[The psychosomatics of chronic back pain. Classification, aetiology and therapy].
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.
Henningsen
P
P
Psychosomatische Klinik der Universität Heidelberg. peter_henningsen@med.uni-heidelberg.de
D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D001416:Back Pain / Q000145:classification / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D010147:Pain Measurement / Q000379:methods*; D011584:Psychology; D011602:Psychophysiologic Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D013001:Somatoform Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology / Q000628:therapy