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Entspannung, Im agination, Biofeedback und Meditation

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Schmerzpsychotherapie

Zusammenfassung

In diesem Kapitel werden verschiedene Verfahren vorgestellt, die – wenn auch in unterschiedlichem Ausmaß – eines gemeinsam haben: die Induzierung eines Entspannungszustands und/oder gelassener Aufmerksamkeit. Diesen Zuständen kommt in der Therapie chronischer Schmerzen seit jeher ein hoher Stellenwert zu. Allerdings werden unter dem Oberbegriff der Entspannungsverfahren sehr unterschiedliche Methoden zusammengefasst, die sich beispielsweise vom philosophischen Hintergrund, der Art, wie der Entspannungszustand induziert wird, bzw. dem Ausmaß, in dem Entspannung als eigentlicher Wirkmechanismus betrachtet wird, unterscheiden. Wir geben daher zunächst einen Überblick über die verschiedenen Verfahren in Hinblick auf ihre Gemeinsamkeiten und Unterschiede und stellen anschließend einzelne Verfahren in Durchführung, Einsatzmöglichkeiten und Wirksamkeit dar.

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Literatur

  • Andrasik F (2004) Behavioral treatment of migraine: current status and future directions. Expert Rev Neurother 4: 403–413

    Google Scholar 

  • Baird CL, Sands L (2004) A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties. J Holist Nurs 5: 97–104

    Google Scholar 

  • BÄK – Bundesärztekammer, KBV – Kassenärztliche Bundesvereinigung, AWMF – Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (Hrsg) (2011) Nationale VersorgungsLeitlinie (NVL) Kreuzschmerz. Langfassung, 1. Aufl., Version 5. Erscheinungsdatum 11/2010. http://www.leitlinien.de/nvl/kreuzschmerz/. Zugegriffen: 18. März 2016

  • Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84: 191–215

    Google Scholar 

  • Basmajian JV (1967) Muscles Alive: Their Functions Revealed by Electromyography. Williams & Wilkins, Baltimore

    Google Scholar 

  • Benson H (2000) The Relaxation Response. Harper Torch, New York

    Google Scholar 

  • Bernstein DA, Borkovec TD (1992) Entspannungstraining. Pfeiffer, München

    Google Scholar 

  • Besser-Siegmund C (1994) Sanfte Schmerztherapie mit mentalen Methoden. Econ, Düsseldorf

    Google Scholar 

  • Budzynski TH, Stoyva J, Adler C (1970) Feedback induced muscle relaxation: applications to tension headache. J Behav Ther Exp Psychiatry 1: 205–211

    Google Scholar 

  • Cardoso R, de Souza E, Camano L, Leite JR (2004) Meditation in health: an operational definition. Brain Res Brain Res Protoc 14: 58–60

    Google Scholar 

  • Cardoso R, de Souza E, Camano L, Leite JR (2007) Prefrontal cortex in meditation. When the concrete leads to the abstract. A schematical hypothesis, concerning the participation of the logic for »logic relaxation«. NeuroQuantology 5: 233–240

    Google Scholar 

  • Cardoso R, de Souza E, Camano L (2009) Meditation in health: definition, operationalization, and technique. In: Rossi AM, Quick JC, Perrewe P (eds) Stress and Quality of Working Life: The Positive and The Negative. Information age publishing, Charlotte, NC (USA), pp 143–166

    Google Scholar 

  • Chiesa A, Seretti A (2011) Mindfulness-based interventions for chronic pain: a systematic review of the evidence. J Altern Complement Med 17: 83–93

    Google Scholar 

  • Day MA, Jensen MP, Ehde DM, Thorn BE (2014) Toward a theoretical model for mindfulness-based pain management. J Pain 15: 691–703

    Google Scholar 

  • deCharms RD, Maeda F, Glover GH, Ludlow D, Pauly JM, Soneji D, Gabrieli JD, Mackey SC (2005) Control over brain activation and pain learned by using realtime functional MRI. Proc Natl Acad Sci U S A 102: 18626–18631

    Google Scholar 

  • Diezemann A (2011) Entspannungsverfahren bei chronischen Schmerzen. Schmerz 25: 445–453

    Google Scholar 

  • Eccleston C, Crombez G, Aldrich S, Stannard C (1997) Attention and somatic awareness in chronic pain. Pain 72: 209–215

    Google Scholar 

  • Flor H, Birbaumer N (1993) Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy, and conservative medical interventions in the treatment of chronic musculoskeletal pain. J Consult Clin Psychol 61: 653–658

    Google Scholar 

  • Geissner E, Jungnitsch G, Schmitz J (1994) Psychologische Behandlungsansätze bei Schmerz. Eine Therapievergleichsstudie an Patienten mit chronischer Polyarthritis. Z Klin Psychol Psychiatr Psychother 42: 319–338

    Google Scholar 

  • Gosden T, Morris PG, Ferreira NB, Grady C, Gillanders DT (2014). Mental imagery in chronic pain: Prevalence and characteristics. Eur J Pain 18: 721–728

    Google Scholar 

  • Haddock CK, Rowan AB, Andrasik F, Wilson PG, Talcott GW, Stein RJ (1997) Home-based behavioral treatments for chronic benign headache: a meta-analysis of controlled trials. Cephalalgia 17: 113–118

    Google Scholar 

  • Hamm A (2004) Progressive Muskelentspannung. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S. 189–210

    Google Scholar 

  • Hatchard T, Lepage Ch, Hutton B, Skidmore B, Poulin PA (2014) Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioral therapy for the treatment and management of chronic pain disorders: protocol for a systematic review and meta-analysis with indirect comparisons. Syst Rev 3: 134

    Google Scholar 

  • Hayes SC, Strosahl KD, Wilson KG (2011) Acceptance and Commitment Therapy: The Process and Practice of Mindful Change, 2nd ed. The Guildford Press, New York

    Google Scholar 

  • Henschke N, Ostelo RW, van Tulder MW, Vlaeyen JW, Morley S, Assendelft WJ, Main CJ (2010) Behavioural treatment for chronic low-back pain. Cochrane Database Syst Rev (7): CD002014

    Google Scholar 

  • Herrmann C, Flor H (2009) Chronische Rückenschmerzen. In Martin A, Rief W (Hrsg) Wie wirksam ist Biofeedback? Hans Huber, Bern, S 125–136

    Google Scholar 

  • Holroyd KA, Drew JB (2006) Behavioral approach to the treatment of migraine. Semin Neurol 26(2): 199–207

    Google Scholar 

  • Holroyd KA, Penzien DB, Hursey KG, Tobin DL, Rogers L, Holm JE, Marcille PJ, Hall JR, Chila AG (1984) Change mechanisms in EMG biofeedback training: cognitive changes underlying improvements in tension headache. J Consult Clin Psychol 52: 1039–1053

    Google Scholar 

  • Husmann B, Nass O (2015) Spannungsregulation und Achtsamkeitsförderung sind zentrale psychotherapeutische Kompetenzen. PTJ 14: 4–12

    Google Scholar 

  • Jacobson E (1932) Electrophysiology of mental activities. Am J Psychol 44: 677–694

    Google Scholar 

  • Jacobson E (1938) Progressive Relaxation. Chicago University Press, Chicago

    Google Scholar 

  • Kabat-Zinn J (1982) An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical implications and preliminary results. Gen Hosp Psychiatry 4: 33–47

    Google Scholar 

  • Kamiya J (1969) Operant control of the EEG alpha rhythm and some of its reported effects on consciousness. In: Tart C (ed) Altered States of Consciousness. Wiley, New York, pp 507–517

    Google Scholar 

  • Kanji N, White AR, Ernst E (2006) Autogenic training for tension type headaches: a systematic review of controlled trials. Complement Ther Med 14: 144–150

    Google Scholar 

  • Kayiran S, Dursun E, Dursun N, Ermutlu N, Karamürsel S (2010) Neurofeedback intervention in fibromyalgia syndrome: A randomized, controlled, rater blind clinical trial. Appl Psychophysiol Biofeedback 35: 293–302

    Google Scholar 

  • Lüking M (2013) Entspannungsverfahren. In: Fritsche G, Gaul C (Hrsg) Multimodale Kopfschmerztherapie. Thieme, Stuttgart, S 82–84

    Google Scholar 

  • Martin A, Härter M, Henningsen P, Hiller W, Köner-Herwig B, Rief W (2013). Evidenzbasierte Leitlinien Psychotherapie. Bd. 4 Evidenzbasierte Leitlinie zur Psychotherapie somatoformer Störungen und assoziierter Syndrome. Hogrefe, Göttingen

    Google Scholar 

  • Martin A, Rief W (Hrsg) (2009) Wie wirksam ist Biofeedback? Hans Huber, Bern

    Google Scholar 

  • McCracken LM (2005) Contextual Cognitive Behavioral Therapy for Chronic Pain. IASP Press, Seattle

    Google Scholar 

  • Meichenbaum D (1976) Cognitive factors in biofeedback therapy. Biofeedback Self Regul 1: 201–216

    Google Scholar 

  • Meeus M, Nijs J, Vanderheiden T, Baert I, Descheemaeker F, Struyf F (2015) The effect of relaxation therapy on autonomic functioning, symptoms and daily functioning in patients with chronic fatigue syndrome and fibromyalgia: a systematic review. Clin Rehabil 29: 221–233

    Google Scholar 

  • Menzies V, Taylor AG, Bourguignon C (2006) Effects of guided imagery on oucomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. J Altern Complement Med 12: 23–30

    Google Scholar 

  • Miller NE (1969) Learning of visceral and glandular responses. Science 163: 434–445

    Google Scholar 

  • Miller NE, DiCara LV (1967) Instrumental learning of heart rate changes in curarized rats: shaping and specifity to discriminative stimulus. J Comp Physiol Psychology 63: 12–19

    Google Scholar 

  • Mizutani M (2006) Hypnotically structured autogenic training applied to CRPS type I patients. Jpn J Hypn 49: 7–19

    Google Scholar 

  • Morley St, Williams A (2015) New Developments in the Psychological Management of Chronic Pain. Cand J Psychiatry 60: 168–175

    Google Scholar 

  • Morone NE, Greco CM (2007) Mind-body interventions for chronic pain in older adults: a structured review. Pain Med 8: 359–375

    Google Scholar 

  • Morone NE, Lynch CS, Greco CM, Tindle HA, Weiner DK (2008) »I felt like a new person.« The effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries. J Pain 9: 841–848

    Google Scholar 

  • Nash JM (2003) Psychologic and behavioral management of tension-type headache: treatment procedures. Curr Pain Headache Rep 2: 475–481

    Google Scholar 

  • Nestoriuc AY, Martin A (2007) Efficacy of Biofeedback for migraine: A meta-analysis. Pain 128: 111–127

    Google Scholar 

  • Nestoriuc AY, Martin A, Rief W, Andrasik F (2008a) Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback 33: 125–140

    Google Scholar 

  • Nestoriuc AY, Rief W, Martin A (2008b) Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol 76: 379–396

    Google Scholar 

  • Newton-John TO, Spence SH, Schotte D (1995) Cognitive-behavioral therapy versus EMG biofeedback in the treatment of chronic low back pain. Behav Res Ther 33: 691–697

    Google Scholar 

  • Öst L-G (1987) Applied relaxation: description of a coping technique and review of controlled studies. Behav Res Ther 25: 397–409

    Google Scholar 

  • Penzien DB, Rains JC, Andrasik F (2002) Behavioral management of recurrent headache: three decades of experience and empiricism. Appl Psychophysiol Biofeedback 27: 163–181

    Google Scholar 

  • Penzien DB, Rains JC, Lipchik GL, Creer TL (2004) Behavioral interventions for tension-type headache: overview of current therapies and recommendation for a self-management model for chronic headache. Curr Pain Headache Rep 8: 489–499

    Google Scholar 

  • Petermann F, Kusch M (2004) Imagination. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 159–176

    Google Scholar 

  • Philips C, Samson D (2012) The rescripting of pain images. Behav Cogn Psychother 40: 558–576

    Google Scholar 

  • Ray WJ, Raczynski JM, Rogers T, Kimball WH (1979) Evaluation of Clinical Biofeedback. Plenum Press, New York

    Google Scholar 

  • Reiner K, Tibi L, Lipsitz JD (2013) Do mindfulness-based interventions reduce pain intensity? A critical review of the literature. Pain Med 14: 230–242

    Google Scholar 

  • Rief W, Birbaumer N (Hrsg) (2006) Biofeedback-Therapie. Grundlagen, Indikation und praktisches Vorgehen. Schattauer, Stuttgart

    Google Scholar 

  • Schultz JH (1932) Das autogene Training (konzentrative Selbstentspannung). Versuch einer klinisch-praktischen Darstellung. Thieme, Leipzig

    Google Scholar 

  • Schwartz MS, Andrasik F (eds) (2005) Biofeedback: A Practitioner’s Guide, 3rd ed. The Guilford Press, New York

    Google Scholar 

  • Segal ZV, Williams JMG, Teasdale JD (2008) Die achtsamkeitsbasierte Therapie der Depression: Ein neuer Ansatz zur Rückfallprävention. Tübingen: dgvt-Verlag

    Google Scholar 

  • Shapiro DH (1982) Overview: clinical and physiological comparison of meditation with other self-control strategies. Am J Psychiatry 139: 267–274

    Google Scholar 

  • Stetter F, Kupper S (2002) Autogenic training: a meta-analysis of clinical outcome studies. Appl Psychophysiol Biofeedback 27: 45–98

    Google Scholar 

  • Vaitl D (2009) Neurobiologische Grundlagen der Entspannungsverfahren. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 18–35

    Google Scholar 

  • Vaitl D (2014a) Autogenes Training. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 79–96

    Google Scholar 

  • Vaitl D (2014b) Neurobiologische Grundlagen der Entspannungsverfahren. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 35–51

    Google Scholar 

  • Van Kuiken D (2004) A meta-analysis of the effect of Guided Imagery Practice on outcomes. J Holist Nurs 22: 164–179

    Google Scholar 

  • Veehof MM, Oskam MJ, Schreurs KM, Bohlmeijer ET (2011) Acceptance-based interventions for the treatment of chronic pain. A systematic review and meta-analysis. Pain 152: 533–542

    Google Scholar 

  • Wootton J (2008) Meditation and chronic pain. In: Audette JF, Bailey A (eds) Contemporary Pain Medicine: The Science and Practice of Contemporary and Alternative Medicine in Pain Management. Humana Press, Totowa, NJ (USA), S 195–209

    Google Scholar 

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Authors and Affiliations

  1. Therapie am Münsterplatz Münsterplatz 12, 79098, Freiburg

    M. Lüking Dipl.-Psych.

  2. Klinische Psychologie und Psychotherapie, Bergische Universität Wuppertal, Max-Horkheimer-Straße 20, 42097, Wuppertal

    Prof. Dr. Dipl.-Psych. A. Martin

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  1. M. Lüking Dipl.-Psych.
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Editors and Affiliations

  1. Universität Göttingen, Göttingen, Germany

    Birgit Kröner-Herwig

  2. Universitätsklinikum Bergmannsheil Bochum, Bochum, Germany

    Jule Frettlöh

  3. Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Germany

    Regine Klinger

  4. Johannes-Gutenberg-Universität Mainz, Mainz, Germany

    Paul Nilges

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Lüking, M., Martin, A. (2017). Entspannung, Im agination, Biofeedback und Meditation. In: Kröner-Herwig, B., Frettlöh, J., Klinger, R., Nilges, P. (eds) Schmerzpsychotherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-50512-0_16

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  • DOI: https://doi.org/10.1007/978-3-662-50512-0_16

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