Schmerz最新文献

{"title":"To feel is to heal-introduction to Emotional Awareness and Expression Therapy.","authors":"Daniel Maroti, Stephan Frisch, Mark A Lumley","doi":"10.1007/s00482-025-00878-6","DOIUrl":"https://doi.org/10.1007/s00482-025-00878-6","url":null,"abstract":"<p><strong>Background: </strong>Persistent physical symptoms (PPS), including (primary) pain, can, according to Emotional Awareness and Expression Therapy (EAET), be precipitated, perpetuated, and prolonged by emotional processes related to unresolved trauma and psychosocial conflicts. EAET is a novel, short-term, psychodynamic- and emotion-focused psychological treatment that targets these etiological factors, intending to substantially reduce or eliminate pain and/or somatic symptoms.</p><p><strong>Objective: </strong>This article provides an overview of EAET's theoretical background, core treatment principles, and empirical evidence from randomized controlled trials (RCTs) in alleviating somatic symptoms in people with PPS. Moreover, the potential of EAET and future research directions are discussed.</p><p><strong>Methods: </strong>We report a selective literature review synthesizing the foundations and treatment characteristics of EAET and the findings from RCTs investigating EAET since 2017.</p><p><strong>Results: </strong>Grounded in psychodynamic theory, with influences from affective neuroscience and emotion-focused therapy, the core treatment principles are reframing symptom explanations, fostering emotional processing, and facilitating corrective interpersonal experiences. EAET has been implemented in various formats, including individual therapy, group therapy, and internet-administered self-help. Since 2017, seven RCTs have been published, demonstrating efficacy in reducing symptoms, which appears superior to cognitive-behavioral therapy.</p><p><strong>Conclusion: </strong>EAET is particularly effective for treating chronic (primary) pain conditions such as fibromyalgia and musculoskeletal pain. However, further studies are required to evaluate its long-term efficacy, determine patient characteristics associated with positive outcomes, and better understand its most active mechanisms.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Status survey of Austrian pain clinics 2023 : Impact of the COVID-19 pandemic on pain management services].","authors":"Sascha Hammer, Anna Krawczyk, Brigitte Messerer, Stefan Neuwersch-Sommeregger, Patrick Reinbacher, Gregor Schittek, Andreas Sandner-Kiesling","doi":"10.1007/s00482-025-00871-z","DOIUrl":"https://doi.org/10.1007/s00482-025-00871-z","url":null,"abstract":"<p><strong>Background: </strong>According to a 2020 report by the Austrian Pain Society (ÖSG), between 1.5 and 1.8 million people in Austria suffer from chronic pain. For the treatment of these patients, multimodal pain therapy in specialized pain therapy facilities should be considered. This study aimed to analyze the actual postpandemic state of care in pain clinics in 2022 and to show how it has changed in recent years.</p><p><strong>Methods: </strong>In our survey, the heads or employees of all anesthesiology departments in Austria were asked via SurveyMonkey (SurveyMonkey Inc., San Mateo, CA, USA) using an access code to compare the pre- to postpandemic status of their pain clinics. Only anesthesiology departments were contacted, as pain clinics in Austria are almost entirely run by them. This survey was sent online by email to the heads of Austrian hospitals with an existing pain clinic and was open for completion from autumn 2022 to May 2023.</p><p><strong>Results: </strong>Of the 109 surveyed clinics, 92 participated in our study. Only 51 currently operate a pain clinic, seven of which are full-time. Nine pain clinics had closed since 2014, while seven new ones have opened. According to our data, only one specialized hospital and two basic care hospitals offer multimodal pain therapy. Invasive procedures were used more often compared to multimodal pain therapy.</p><p><strong>Conclusion: </strong>Despite the nominal increase of pain clinics in Austria, there is a multifactorial discrepancy between the recommendation of the Austrian Pain Society and the actual care of patients with chronic pain in Austria. Administrative and personnel obstacles must be overcome to meet the needs of this patient group. In addition, efforts to increase the interest of physicians in chronic pain management are needed. Greater support from healthcare policies and effective integration of pain clinics into the healthcare system could help improve the care situation.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The influence of diagnostic labels on treatment preferences of people with musculoskeletal pain : A systematic literature review].","authors":"Melanie Rupitsch, Sabine Monsberger, Jean-Pascal Grenier","doi":"10.1007/s00482-025-00876-8","DOIUrl":"https://doi.org/10.1007/s00482-025-00876-8","url":null,"abstract":"<p><strong>Background: </strong>Patients often report uncertainty about the information provided by physicians and physiotherapists, as well as difficulties in making decisions regarding medical interventions. Making autonomous and informed decisions requires clear explanations about the condition, its associated limitations, prognosis, and treatment options.</p><p><strong>Objective: </strong>This systematic review aimed to investigate how common diagnostic labels for the same musculoskeletal pathology influence the perceived severity of a condition and patients' treatment preferences.</p><p><strong>Methods: </strong>Systematic literature search in MEDLINE (via PubMed), the Cochrane Library, and the PEDro database.</p><p><strong>Results: </strong>Healthy individuals as well as patients associate diagnostic labels suggesting pathoanatomical damage in musculoskeletal pain syndromes with more pain, greater disability, and a perceived need for advanced imaging and invasive interventions. Overall, there is a significant correlation between diagnostic labels and patients' treatment preferences.</p><p><strong>Discussion: </strong>Diagnostic labels such as \"low back pain episode,\" \"persistent hip pain,\" and \"bursitis,\" which do not suggest severe structural damage, are often associated with a better prognosis and less perceived need for invasive interventions or advanced imaging. In contrast, labels indicating structural damage (e.g., \"degeneration\") can trigger fear, avoidance behaviour, and catastrophizing. Using labels that promote self-efficacy and convey a positive prognosis could therefore be a valuable strategy to improve care for patients with musculoskeletal pain.</p><p><strong>Conclusion: </strong>Severe-sounding diagnostic labels are associated with a preference for more invasive treatments, catastrophizing tendencies, and a perceived need for advanced imaging in individuals with musculoskeletal pain.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Pontine glioma with headache-Sure?]","authors":"Heike Zabel","doi":"10.1007/s00482-025-00867-9","DOIUrl":"https://doi.org/10.1007/s00482-025-00867-9","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Obituary for Dr. Ulrich B. Hankemeier].","authors":"Thilo Wagner","doi":"10.1007/s00482-025-00872-y","DOIUrl":"https://doi.org/10.1007/s00482-025-00872-y","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Addiction problems in outpatient palliative care in Germany : A survey among palliative care teams].","authors":"Jannis Eersink, Julian Maul, Nils Heuser, Astrid Morin, Martin Gschnell, Christian Volberg","doi":"10.1007/s00482-025-00868-8","DOIUrl":"https://doi.org/10.1007/s00482-025-00868-8","url":null,"abstract":"<p><strong>Background: </strong>In palliative care, the focus of treatment is on controlling the patient's symptoms. To achieve this, drugs with addictive potential are often used. This can lead to addiction problems, as palliative care patients are surviving longer these days than they did a decade ago.</p><p><strong>Aims: </strong>This study investigates whether drug misuse and substance abuse are perceived as a problem in specialised outpatient palliative care teams.</p><p><strong>Materials and methods: </strong>A cross-sectional questionnaire survey was conducted among all German specialised outpatient palliative care teams (n = 366). Data were analysed descriptively.</p><p><strong>Results: </strong>A total of 129 palliative care teams (35.2%) participated in the survey. Of these, 49.6% stated that an estimated 1-5% of their patients suffer from medication dependency and 65.9% estimate that 1-5% of their patients have drug abuse issues. In all, 69.8% of palliative care teams do not screen their patients for the presence of addiction, while 3.1% do so regularly. If an addiction problem is present, 65.9% of the teams do not take any action.</p><p><strong>Conclusion: </strong>According to the available data, addiction is not considered a problem in German palliative care. However, it should be noted that almost no palliative care team screens patients for the presence of addiction, although more than half of the teams estimate that at least some patients have an addiction problem. Further research is needed here, as new therapies may help palliative care patients to live longer. It would be important for the development of palliative care and the quality of life of those affected to evaluate how to protect patients from iatrogenically induced substance abuse.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The headache questionnaire of the German Migraine and Headache Society (DMKG) : A new tool to improve headache care].","authors":"Ruth Ruscheweyh, Charly Gaul, Thomas Dresler, Tim Patrick Jürgens, David Lewis, Torsten Kraya, Lars Neeb, Victoria Ruschil, Gudrun Goßrau","doi":"10.1007/s00482-025-00870-0","DOIUrl":"https://doi.org/10.1007/s00482-025-00870-0","url":null,"abstract":"<p><p>To enable state-of-the-art diagnosis, therapy and monitoring of headache disorders, comprehensive history taking is necessary and can be time-consuming. This is facilitated substantially if the patient gathers the needed information beforehand, using a specialized questionnaire. To this end, experts of the German Migraine and Headache Society (DMKG) have developed the DMKG headache questionnaire. It assesses central information such as headache frequency, characteristics, accompanying symptoms and medication, as well as comorbidities and validated scales for psychological cofactors, disability and quality of life. The complete version for a first visit is complemented by a shorter version for follow-up visits and a specialized cluster headache module. For headache care professionals, the DMKG headache questionnaire is free after registration ( https://www.dmkg.de/dmkg-kopfschmerzfragebogen ). It is available for a printout or as fillable PDF and can be combined with the included PDF headache diary or with the DMKG-App (smartphone headache diary). A digital version is in the planning. The DMKG headache questionnaire is an important step towards quality assurance of headache care in Germany.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum zu: Mind-body-Medizin in der Schmerztherapie.","authors":"Anna Paul","doi":"10.1007/s00482-025-00869-7","DOIUrl":"https://doi.org/10.1007/s00482-025-00869-7","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Our experience, our strength: patient involvement in health services research : Perspective of patient representatives on the Innovation Committee of the Federal Joint Committee].","authors":"Susanne Bethge, Martin Danner, Sophie Schertell","doi":"10.1007/s00482-024-00842-w","DOIUrl":"10.1007/s00482-024-00842-w","url":null,"abstract":"","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"58-60"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cognitive behavioral therapy for complex regional pain syndrome].","authors":"K Bernardy, M Wicking, R Michelka, A Schwarzer","doi":"10.1007/s00482-024-00858-2","DOIUrl":"10.1007/s00482-024-00858-2","url":null,"abstract":"<p><p>Complex regional pain syndrome (CRPS) is often associated with severe mental impairments. Initial pain-related fears in particular appear to be negative predictors for long-term therapy results. Procedures for cognitive behavioral therapy are an important component of treatment. The psychotherapy of CRPS consists of various elements that are implemented in the different phases of treatment. In the beginning the focus is on targeted psychoeducation. In the following activation phase body awareness exercises are accompanied by occupational and physiotherapeutic treatment in order to improve the perception of individual maximum loads. Behavioral analyses are used to uncover dysfunctional coping patterns, such as a fear avoidance coping strategy. In this case the use of graded activity treatment approach is indicated, in which the activity level is gradually increased. In the transfer phase psychotherapy supports affected patients in (re)designing their professional and private environments.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"67-77"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}