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Der Schmerz

, Volume 32, Issue 4, pp 274–282 | Cite as

Expositionstherapie bei chronischen Rückenschmerzen

  • J. A. Glombiewski
Schwerpunkt

Zusammenfassung

Die Expositionstherapie ist eine ökonomische und vielversprechende psychologische Methode zur Behandlung chronischer Rückenschmerzen, die allerdings noch wenig erforscht ist und deren Evidenz weiter geklärt werden muss. Expositionstherapie findet bisher wenig Anwendung in der Praxis, was einerseits an den wenigen veröffentlichten Studien zu diesem Thema und andererseits an der Unsicherheit der Behandler, ob Expositionen gefahrenlos durchgeführt werden können, liegt. Expositionstherapie ist den Tailored-treatment-Ansätzen zuzuordnen, bei denen Patienten mit bestimmten Profilen (hier: erhöhte Angst vor Bewegung) spezifische Behandlungen bekommen. In dem Übersichtsartikel werden die theoretischen Grundlagen der Expositionstherapie vorgestellt. Anschließend werden Möglichkeiten zur Identifikation der für die Expositionsbehandlung geeigneten Patienten erläutert. Das praktische Vorgehen wird anhand eines Fallbeispiels vorgestellt. Die vier bisher vorliegenden randomisierten, kontrollierten Studien werden ausführlich beschrieben und zusammenfassend diskutiert.

Schlüsselwörter

Chronische Rückenschmerzen Psychologische Verfahren Expositionstherapie Fear-avoidance-Modell 

Exposure therapy for chronic back pain

Abstract

Exposure therapy is an economical and promising psychological method for the treatment of chronic back pain, although little research has been done and its evidence needs further clarification. Exposure therapy has so far been little used in practice, which is partly due to the few published studies on this topic and partly to the uncertainty of the practitioners as to whether exposure therapy can be carried out without risk. Exposure therapy can be classified as a “tailored treatment” approach, in which patients with certain profiles (here: increased fear of movement) receive specific treatments. In this review article, the theoretical principles of exposure therapy are presented. Subsequently, possibilities for the identification of those patients suitable for exposure treatment are explained. The practical procedure is presented using a case study. The four randomized controlled trials available to date are described in detail and discussed.

Keywords

Chronic back pain Psychological treatments Exposure therapy Fear avoidance model 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

J.A. Glombiewski gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

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Copyright information

© Deutsche Schmerzgesellschaft e.V. Published by Springer Medizin Verlag GmbH, ein Teil von Springer Nature - all rights reserved 2018

Authors and Affiliations

  1. 1.Klinische Psychologie und Psychotherapie, Fachbereich PsychologieUniversität Koblenz-LandauLandauDeutschland

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