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Einfluss des Bindungsverhaltens auf chronischen und somatoformen Schmerz

Impact of attachment behavior on chronic and somatoform pain

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Zusammenfassung

Das Persönlichkeitsmerkmal des individuellen Bindungsstils beeinflusst nicht nur das Schmerzerleben und -verhalten von Patienten, es wirkt sich auch darauf aus, wie gut diese von einer Schmerztherapie profitieren. So sind sicher gebundene Patienten im Vergleich zu unsicher gebundenen besser in der Lage, erzielte Therapieerfolge über einen längeren Zeitraum aufrechtzuerhalten. Diese Ergebnisse sind besonders relevant, da Patienten mit chronischen Schmerzen in der Gruppe der unsicher Gebundenen überrepräsentiert sind. Der Bindungsstil kann demnach als psychosozialer Vulnerabilitätsfaktor für eine Chronifizierung von akuten Schmerzen angesehen werden.

Abstract

In addition to being a risk factor for the course of chronic pain, the personality characteristics of the individual attachment style are also predictors for the success of medical and psychosocial interventions and aspects of the physician-patient relationship. Insecurely attached patients seem to be less able to sustain the positive effects of pain therapy. These results are especially relevant as insecure attachment patterns are overrepresented among chronic pain patients. As a result the attachment style can be seen as a psychosocial vulnerability factor for the chronification of acute pain.

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Danksagung

Die Erstellung des Reviews wurde von der privaten Stiftung Psychosomatik der Wirbelsäulenerkrankungen unterstützt.

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Authors and Affiliations

  1. Tagesklinik für Schmerztherapie, Konservative Orthopädie, Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland

    A.-C. Pfeifer, E. Neubauer, C. Gerigk & M. Schiltenwolf

  2. Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    J. C. Ehrenthal

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  1. A.-C. Pfeifer
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  3. E. Neubauer
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Correspondence to A.-C. Pfeifer.

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A.-C. Pfeifer, J. C. Ehrenthal, E. Neubauer, C. Gerigk und M. Schiltenwolf geben an, dass kein Interessenkonflikt besteht.

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Pfeifer, AC., Ehrenthal, J.C., Neubauer, E. et al. Einfluss des Bindungsverhaltens auf chronischen und somatoformen Schmerz. Schmerz 30, 444–456 (2016). https://doi.org/10.1007/s00482-016-0156-z

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