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Qualitätssicherung in der Therapie chronischen Schmerzes

Quality assurance in therapy of chronic pain. Results obtained by a taskforce of the German Section of the Association for the Study of Pain on psychological assessment of chronic pain. V. Instruments for the assessment of pain-related cognitions and coping with pain

Ergebnisse einer Arbeitsgruppe der Deutschen Gesellschaft zum Studium des Schmerzes (DGSS) zur psychologischen diagnostik V. verfahren zur Erfassung kognitiver Schmerzverarbeitung (Schmerzkognitionen) und Schmerzbewältigung (Coping)

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Zusammenfassung

Der vorliegende Beitrag bildet den 5. Teil einer Veröffentlichungsserie, die die Ergebnisse einer Arbeitsgruppe der DGSS zur Qualitätsprüfung und Qualitätssicherung in der psychologischen Diagnostik chronischen Schmerzes vorstellt. Er konzentriert sich auf deutschsprachige Verfahren zur Erfassung von Schmerzkognitionen und Schmerzbewältigung. Jedes Instrument ist hinsichtlich standardmäßiger Testgütekriterien, empirischer Fundierung und klinischer Relevanz geprüft worden. Darauf aufbauend erfolgt für den jeweiligen Diagnostikbereich eine spezifische und differenzierte Empfehlung.

Abstract

The present paper is one of a series of publications, reviewing German instruments for psychological assessment of pain. Their main focus is on the results of a task force on quality testing for each subject. This paper describes and comments on methods regarding self-reporting of pain cognitions and both cognitive and behavioral strategies for coping with pain. Concerning pain cognitions one focus is on patients' attributions of causes of pain and the modes of controlling pain (subjective pain model). The other focus is on instruments recording “pain beliefs” in the sense of dysfunctional congitions associated with the experience of pain. Each instrument was examined with reference to approved psychometric criteria, empirical foundation and clinical relevance. It was noted that several instruments are deficient in their psychometric criteria and their empirical foundations. We used these data as a basis to elaborate a specific and differential recommendation. A similar procedure was followed with instruments for the assessment of pain-related coping strategies. According to our research there are two subgroups of coping instruments, one more specifically for cognitive coping with pain, and the other combined with behavioral coping strategies. Once again, we elaborated a specific and differential recommendation, giving priority to instruments taking account of both cognitive and behavioral dimensions of coping with pain.

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Literatur

  1. Birbaumer N (1984) Psychologische Analyse und Behandlung von Schmerzzuständen. In: Zimmermann M, Handwerker HO (Hrsg) Schmerz—Konzepte und ärztliches Handeln. Springer, Berlin Heidelberg New York, S 124

    Google Scholar 

  2. Flor H (1991) Psychobiologie des Schmerzes. Huber, Bern

    Google Scholar 

  3. Flor H, Behle DJ, Birbaumer N (1993) Assessment of pain-related cognitions in chronic pain patients. Behav Res Ther 31: 63

    Article  PubMed  CAS  Google Scholar 

  4. Geisser ME, Robinson ME, Henson CD (1994) The Coping Strategies Questionnaire and chronic pain adjustment: a conceptual and empirical reanalysis. Clin J Pain 10: 98

    Article  PubMed  CAS  Google Scholar 

  5. Gerber WD, Haag W (1982) Migräne. Springer, Berlin Heidelberg New York

    Google Scholar 

  6. Gottlieb BS (1984) Development of the Pain Beliefs Questionnaire: a preliminary report. Paper presented at the Association for the Advancement of Behavior Therapy Convention, Philadelphia

  7. Hasenbring M (1994) Kieler Schmerz-Verarbeitungs-Inventar (KSI). Huber, Bern

    Google Scholar 

  8. Herda CA, Siegeris K, Basler H-D (1994) The Pain Beliefs and Perception Inventory: further evidence for a 4-factor structure. Pain 57: 85

    Article  PubMed  CAS  Google Scholar 

  9. Jensen MP, Turner JA, Romano JM, Karoly P (1991) Coping with chronic pain: a critical review of the literature. Pain 47: 249

    Article  PubMed  CAS  Google Scholar 

  10. Klingler OJ, Morawetz RF (1993) Die Schmerz-Verarbeitungs-Skalen (SVS)—Konstruktion und Validierung eines Verfahrens zur Erfassung zweier Faktoren der Schmerzbewältigung. Z Diff Diag Psychol 14: 75

    Google Scholar 

  11. Kröner-Herwig B, Greis R, Schilkowsky G (1993) Kausal- und Kontrollattribution bei chronischen Schmerzpatienten. Entwicklung und Evaluation eines Inventars (KAUKON). Diagnostica 39: 120

    Google Scholar 

  12. Kröner-Herwig B, Jäkle C, Basler H-D, Peters K, Seemann H, Franz C, Frattlöh J (1993) Der Stellenwert von Bewältigungsstrategien in der Therapie chronischer Schmerzpatienten. Der Schmerz 7 [Suppl 1]: 50

    Google Scholar 

  13. Kröner-Herwig B, Jäkle C, Peters K, Seemann H, Basler H-D, Franz C, Frettlöh J (in press) Predicting subjective disability in chronic pain patients. A multiple regression analysis. Pain

  14. Lazarus RS, Launier R (1978) Stress-related transactions between person and environment. In: Pervon LA, Lewis M (eds) Internal and external deteminants of behavior. Plenum Press. New York

    Google Scholar 

  15. Lohaus A, Schmitt GM (1989) Frage-bogen zur Erhebung von Kontrollüber-zeugungen zu Krankheit und Gesundheit (KKG). Hogrefe, Göttingen

    Google Scholar 

  16. Luka-Krausgrill U, Wurmthaler C, Becker T (1994) Die Beziehung zwischen Schmerzbewältigung, Beeinträchtigung und Depression bei chronischem Schmerz. In: Wahl R, Hautzinger M (Hrsg) Psychotherapeutische Medizin bei chronischem Schmerz. Deutscher Ärzte Verlag, Köln, S175

    Google Scholar 

  17. Main CJ, Waddell G (1987) Psychometric construction and validity of the Pilowski Illness Behavior Questionnaire in British patients with chronic low back pain. Pain 28: 11

    Article  Google Scholar 

  18. Main CJ, Waddell G (1991) A comparison of cognitive measures in low back pain: statistical structure and clinical validity at initial assessment. Pain 46: 287

    Article  PubMed  CAS  Google Scholar 

  19. Pilowsky I, Bassett D, Barrett R, Petrovic L, Minitti R (1983) The Illness Behavior Schedule: reliability and validity. Int J Psychiatry 13: 11

    Article  Google Scholar 

  20. Rosenstiel A, Keefe Fj (1983) The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain 17: 33

    Article  PubMed  CAS  Google Scholar 

  21. Turk DC, Meichenbaum D, Genest M (1983) Pain and behavioral medicine. The Guilford Press, New York

    Google Scholar 

  22. Turk DC, Rudy TE (1992) Cognitiv factors and persistant pain: a glimpse into Pandora's box. Cogn Ther Res 16: 99

    Article  Google Scholar 

  23. Wichmann E, Nilges P, Gerbershagen HU, Gamber J, Scheifling I (1990) The illness behavior questionnaire, psychometric properties and validity of a german version. Pain [Suppl 5] 41: 336

    Article  Google Scholar 

  24. Williams DA, Thorn BE (1989) An empirical assessment of pain beliefs. Pain 36: 351

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Klinische Psychologie, Heinrich-Heine-Universität Düsseldorf, Dusse eldorf, Deutschland

    Heide Denecke, Birgit Kröner-Herwig & Leonore Weiß

  2. Medizinisch-Psychosomatische Fachklinik, Bad Bramstedt

    Regine Klinger & Michael Redegeld

  3. DRK-Schmerzzentrum Mainz, Mainz, Deutschland

    Paul Nilges

  4. Internistisch-Psychosomatische Fachklinik Hochsauerland, Zu den drei Buchen 2, D-57392, Schmallenberg-Bad Fredeburg

    B. Glier

Authors
  1. Heide Denecke
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  2. Regine Klinger
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  3. Birgit Kröner-Herwig
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  4. Paul Nilges
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  5. Michael Redegeld
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  6. Leonore Weiß
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  7. B. Glier
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Denecke, H., Klinger, R., Kröner-Herwig, B. et al. Qualitätssicherung in der Therapie chronischen Schmerzes. Schmerz 9, 206–211 (1995). https://doi.org/10.1007/BF02528162

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  • DOI: https://doi.org/10.1007/BF02528162

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