The psychosomatics of chronic back pain. Classification, aetiology and therapy [Die psychosomatik des chronischen rückenschmerzes: Klassifikation, ätiologie und therapie]

被引:0
作者
Henningsen P. [1 ,2 ]
机构
[1] Psychosomatische Klinik, Universität Heidelberg, Heidelberg
[2] Psychosomatische Klin. der Univ., 69115 Heidelberg
来源
Der Orthopäde | 2004年 / 33卷 / 5期
关键词
Aetiology; Chronic pain; Classification; Somatoform disorders; Therapy;
D O I
10.1007/s00132-003-0615-y
中图分类号
学科分类号
摘要
An overview is given on the current classification, description and treatment of chronic pain with causally relevant psychological factors. It is based on the "practice guidelines on somatoform disorders" and on a thematically related meta-analysis. The classificatory problems, especially of the demarcation of somatoform and other chronic pain, are presented. Additional descriptive dimensions of the relevant psychosocial factors are: pain description, other organically unexplained pain- and non-pain-symptoms, anxiety and depression, disease conviction and illness behaviour, personality and childhood abuse. A modified psychotherapy for (somatoform) chronic pain is outlined. Finally, this aetiologically oriented psychosomatic-psychiatric approach is compared to psychological coping models for chronic pain.
引用
收藏
页码:558 / 567
页数:9
相关论文
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