[Chronic low back pain as a somatoform pain disorder].
Chronic low back pain as a leading symptom of a somatoform pain disorder is a remnant diagnostic category for many physicians, general practitioners and orthopaedic surgeons. Patients with somatoform pain disorder (ICD-10: F45.4) are often not diagnosed until after several years and multiple diagnostic procedures, in some cases after iatrogenic impairment. A more precise knowledge of the disorder can prevent chronification. This article outlines the clinical features, diagnostic procedure and differential diagnosis in somatoform pain patients and presents current psychotherapeutic approaches.
Egle
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Psychosomatische Fachklinik Gengenbach, Wolfsweg 12, 77723 Gengenbach, Deutschland. u.egle@klinik-kinzigtal.de
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D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation*; D011613:Psychotherapy / Q000379:methods*; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation*