[Pain reprocessing therapy - rethinking pain : A new psychotherapeutic approach for the treatment of chronic pain].

IF 1.1 4区医学 Q3 ANESTHESIOLOGY

Schmerz Pub Date : 2025-06-16 DOI:10.1007/s00482-025-00889-3

Antje Kallweit, Howard Schubiner

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引用次数: 0

Abstract

Background: Chronic pain affects millions of people worldwide. Nociplastic pain in particular, characterized by central sensitization and a dysfunctional alarm system, requires innovative therapeutic approaches.

Objective: This review introduces pain reprocessing therapy (PRT) as a promising psychotherapeutic approach to specifically disrupt the pain-fear-pain cycle. The theoretical background, practical implementation, and effectiveness, evidence, and feasibility of this new therapeutic method for treating nociplastic conditions are described and discussed.

Results: PRT enables patients to develop a new understanding of pain and break the pain-fear-pain cycle. Studies and clinical experience demonstrate that this method can achieve a significant reduction in pain intensity.

Discussion: PRT provides an innovative framework for treating chronic pain by combining evidence-based methods and enhancing patient self-efficacy. It has the potential to integrate the biopsychosocial model more effectively into practice and transform the paradigm of pain therapy. Challenges include the diagnostic differentiation of nociplastic pain, the required paradigm shift, and the need for training and time resources. However, studies show promising results for sustainable, patient-centered pain therapy.

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疼痛再加工疗法-反思疼痛：治疗慢性疼痛的一种新的心理治疗方法。

背景：慢性疼痛影响着全世界数百万人。特别是伤害性疼痛，其特点是中枢致敏和功能失调的报警系统，需要创新的治疗方法。目的：本综述介绍了疼痛再加工疗法（PRT）作为一种有前途的心理治疗方法，专门破坏疼痛-恐惧-疼痛循环。本文描述和讨论了这种治疗致病菌的新方法的理论背景、实践实施、有效性、证据和可行性。结果：PRT使患者对疼痛有了新的认识，打破了疼痛-恐惧-疼痛的循环。研究和临床经验表明，这种方法可以显著降低疼痛强度。讨论：PRT通过结合循证方法和提高患者自我效能，为治疗慢性疼痛提供了一个创新的框架。它有可能更有效地将生物心理社会模型整合到实践中，并改变疼痛治疗的范式。挑战包括对伤害性疼痛的诊断区分，所需的范式转变，以及对培训和时间资源的需求。然而，研究表明，可持续的，以病人为中心的疼痛治疗有希望的结果。

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来源期刊

Schmerz 医学-临床神经学

CiteScore

2.00

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.