Der Schmerz
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Based on the fundamental concept of the biopsychosocial model, interdisciplinary multimodal pain therapy (IMPT) has developed to one of the most important components in the treatment of patients suffering from chronic pain. The process criteria for IMPT in Germany are described in the German OPS catalogue and IMPT is mainly offered as an inpatient treatment only. This article updates some of the fundamental criteria for IMPT for adult inpatient treatment and the task force defines basic structural and process criteria for the implementation of IMPT for outpatients.
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Randomized Controlled Trial
[Effectiveness of a risk-tailored short intervention to prevent chronic low back pain : A cluster-randomized study in general practice].
A subgroup of patients with acute low back pain (LBP) will develop chronic LBP. Risk factors summarized as yellow flags are fear-avoidance beliefs, depression, catastrophizing, and work-related problems. ⋯ A risk-tailored short intervention to prevent chronic LBP in general practice had no significant impact on the clinical course compared to care as usual. A subgroup analysis comparing adherent and non-adherent patients suggests that it is possible to have a positive impact on patient-relevant outcomes.
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Excellence in Pain Education was the motto of the International Association for the Study of Pain (IASP) Global Year Campaign for 2018. Explaining pain neurobiology to patients is one part of pain education. To assess patient's pain knowledge, the Neurophysiology of Pain Questionnaire (NPQ) has been extensively used internationally. The present study describes the translation, cross-cultural adaptation and psychometric properties of the German version of the NPQ (NPQ‑D). ⋯ The NPQ has been translated and adapted into German. The psychometric properties show satisfactory results and the questionnaire can be recommended for clinicians and researchers alike to assess pain knowledge and changes in pain knowledge after pain education interventions.
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The current debate about the interconnection between chronic pain and society is economically narrowed. This involves the threat of losing sight of the fact that the interconnection between society and chronic pain is a complex entanglement that goes beyond economic costs. ⋯ Society has to be considered as an influencing factor with respect to the development and stabilization of chronic pain. The outlined broadening of the perspective should contribute to a better understanding of the societal impact on chronic pain in order to stimulate an improvement in care and possibly a long-term reduction in costs.