Clin J Pain 2018; 34 (08) 755-768 doi:10.1097/AJP.0000000000000597
• 5 Geneen LJ, Moore RA, Clarke C. et al. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev 2017; (04) CD011279
• 6 Hasenbring MI, Chehadi O, Titze C. et al. Fear and anxiety in the transition from acute to chronic pain: there is evidence for endurance besides avoidance. Pain Manag 2014; 4 (05) 363-374 doi:10.2217/pmt.14.36
• 7 van Damme S, Kindermans H. A self-regulation perspective on avoidance and persistence behavior in chronic pain: new theories, new challenges?. Clin J Pain 2015; 31 (02) 115-122 doi:10.1097/AJP.0000000000000096
• 8 Wicksell RK, Olsson GL, Hayes SC. Psychological flexibility as a mediator of improvement in Ac-ceptance and Commitment Therapy for patients with chronic pain following whiplash. Eur J Pain 2010; 14 (10) 1059.e1-1059.e11 doi:10.1016/j.ejpain.2010.05.001
• 9 Carroll LJ, Holm LW, Ferrari R. et al. Recovery in whiplash-associated disorders: do you get what you expect?. J Rheumatol 2009; 36 (05) 1063-1070 doi:10.3899/jrheum.080680
• 10 Ferrari R, Russell AS. Correlations between coping styles and symptom expectation for whiplash injury. Clin Rheumatol 2010; 29 (11) 1245-1249 doi:10.1007/s10067-010-1443-1
• 11 Ravn SL, Eskildsen NB, Johnsen AT. et al. Thereʼs nothing broken. Youʼve had a whiplash, thatʼs it: a qualitative study of comorbid posttraumatic stress disorder and whiplash associated disorders. Pain Medicine 2020; pnz369 doi:10.1093/pm/pnz369
• 12 Griffin H, Hay-Smith EJC. Characteristics of a well-functioning chronic pain team: A systematic review. NZJP 2019; 47 (01) 7-17 doi:10.15619/NZJP/47.1.02
• 13 Bandura A, OʼLeary A, Taylor CB. et al. Perceived self-efficacy and pain control: Opioid and nonopioid mechanisms. Journal of Personality and Social Psychology 1987; 53 (03) 563-571 doi:10.1037//0022-3514.53.3.563
• 14 Stucki C, Grawe K. Bedürfnis- und Motivorientierte Beziehungsgestaltung. Psychotherapeut 2007; 52 (01) 16-23
• 15 Hülsebusch J, Hasenbring MI, Rusu AC. Understanding pain and depression in back pain: the role of catastrophizing, help-/hopelessness, and thought suppression as potential mediators. Int J Behav Med 2016; 23 (03) 251-259 doi:10.1007/s12529-015-9522-y
• 16 Andersen TE, Ravn SL, Roessler KK. Value-based cognitive-behavioural therapy for the prevention of chronic whiplash associated disorders: protocol of a randomized controlled trial. BMC Musculoskelet Disord 2015; 16: 232 doi:10.1186/s12891-015-0687-y
• 17 Maddux JE, Lewis J. Self-efficacy and adjustment. In: Maddux JE. Hrsg. Self-Efficacy, adaptation and adjustment: Theory, research, and application. Boston: Springer US; 1995
• 18 Hilton L, Hempel S, Ewing BA. et al. Mindfulness meditation for chronic Pain: Systematic review and meta-analysis. Ann Behav Med 2017; 51 (02) 199-213 doi:10.1007/s12160-016-9844-2
• 19 Scott W, Trost Z, Milioto M. et al. Barriers to change in depressive symptoms after multi-disciplinary rehabilitation for whiplash: the role of perceived injustice. Clin J Pain 2015; 31 (02) 145-151 doi:10.1097/AJP.0000000000000095
• 20 Sullivan MJL, Yakobov E, Scott W. et al. Perceived injustice and adverse recovery outcomes. Psychol. Inj. and Law 2014; 7 (04) 325-334 doi:10.1007/s12207-014-9209-8
• 21 Westermann S, Grosse Holtforth M. et al. Motivation in psychotherapy. In: Ryan RM. Hrsg. The Oxford handbook of human motivation. Second edition. New York: Oxford University Press; 2019
• 22 van Damme S, Legrain V, Vogt J. et al. Keeping pain in mind: a motivational account of attention to pain. Neurosci Biobehav Rev 2010; 34 (02) 204-213 doi:10.1016/j.neubiorev.2009.01.005
• 23 Pausch MJ, Matten SJ. Symptome der PTBS. In: Pausch MJ. Hrsg. Trauma und Traumafolgestörung. Wiesbaden: Springer Fachmedien; 2018
• 24 Ravn SL, Hartvigsen J, Hansen M. et al. Do post-traumatic pain and post-traumatic stress symptomatology mutually maintain each other? A systematic review of cross-lagged studies. Pain 2018; 159 (11) 2159-2169 doi:10.1097/j.pain.0000000000001331
• 25 Ehlers A. Trauma-Focused Cognitive Behavior Therapy for Posttraumatic Stress Disorder and Acute Stress Disorder. In: Simos G, Hofmann SG. Hrsg. CBT for anxiety disorders: A practitioner book. Chichester: John Wiley & Sons Inc; 2013
• 26 Dunne RL, Kenardy J, Sterling M. A randomized controlled trial of cognitive-behavioral therapy for the treatment of PTSD in the context of chronic whiplash. Clin J Pain 2012; 28 (09) 755-765 doi:10.1097/AJP.0b013e318243e16b
• 27 Campbell L, Kenardy J, Andersen T. et al. Trauma-focused cognitive behaviour therapy and exercise for chronic whiplash: protocol of a randomised, controlled trial. J Physiother 2015; 61 (04) 218 doi:10.1016/j.jphys.2015.07.003
• 28 Smith AD, Schneider G. Psychological manifestations and chronic pain in whiplash-associated disorder mechanisms: the whole pie, please. J Orthop Sports Phys Ther 2019; 49 (03) 118-121 doi:10.2519/jospt.2019.0603
• 29 Rief W, Hiller W. Somatisierungsstörungen und Hypochrondie. In: Bischoff H, Traue H. Hrsg. Kopfschmerzen. Göttingen: Hogrefe; 1998
• 30 Dehner C, Kramer M. Beschleunigungstrauma der HWS – ein Update. Manuelle Therapie 2017; 21 (04) 155-160 doi:10.1055/s-0043-116686