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PiD - Psychotherapie im Dialog 2024; 25(04): 48-52
DOI: 10.1055/a-2249-8593
DOI: 10.1055/a-2249-8593
Aus der Praxis
Exposition bei chronischen Rückenschmerzen – Effektivität und praktische Umsetzung
In der Behandlung chronischer Rückenschmerzen gilt die psychologische Schmerztherapie als wichtiger Baustein. Neben bewältigungsorientierten Elementen der kognitiven Verhaltenstherapie könnte die Expositionstherapie eine weitere Behandlungsstrategie sein, die Bewegungsangst und Vermeidungsverhalten fokussiert. Der Beitrag gibt einen Überblick über den Behandlungsansatz, der in der Praxis sicher und effizient umgesetzt werden kann.
Publication History
Article published online:
19 November 2024
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Literatur
- 1 Williams ACDC, Fisher E, Hearn L. et al. Psychological therapies for the management of chronic pain (excluding headache) in adults. Coch Data Syst Rev 2020; DOI: 10.1002/14651858.CD007407.pub4.
- 2 Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain 2000; 85: 317-332 DOI: 10.1016/S0304-3959(99)00242-0.
- 3 Coudeyre E, Rannou F, Tubach F. et al. General practitioners’ fear-avoidance beliefs influence their management of patients with low back pain. Pain 2006; 124: 330-337 DOI: 10.1016/j.pain.2006.05.003.
- 4 Vlaeyen JWS, Hanssen M, Goubert L. et al. Threat of pain influences social context effects on verbal pain report and facial expression. Behav Res Ther 2009; 47: 774-782 DOI: 10.1016/j.brat.2009.05.008.
- 5 Boersma K, Linton S, Overmeer T. et al. Lowering fear-avoidance and enhancing function through exposure in vivo: A multiple baseline study across six patients with back pain. Pain 2004; 108: 8-16 DOI: 10.1016/j.pain.2003.03.001.
- 6 Vlaeyen JWS, de Jong J, Geilen M. et al. Graded exposure in vivo in the treatment of pain-related fear: A replicated single-case experimental design in four patients with chronic low back pain. Behav Res Ther 2001; 39: 151-166 DOI: 10.1016/S0005-7967(99)00174-6.
- 7 Glombiewski JA, Holzapfel S, Riecke J. et al. Exposure and CBT for chronic back pain: An RCT on differential efficacy and optimal length of treatment. J Consult Clin Psychol 2018; 86: 533-545 DOI: 10.1037/ccp0000298.
- 8 Leeuw M, Goossens MEJB, van Breukelen GJP. et al. Exposure in vivo versus operant graded activity in chronic low back pain patients: Results of a randomized controlled trial. Pain 2008; 138: 192-207 DOI: 10.1016/j.pain.2007.12.009.
- 9 Linton SJ, Boersma K, Jansson M. et al. A randomized controlled trial of exposure in vivo for patients with spinal pain reporting fear of work-related activities. Eur J Pain 2008; 12: 722-730 DOI: 10.1016/j.ejpain.2007.11.001.
- 10 Woods MP, Asmundson GJG. Evaluating the efficacy of graded in vivo exposure for the treatment of fear in patients with chronic back pain: A randomized controlled clinical trial. Pain 2008; 136: 271-280 DOI: 10.1016/j.pain.2007.06.037.
- 11 Riecke J, Rief W, Lemmer G. et al. Sustainability of cognitive behavioural interventions for chronic back pain: A long-term follow-up. Eur J Pain 2024; 28: 83-94 DOI: 10.1002/ejp.2160.
- 12 Vogt R, Haas J, Baumann L. et al. EFFects of Exposure and Cognitive behavioral Therapy for chronic BACK pain (“EFFECT-BACK”): Study protocol for a randomized controlled trial. Trials 2024; 25: 176 DOI: 10.1186/s13063-024-08017-9.