• Der Orthopäde · May 2004

    Review

    [The psychosomatics of chronic back pain. Classification, aetiology and therapy].

    • P Henningsen.
    • Psychosomatische Klinik der Universität Heidelberg. peter_henningsen@med.uni-heidelberg.de
    • Orthopade. 2004 May 1; 33 (5): 558-67.

    AbstractAn overview is given on the current classification, description and treatment of chronic pain with causally relevant psychological factors. It is based on the "practice guidelines on somatoform disorders" and on a thematically related meta-analysis. The classificatory problems, especially of the demarcation of somatoform and other chronic pain, are presented. Additional descriptive dimensions of the relevant psychosocial factors are: pain description, other organically unexplained pain- and non-pain-symptoms, anxiety and depression, disease conviction and illness behaviour, personality and childhood abuse. A modified psychotherapy for (somatoform) chronic pain is outlined. Finally, this aetiologically oriented psychosomatic-psychiatric approach is compared to psychological coping models for chronic pain.

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