Download PDF
PSYCH up2date 2021; 15(06): 511-528
DOI: 10.1055/a-1227-3943
Essstörungen, somatische Belastungsstörungen, Schlafstörungen und sexuelle Funktionsstörungen

Psychosomatik in der Schmerztherapie – Herausforderungen chronischer Schmerzen

Victoria Lucas
1   Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
,
Wolfgang Eich
,
Jonas Tesarz
1   Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints All articles of this category

Obwohl die Aufmerksamkeit unter den Ärztinnen und Ärzten in Bezug auf chronische Schmerzen wächst, gilt der Patient mit chronischen Schmerzen in der Praxis oftmals als komplexer, wenn nicht sogar „schwieriger“ Patient. Patienten mit chronischen Schmerzen sind damit dem erhöhten Risiko ausgesetzt, vorschnell abgewiesen und weitergeschickt zu werden. Gleichzeitig sind die therapeutischen Möglichkeiten oftmals begrenzt und die Therapieerfolge unbefriedigend.

Schlüsselwörter

Schmerztherapie - Psychosomatik - somatoforme Schmerzstörungen - Fibromyalgie - 6-Stufen-Modell - chronischer Schmerz


Publication History

Article published online:
05 November 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 European Pain Federation. Pain Proposal: Improving the Current and Future Management of Chronic Pain. A European Consensus Report. Available at: (Accessed: January 2021) https://europeanpainfederation.eu/wp-content/uploads/2016/06/pain_proposal.pdf
  • 2 Tesarz J. Psychosomatik in der Schmerztherapie. In: Seidler GH, Tesarz J, Streeck-Fischer A. Komplexe Krisen und Störungen. Stuttgart: Klett-Cotta; 2018
    Search in Google Scholar
  • 3 GBD 2016. Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 390: 1211-1259 Erratum in: Lancet 2017; 390(10106): e38
    CrossrefPubMedSearch in Google Scholar
  • 4 Kosek E, Cohen M, Baron R. et al. Do we need a third mechanistic descriptor for chronic pain states?. Pain 2016; 157: 1382-1386
    CrossrefPubMedSearch in Google Scholar
  • 5 Fitzcharles MA, Cohen SP, Clauw DJ. et al. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet 2021; 397: 2098-2110
    CrossrefPubMedSearch in Google Scholar
  • 6 Fishbain DA, Pulikal A, Lewis JE. et al. Chronic pain types differ in their reported prevalence of post-traumatic stress disorder (PTSD) and there is consistent evidence that chronic pain is associated with PTSD: an evidence-based structured systematic review. Pain Med 2017; 18: 711-735
    CrossrefPubMedSearch in Google Scholar
  • 7 Mills SEE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth 2019; 123: e273-e283
    CrossrefPubMedSearch in Google Scholar
  • 8 Whibley D, AlKandari N, Kristensen K. et al. Sleep and Pain: A systematic review of studies of mediation. Clin J Pain 2019; 35: 544-558
    CrossrefPubMedSearch in Google Scholar
  • 9 Spitzer RL, Kroenke K, Williams JB. et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Int Med 2006; 166: 1092-1097
    CrossrefPubMedSearch in Google Scholar
  • 10 Whooley MA, Avins AL, Miranda J. et al. Case-finding instruments for depression. Two questions are as good as many. J Gen Int Med 1997; 12: 439-445
    CrossrefPubMedSearch in Google Scholar
  • 11 Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA 1984; 252: 1905-1907
    CrossrefPubMedSearch in Google Scholar
  • 12 Breslau N, Peterson EL, Kessler RC. et al. Short screening scale for DSM-IV posttraumatic stress disorder. Am J Psy 1999; 156: 908-911
    CrossrefPubMedSearch in Google Scholar
  • 13 Becker A, Becker M, Engeser P. S1-Leitlinie: Chronischer Schmerz. AWMF-Leitlinien-Registernummer: 053/036; 2013. http://www.awmf.org/uploads/tx_szleitlinien/053–036l_S1_Chronischer_Schmerz_2013–10-abgelaufen.pdf 2021
    PubMedSearch in Google Scholar
  • 14 Treede RD, Rief W, Barke A. et al. Chronic pain as a symptom or a disease: the IASP Classification of chronic pain for the International Classification of Diseases (ICD-11). Pain 2019; 160: 19-27
    Search in Google Scholar
  • 15 Galvez-Sánchez CM, Reyes Del Paso GA. Diagnostic criteria for Fibromyalgia: Critical review and future perspectives. J Clin Med 2020; 9: 1219
    CrossrefPubMedSearch in Google Scholar
  • 16 Sliwinski J, Elkins GR. Enhancing placebo effects: Insights from social psychology. Am J Clin Hypn 2013; 55: 236-248
    CrossrefPubMedSearch in Google Scholar
  • 17 Tesarz J, Eich W. Schmerz aus medizinpsychologischer Perspektive. In: Koch U, Bengel J. Enzyklopädie der Psychologie – Medizinische Psychologie Band 2: Anwendungen. Göttingen: Hogrefe; 2016
    Search in Google Scholar
  • 18 Häuser W. 2. Aktualisierung der S3-Leitlinie Langzeitanwendungen von Opioiden bei chronischen nicht-tumorbedingten Schmerzen „LONTS“. Schmerz 2020; 34: 204-244
    CrossrefPubMedSearch in Google Scholar
  • 19 Suh JH, Kim H, Jung GP. et al. The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine (Baltimore) 2019; 98: e16173
    Search in Google Scholar
  • 20 Novo Navarro P, Landin-Romero R, Guardiola-Wanden-Berghe R. et al. 25 years of Eye Movement Desensitization and Reprocessing (EMDR): The EMDR therapy protocol, hypotheses of its mechanism of action and a systematic review of its efficacy in the treatment of post-traumatic stress disorder. Rev Psiquiatr Salud Ment (Engl Ed) 2018; 11: 101-114
    CrossrefPubMedSearch in Google Scholar
  • 21 Gerhardt A, Leisner S, Hartmann M. et al. Eye Movement Desensitization and Reprocessing vs. treatment-as-usual for non-specific chronic back pain patients with psychological trauma: A randomized controlled pilot study. Front Psy 2016; 7: 201
    CrossrefPubMedSearch in Google Scholar
  • 22 Maroufi M, Zamani S, Izadikhah Z. et al. Investigating the effect of Eye Movement Desensitization and Reprocessing (EMDR) on postoperative pain intensity in adolescents undergoing surgery: a randomized controlled trial. J Adv Nurs 2016; 72: 2207-2217
    CrossrefPubMedSearch in Google Scholar
  • 23 Estergard L. Eye movement desensitization and reprocessing in the treatment of chronic pain. Walden: Walden University; 2009
    Search in Google Scholar
  • 24 Lumley M, Schubiner H, Lockhart N. et al. Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial. Pain 2017; 158: 2354-2363
    CrossrefPubMedSearch in Google Scholar