IF 1 4区医学

Schmerz Pub Date : 2024-06-01 Epub Date: 2022-12-02 DOI: 10.1007/s00482-022-00681-7

Katrin Zimmermann, Stephanie Dannemann, Katja Prate, Anne Keller, Nathalie Blaue, Kerstin Weidner, Uwe Ettrich

{"title":"[Treatment expectations of multimodal pain therapy inpatients].","authors":"Katrin Zimmermann, Stephanie Dannemann, Katja Prate, Anne Keller, Nathalie Blaue, Kerstin Weidner, Uwe Ettrich","doi":"10.1007/s00482-022-00681-7","DOIUrl":"10.1007/s00482-022-00681-7","url":null,"abstract":"Background: Apart from rehabilitation research, there have been no studies regarding the expectations of patients with chronic back pain in terms of inpatient multimodal pain therapy. The aim of this naturalistic longitudinal study is to explore treatment expectations, their fulfilment, and influence on the treatment success of inpatient multimodal pain therapy.Methods: This study included 118 patients with chronic back pain who were physically examined and assessed for their psychological comorbidity. They were interviewed pre and post pain therapy. Treatment expectations were recorded via the questionnaire for assessing rehabilitational expectations and motivations (FREM-17), and further variables via the Pain Disability Index (PDI, german version) and the german Hospital Anxiety and Depression Scale (HADS-D).Results: The results show that treatment expectations have an impact on therapy success or failure. In particular, patients' expectations of coping with illness and recovery could be met by inpatient multimodal pain therapy, whereas health and pension-related expectations remained unfulfilled. In addition to the treatment expectations, the therapy result was primarily determined by the patient's ability to perform before the therapy.Conclusions: From the clinical side, treatment expectations should be explored and checked for feasibility to avoid patient disappointment.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"190-197"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40557537","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}

引用次数: 0

[Sequence variants of unknown significance in small fiber neuropathy : Characterization of a heterogeneous patient population]. [小纤维神经病中意义不明的序列变异：异质性患者群体的特征]。

IF 1 4区医学

Schmerz Pub Date : 2024-05-07 DOI: 10.1007/s00482-024-00811-3

Caren Meyer Zu Altenschildesche, Nadine Egenolf, Annette Lischka, Nurcan Üçeyler

{"title":"[Sequence variants of unknown significance in small fiber neuropathy : Characterization of a heterogeneous patient population].","authors":"Caren Meyer Zu Altenschildesche, Nadine Egenolf, Annette Lischka, Nurcan Üçeyler","doi":"10.1007/s00482-024-00811-3","DOIUrl":"https://doi.org/10.1007/s00482-024-00811-3","url":null,"abstract":"Background: In almost half of patients suffering from small fiber neuropathies (SFN), the etiology remains elusive. For these patients with \"idiopathic SFN\", symptomatic analgesic therapy is the only option. Reports on a potential genetic background of neuropathic pain syndromes are increasing and particularly in SFN patients, several genetic variants were found mainly located in genes encoding voltage-gated sodium channels. Although up to 30% of SFN patients show genetic alterations, most of these remain of \"unknown pathogenic significance\" and little is known about \"genetic SFN\".Objectives: The study aimed to determine clinical characteristics of SFN patients carrying a rare genetic variant of unknown significance in pain-associated genes.Materials and methods: From 2015 to 2020, 66 patients with primarily idiopathic SFN were examined and rare gene variants of unknown significance detected in 13/66 (20%) of these. A detailed medical history with focus on pain was recorded and patients filled in standardized questionnaires to assess physical and emotional burden due to pain.Results: The authors found 13/66 (20%) patients with rare variants of unknown significance located in pain-associated genes who reported pain refractory to analgesic treatment, a higher number of external factors influencing clinical symptoms, and a higher level of physical impairment and emotional stress due to pain compared with patients without such genetic variants.Conclusions: Early genetic assessment is recommended to optimize the management of patients with potentially hereditary SFN. Early access to rehabilitation and mental support as well as a consequent elimination of external triggering factors should be granted.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871233","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}

引用次数: 0

[Control center team in interdisciplinary multimodal pain therapy]. [跨学科多模式疼痛治疗的控制中心团队]。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-04-20 DOI: 10.1007/s00482-023-00718-5

Paul Nilges, Bernhard Arnold

引用次数: 0

[Interdisciplinary pain therapy in the elderly]. [老年人的跨学科疼痛治疗]。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-06-02 DOI: 10.1007/s00482-023-00721-w

Peter Mattenklodt, Anne Ingenhorst, Brigitta Flatau, Kristina Becker, Norbert Grießinger

{"title":"[Interdisciplinary pain therapy in the elderly].","authors":"Peter Mattenklodt, Anne Ingenhorst, Brigitta Flatau, Kristina Becker, Norbert Grießinger","doi":"10.1007/s00482-023-00721-w","DOIUrl":"10.1007/s00482-023-00721-w","url":null,"abstract":"Chronic pain in the elderly is becoming increasingly important and is associated with serious health impacts. Therefore, international guidelines demand that pain therapy for the elderly preferably be a multimodal therapy based on a bio-psycho-social pain model. Specific psychometric tests and interview guidelines are available for the interdisciplinary pain assessment. Evidence for the effectiveness of multimodal pain therapy in the elderly remains limited. However, controlled clinical trials have shown that these patients benefit-especially if the intervention is adapted to their specific needs. The focus of movement therapy is not only muscle strengthening but also coordination exercises. In individual physical therapy and occupational therapy, everyday solutions can be developed for individual physical limitations that are more frequent in old age. In psychological training, pain acceptance, balancing rest and activity, social integration and dealing with aging are particularly important topics. Relaxation and mindfulness techniques can also favorably affect pain and function. Thus, these are popular with patients and are often adopted in everyday pain management. Pain education is considered useful as an adjunctive measure and can also be increasingly supported by digital media in the elderly. Complementary therapy components include confrontational treatment of fear-avoidance beliefs (the German AMIKA scale, Ältere Menschen in körperlicher Aktion, \"older people in physical action\") and naturopathic applications as an active self-help strategy. Since it is unclear how long the achieved therapeutic effects last, follow-up care is of particular importance in therapy for older patients.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"89-98"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9562180","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}

引用次数: 0

[Interdisciplinary multimodal pain therapy in headache disorders]. [头痛疾病的跨学科多模式疼痛治疗]。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-06-06 DOI: 10.1007/s00482-023-00723-8

Britta Müller, Thomas Dresler, Florian Rimmele, Tim Jürgens, Uwe Niederberger, Christof Schwarz, Peter Kropp

{"title":"[Interdisciplinary multimodal pain therapy in headache disorders].","authors":"Britta Müller, Thomas Dresler, Florian Rimmele, Tim Jürgens, Uwe Niederberger, Christof Schwarz, Peter Kropp","doi":"10.1007/s00482-023-00723-8","DOIUrl":"10.1007/s00482-023-00723-8","url":null,"abstract":"Primary headaches are among the most common pain disorders. They include migraines (prevalence 15%), tension headaches (up to 80%), and others, including trigeminal autonomic headaches (about 0.2%). Migraine, in particular, leads to significant impairment of personal life and high societal costs. Therefore, the need for effective and sustainable therapeutic procedures is high. This article provides an overview of psychological procedures in headache therapy and critically summarizes the empirical evidence for the effectiveness of interdisciplinary multimodal pain therapy (IMST) consisting of psychotherapy and pharmacotherapy. It can be shown that psychoeducation, relaxation procedures, cognitive behavioral therapy, and biofeedback are psychological procedures from which headache patients can benefit. In the synopsis of multimodal approaches in the treatment of headache, consistently greater effects can be observed when both pharmacological treatment and psychotherapeutic procedures are used. This added value should be regularly taken into account in the treatment of headache disorders. This requires close cooperation between headache specialists and psychotherapists who specialize in the treatment of pain.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"80-88"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9580203","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}

引用次数: 0

[Emotional competence of patients with chronic pain : A self- and third-party assessment]. [慢性疼痛患者的情感能力：自我和第三方评估]。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-06-06 DOI: 10.1007/s00482-023-00720-x

Anne Juliane Körner, Rainer Sabatowski, Lisa Burdic, Linn Beyer, Anne Gärtner, Benjamin Schönbach, Ulrike Kaiser

{"title":"[Emotional competence of patients with chronic pain : A self- and third-party assessment].","authors":"Anne Juliane Körner, Rainer Sabatowski, Lisa Burdic, Linn Beyer, Anne Gärtner, Benjamin Schönbach, Ulrike Kaiser","doi":"10.1007/s00482-023-00720-x","DOIUrl":"10.1007/s00482-023-00720-x","url":null,"abstract":"Research question: The aim of the study is to assess the status quo of emotional competence in people with chronic pain. How do patients experience themselves regarding to their ability to perceive, express, and regulate emotions? And does this assessment coincide with the assessment of emotional competence (EC) by mental health professionals?Methods: The study took place in the context of interdisciplinary multimodal pain therapy at an outpatient clinic in N = 184 adult German-speaking individuals with non-cancer-related chronic pain. EC was assessed at the end of therapy using the self- and third-party assessment scales of the Emotional Competence Questionnaire. The external assessment was performed by the mental health team. Standard scores were created using the norm sample provided by questionnaires. These were analyzed descriptively and inferentially.Results: Self-perceived EC was average (Mself_total = 99.31; SD = 7.78). The mental health professionals predominantly rated the emotional competence of the patients significantly lower (Mexternal_total = 94,70; SD = 7,81; F(1.179) = 35,73; p < 0.001; η2 = 0.17). Emotional expressivity, as a component of EC, was externally rated as below average (Mexpressivity_external = 89.14, SD = 10.33).Discussion: Patients with chronic pain rate themselves as unimpaired in terms of their daily emotional awareness, expression, and regulation abilities. At the same time, mental health professionals rate these same individuals as significantly less emotionally competent. The question remains open as to what extent the divergent assessments can be explained by assessment bias.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"125-131"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9580204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pediatric inpatient interdisciplinary multimodal pain treatment in Germany]. [德国儿科住院病人跨学科多模式疼痛治疗]。

IF 1.1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-08-29 DOI: 10.1007/s00482-023-00744-3

Julia Wager, Boris Zernikow

{"title":"[Pediatric inpatient interdisciplinary multimodal pain treatment in Germany].","authors":"Julia Wager, Boris Zernikow","doi":"10.1007/s00482-023-00744-3","DOIUrl":"10.1007/s00482-023-00744-3","url":null,"abstract":"Background: Severely disabling chronic pain affects approximately half a million children in Germany. If there is a lack of response to unimodal treatment, an inpatient interdisciplinary multimodal pain treatment (IMPT) can be considered.Objective: This review article describes the supply situation of pediatric inpatient IMPT in Germany and presents the current evidence on the effectiveness.Material and methods: Based on a systematic literature search, studies addressing the effectiveness of pediatric inpatient IMPT in Germany were identified. In addition, further sources were used to extract information on pediatric IMPT treatment centers in Germany in order to describe the treatment approaches, the qualification of personnel and characteristics of patients.Results: There are four pediatric pain centers in Germany that are specialized in inpatient IMPT for children and adolescents. Treatment duration ranges between 3 and 4 weeks. The multimodal treatment is carried out by a multiprofessional team and is generally available for patients up to 18 years. The majority of patients are female. The effectiveness of pediatric IMPT in Germany was investigated up to 4 years after treatment. Positive effects were shown for pain characteristics and also for the emotional burden. Additional treatment modules can facilitate further optimization of treatment effects.Conclusion: Further research on the effectiveness of IMPT in Germany is important in order to refine and optimize the available treatment programs.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"99-106"},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Self-efficacy expectation as a central concept in interdisciplinary multimodal pain therapy : Conceptual horizon, implementation, recording and limits]. [自我效能预期作为跨学科多模式疼痛疗法的核心概念：概念视野、实施、记录和限制]。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-06-11 DOI: 10.1007/s00482-023-00728-3

Benjamin Schönbach, Lena Weniger, Rainer Sabatowski

引用次数: 0

[Interdisciplinary multimodal pain therapy between "gold standard" and "terra incognita"]. [介于 "黄金标准 "和 "未知领域 "之间的跨学科多模式疼痛疗法]。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1007/s00482-023-00749-y

Rainer Sabatowski, Johannes Lutz

引用次数: 0

[Gender-specific results of the Dresden children and adolescents headache program DreKiP]. 【德累斯顿儿童和青少年头痛项目DreKiP的性别特异性结果】。

IF 1 4区医学

Schmerz Pub Date : 2024-04-01 Epub Date: 2023-09-22 DOI: 10.1007/s00482-023-00756-z

Laura Zaranek, Hanna Sobe, Matthias Richter, Anke Hübler, Reinhard Berner, Maja von der Hagen, Thea Koch, Rainer Sabatowski, Anna Klimova, Gudrun Goßrau

{"title":"[Gender-specific results of the Dresden children and adolescents headache program DreKiP].","authors":"Laura Zaranek, Hanna Sobe, Matthias Richter, Anke Hübler, Reinhard Berner, Maja von der Hagen, Thea Koch, Rainer Sabatowski, Anna Klimova, Gudrun Goßrau","doi":"10.1007/s00482-023-00756-z","DOIUrl":"10.1007/s00482-023-00756-z","url":null,"abstract":"Background: Girls and women are more frequently affected by headache than boys and men. The influence of gender on the effectiveness of headache therapies has so far been hardly investigated. We examined gender differences in the outpatient multimodal Dresden Child and Adolescent Headache Program DreKiP.Methods: We treated 140 patients with primary headache in a 15-hour structured group program. At baseline (T0) and six (T1) and twelve months (T2) after the end of the program, data on headache-related limitation of daily activities (PedMIDAS) as well as headache frequency, intensity, and pain-related disability (P-PDI) were collected. Retrospectively, these data were analyzed separately for girls and boys.Results: For 91 patients (9-19 years, median = 15; 71.4 % female) data were available for at least two measurement time points. Girls showed significantly higher headache frequency than boys at all time points (median headache days/last three months at T0: ♀ 43, ♂ 20; T1: ♀ 32, ♂ 12; T2: ♀ 28, ♂ 9) as well as numerically higher headache-related limitation of daily life. There were significant effects over time with a decrease in headache frequency (F (2.88) = 5.862; p = 0.004) and improvement in daily functioning (F (2.92) = 5.340; p = 0.006). There was no gender-specific treatment response.Discussion: The DreKiP therapy shows effects in girls and boys with primary headache. Higher headache frequencies and everyday life restrictions in girls may have hormonal but also psychosocial causes and should be addressed in educational measures.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"107-117"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41129177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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