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[Control center team in interdisciplinary multimodal pain therapy]. [跨学科多模式疼痛治疗的控制中心团队]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-04-20 DOI: 10.1007/s00482-023-00718-5
Paul Nilges, Bernhard Arnold

The topic of this article is the team in interdisciplinary multimodal pain therapy (IMPT) in the context of the development of the team concept. The starting points are historical developments, both social and scientific. After World War II numerous war victims continued to suffer from persistent pain. On the part of medicine, the consequences were the failure of the usual procedures for acute pain and the resulting helplessness. Both the concept of pain as a symptom of physical injury and also the previous treatment options were no longer adequate. Very early on an interdisciplinary approach to pain management was organized. This involved the communication of experts from various disciplines with very different competencies and opinions. Various medical disciplines and psychotherapy were the core subjects. Crucial for functioning teams is an effective cooperation and interaction. Related organizational issues, conflicts, peculiarities, and possibilities for solutions are presented. In the meantime, IMPT as a procedure has become a regular service provided in health care.

本文的主题是团队概念发展背景下的跨学科多模式疼痛治疗(IMPT)团队。文章的出发点是社会和科学的历史发展。第二次世界大战结束后,许多战争受害者继续遭受持续性疼痛的折磨。从医学角度看,其后果是治疗急性疼痛的常规方法失效以及由此产生的无助感。疼痛作为身体损伤症状的概念和以往的治疗方法都不再适用。很早以前,我们就组织了跨学科的疼痛治疗方法。这涉及到来自不同学科的专家之间的交流,他们的能力和观点大相径庭。各种医学学科和心理治疗是核心主题。有效的合作与互动是团队运作的关键。介绍了相关的组织问题、冲突、特殊性和解决的可能性。与此同时,IMPT 作为一种程序已成为医疗保健中的一项常规服务。
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引用次数: 0
[Interdisciplinary pain therapy in the elderly]. [老年人的跨学科疼痛治疗]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-06-02 DOI: 10.1007/s00482-023-00721-w
Peter Mattenklodt, Anne Ingenhorst, Brigitta Flatau, Kristina Becker, Norbert Grießinger

Chronic pain in the elderly is becoming increasingly important and is associated with serious health impacts. Therefore, international guidelines demand that pain therapy for the elderly preferably be a multimodal therapy based on a bio-psycho-social pain model. Specific psychometric tests and interview guidelines are available for the interdisciplinary pain assessment. Evidence for the effectiveness of multimodal pain therapy in the elderly remains limited. However, controlled clinical trials have shown that these patients benefit-especially if the intervention is adapted to their specific needs. The focus of movement therapy is not only muscle strengthening but also coordination exercises. In individual physical therapy and occupational therapy, everyday solutions can be developed for individual physical limitations that are more frequent in old age. In psychological training, pain acceptance, balancing rest and activity, social integration and dealing with aging are particularly important topics. Relaxation and mindfulness techniques can also favorably affect pain and function. Thus, these are popular with patients and are often adopted in everyday pain management. Pain education is considered useful as an adjunctive measure and can also be increasingly supported by digital media in the elderly. Complementary therapy components include confrontational treatment of fear-avoidance beliefs (the German AMIKA scale, Ältere Menschen in körperlicher Aktion, "older people in physical action") and naturopathic applications as an active self-help strategy. Since it is unclear how long the achieved therapeutic effects last, follow-up care is of particular importance in therapy for older patients.

老年人的慢性疼痛正变得越来越重要,并对健康造成严重影响。因此,国际指南要求对老年人的疼痛治疗最好是基于生物-心理-社会疼痛模型的多模式疗法。跨学科疼痛评估有专门的心理测试和访谈指南。有关老年人多模式疼痛疗法有效性的证据仍然有限。不过,对照临床试验表明,这些患者可以从中受益,特别是如果干预措施适合他们的特殊需求。运动疗法的重点不仅是肌肉强化,还包括协调练习。在个体物理疗法和职业疗法中,可以针对老年期更常见的个体身体限制制定日常解决方案。在心理治疗中,接受疼痛、平衡休息和活动、融入社会和应对衰老是特别重要的主题。放松和正念技巧也能对疼痛和功能产生有利影响。因此,这些方法很受患者欢迎,在日常疼痛管理中经常被采用。疼痛教育被认为是一种有用的辅助措施,在老年人中也越来越多地得到数字媒体的支持。辅助治疗包括对恐惧-回避信念的对抗性治疗(德国 AMIKA 量表,Ältere Menschen in körperlicher Aktion,"老年人的身体行动")和作为积极自助策略的自然疗法应用。由于尚不清楚所取得的治疗效果能持续多久,因此后续护理对老年患者的治疗尤为重要。
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引用次数: 0
[Interdisciplinary multimodal pain therapy in headache disorders]. [头痛疾病的跨学科多模式疼痛治疗]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-06-06 DOI: 10.1007/s00482-023-00723-8
Britta Müller, Thomas Dresler, Florian Rimmele, Tim Jürgens, Uwe Niederberger, Christof Schwarz, Peter Kropp

Primary headaches are among the most common pain disorders. They include migraines (prevalence 15%), tension headaches (up to 80%), and others, including trigeminal autonomic headaches (about 0.2%). Migraine, in particular, leads to significant impairment of personal life and high societal costs. Therefore, the need for effective and sustainable therapeutic procedures is high. This article provides an overview of psychological procedures in headache therapy and critically summarizes the empirical evidence for the effectiveness of interdisciplinary multimodal pain therapy (IMST) consisting of psychotherapy and pharmacotherapy. It can be shown that psychoeducation, relaxation procedures, cognitive behavioral therapy, and biofeedback are psychological procedures from which headache patients can benefit. In the synopsis of multimodal approaches in the treatment of headache, consistently greater effects can be observed when both pharmacological treatment and psychotherapeutic procedures are used. This added value should be regularly taken into account in the treatment of headache disorders. This requires close cooperation between headache specialists and psychotherapists who specialize in the treatment of pain.

原发性头痛是最常见的疼痛疾病之一。它们包括偏头痛(发病率为 15%)、紧张性头痛(高达 80%)和其他头痛,包括三叉神经自律性头痛(约 0.2%)。偏头痛尤其会严重影响个人生活,造成高昂的社会成本。因此,对有效和可持续治疗程序的需求很高。本文概述了头痛治疗中的心理治疗程序,并批判性地总结了由心理治疗和药物治疗组成的跨学科多模式疼痛治疗(IMST)有效性的实证证据。结果表明,心理教育、放松程序、认知行为疗法和生物反馈疗法都是头痛患者可以从中受益的心理治疗方法。在治疗头痛的多模式方法综述中,可以观察到同时使用药物治疗和心理治疗程序的疗效更佳。在治疗头痛疾病时,应经常考虑到这一附加值。这就需要头痛专家和专门治疗疼痛的心理治疗师密切合作。
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引用次数: 0
[Emotional competence of patients with chronic pain : A self- and third-party assessment]. [慢性疼痛患者的情感能力:自我和第三方评估]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-06-06 DOI: 10.1007/s00482-023-00720-x
Anne Juliane Körner, Rainer Sabatowski, Lisa Burdic, Linn Beyer, Anne Gärtner, Benjamin Schönbach, Ulrike Kaiser

Research question: The aim of the study is to assess the status quo of emotional competence in people with chronic pain. How do patients experience themselves regarding to their ability to perceive, express, and regulate emotions? And does this assessment coincide with the assessment of emotional competence (EC) by mental health professionals?

Methods: The study took place in the context of interdisciplinary multimodal pain therapy at an outpatient clinic in N = 184 adult German-speaking individuals with non-cancer-related chronic pain. EC was assessed at the end of therapy using the self- and third-party assessment scales of the Emotional Competence Questionnaire. The external assessment was performed by the mental health team. Standard scores were created using the norm sample provided by questionnaires. These were analyzed descriptively and inferentially.

Results: Self-perceived EC was average (Mself_total = 99.31; SD = 7.78). The mental health professionals predominantly rated the emotional competence of the patients significantly lower (Mexternal_total = 94,70; SD = 7,81; F(1.179) = 35,73; p < 0.001; η2 = 0.17). Emotional expressivity, as a component of EC, was externally rated as below average (Mexpressivity_external = 89.14, SD = 10.33).

Discussion: Patients with chronic pain rate themselves as unimpaired in terms of their daily emotional awareness, expression, and regulation abilities. At the same time, mental health professionals rate these same individuals as significantly less emotionally competent. The question remains open as to what extent the divergent assessments can be explained by assessment bias.

研究问题:本研究旨在评估慢性疼痛患者的情绪能力现状。患者在感知、表达和调节情绪的能力方面是如何自我体验的?这种评估是否与心理健康专业人员对情绪能力(EC)的评估相吻合?这项研究是在门诊跨学科多模式疼痛治疗的背景下进行的,研究对象为 184 名成年德语非癌症相关慢性疼痛患者。在治疗结束时,使用情绪能力问卷的自我和第三方评估量表对情绪能力进行评估。外部评估由心理健康小组进行。使用问卷提供的标准样本创建标准分数。对这些分数进行了描述性和推断性分析:结果:自我感知的心理健康指数为平均值(Mself_total = 99.31; SD = 7.78)。心理健康专业人员对患者情绪能力的评价明显较低(Mexternal_total = 94,70; SD = 7,81; F(1.179) = 35,73; p 2 = 0.17)。情感表达能力作为EC的一个组成部分,外部评价低于平均水平(Mexpressivity_external = 89.14,SD = 10.33):讨论:慢性疼痛患者认为自己的日常情绪意识、表达和调节能力没有受损。与此同时,心理健康专业人员却认为这些患者的情绪能力明显较弱。评估偏差在多大程度上可以解释这种不同的评估结果,这个问题仍然没有答案。
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引用次数: 0
[Self-efficacy expectation as a central concept in interdisciplinary multimodal pain therapy : Conceptual horizon, implementation, recording and limits]. [自我效能预期作为跨学科多模式疼痛疗法的核心概念:概念视野、实施、记录和限制]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-06-11 DOI: 10.1007/s00482-023-00728-3
Benjamin Schönbach, Lena Weniger, Rainer Sabatowski

The concept of self-efficacy expectation shows high relevance for interdisciplinary multimodal pain therapy (IMST) aimed at activity and self-regulation due to its theoretical embedding and empirical correlations to the experience of pain. Several issues limit this potential: At the level of the construct definition, there are ambiguities and overlaps with other concepts. A pain-specific transfer to IMST has not yet been performed. With the help of existing instruments, only a small part of what an IMST can achieve in terms of increasing pain-specific competence seems to be detectable. In perspective, a clarification of terms by including patients and the conception of a questionnaire based on this is indicated.

自我效能预期的概念与跨学科多模式疼痛治疗(IMST)具有高度相关性,其目的在于活动和自我调节,这是因为它的理论嵌入和与疼痛体验的经验相关性。有几个问题限制了这一潜力:在概念定义的层面上,与其他概念存在模糊和重叠。针对疼痛的 IMST 转移尚未进行。在现有工具的帮助下,似乎只能检测到 IMST 在提高特定疼痛能力方面所能达到的一小部分效果。从这个角度来看,通过将患者纳入其中来澄清术语,并在此基础上构思调查问卷是有必要的。
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引用次数: 0
[Interdisciplinary multimodal pain therapy between "gold standard" and "terra incognita"]. [介于 "黄金标准 "和 "未知领域 "之间的跨学科多模式疼痛疗法]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1007/s00482-023-00749-y
Rainer Sabatowski, Johannes Lutz
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引用次数: 0
[Pediatric inpatient interdisciplinary multimodal pain treatment in Germany]. [德国儿科住院病人跨学科多模式疼痛治疗]。
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2024-04-01 Epub Date: 2023-08-29 DOI: 10.1007/s00482-023-00744-3
Julia Wager, Boris Zernikow

Background: Severely disabling chronic pain affects approximately half a million children in Germany. If there is a lack of response to unimodal treatment, an inpatient interdisciplinary multimodal pain treatment (IMPT) can be considered.

Objective: This review article describes the supply situation of pediatric inpatient IMPT in Germany and presents the current evidence on the effectiveness.

Material and methods: Based on a systematic literature search, studies addressing the effectiveness of pediatric inpatient IMPT in Germany were identified. In addition, further sources were used to extract information on pediatric IMPT treatment centers in Germany in order to describe the treatment approaches, the qualification of personnel and characteristics of patients.

Results: There are four pediatric pain centers in Germany that are specialized in inpatient IMPT for children and adolescents. Treatment duration ranges between 3 and 4 weeks. The multimodal treatment is carried out by a multiprofessional team and is generally available for patients up to 18 years. The majority of patients are female. The effectiveness of pediatric IMPT in Germany was investigated up to 4 years after treatment. Positive effects were shown for pain characteristics and also for the emotional burden. Additional treatment modules can facilitate further optimization of treatment effects.

Conclusion: Further research on the effectiveness of IMPT in Germany is important in order to refine and optimize the available treatment programs.

背景介绍德国约有 50 万儿童受到严重致残性慢性疼痛的影响。如果单一模式的治疗效果不佳,可以考虑住院跨学科多模式疼痛治疗(IMPT):这篇综述文章描述了德国儿科住院病人 IMPT 的供应情况,并介绍了有关其有效性的现有证据:在系统性文献检索的基础上,确定了有关德国儿科住院病人 IMPT 疗效的研究。此外,还通过其他渠道获取了德国儿科IMPT治疗中心的信息,以描述治疗方法、人员资质和患者特征:结果:德国有四家儿科疼痛中心专门为儿童和青少年提供住院 IMPT 治疗。治疗时间为 3 至 4 周。多模式治疗由一个多专业团队实施,一般适用于 18 岁以下的患者。大多数患者为女性。德国对小儿 IMPT 治疗后 4 年的效果进行了调查。结果显示,该疗法对疼痛特征和情绪负担均有积极影响。额外的治疗模块有助于进一步优化治疗效果:对德国 IMPT 疗效的进一步研究对于完善和优化现有治疗方案非常重要。
{"title":"[Pediatric inpatient interdisciplinary multimodal pain treatment in Germany].","authors":"Julia Wager, Boris Zernikow","doi":"10.1007/s00482-023-00744-3","DOIUrl":"10.1007/s00482-023-00744-3","url":null,"abstract":"<p><strong>Background: </strong>Severely disabling chronic pain affects approximately half a million children in Germany. If there is a lack of response to unimodal treatment, an inpatient interdisciplinary multimodal pain treatment (IMPT) can be considered.</p><p><strong>Objective: </strong>This review article describes the supply situation of pediatric inpatient IMPT in Germany and presents the current evidence on the effectiveness.</p><p><strong>Material and methods: </strong>Based on a systematic literature search, studies addressing the effectiveness of pediatric inpatient IMPT in Germany were identified. In addition, further sources were used to extract information on pediatric IMPT treatment centers in Germany in order to describe the treatment approaches, the qualification of personnel and characteristics of patients.</p><p><strong>Results: </strong>There are four pediatric pain centers in Germany that are specialized in inpatient IMPT for children and adolescents. Treatment duration ranges between 3 and 4 weeks. The multimodal treatment is carried out by a multiprofessional team and is generally available for patients up to 18 years. The majority of patients are female. The effectiveness of pediatric IMPT in Germany was investigated up to 4 years after treatment. Positive effects were shown for pain characteristics and also for the emotional burden. Additional treatment modules can facilitate further optimization of treatment effects.</p><p><strong>Conclusion: </strong>Further research on the effectiveness of IMPT in Germany is important in order to refine and optimize the available treatment programs.</p>","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Gender-specific results of the Dresden children and adolescents headache program DreKiP]. 【德累斯顿儿童和青少年头痛项目DreKiP的性别特异性结果】。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-09-22 DOI: 10.1007/s00482-023-00756-z
Laura Zaranek, Hanna Sobe, Matthias Richter, Anke Hübler, Reinhard Berner, Maja von der Hagen, Thea Koch, Rainer Sabatowski, Anna Klimova, Gudrun Goßrau

Background: Girls and women are more frequently affected by headache than boys and men. The influence of gender on the effectiveness of headache therapies has so far been hardly investigated. We examined gender differences in the outpatient multimodal Dresden Child and Adolescent Headache Program DreKiP.

Methods: We treated 140 patients with primary headache in a 15-hour structured group program. At baseline (T0) and six (T1) and twelve months (T2) after the end of the program, data on headache-related limitation of daily activities (PedMIDAS) as well as headache frequency, intensity, and pain-related disability (P-PDI) were collected. Retrospectively, these data were analyzed separately for girls and boys.

Results: For 91 patients (9-19 years, median = 15; 71.4 % female) data were available for at least two measurement time points. Girls showed significantly higher headache frequency than boys at all time points (median headache days/last three months at T0: ♀ 43, ♂ 20; T1: ♀ 32, ♂ 12; T2: ♀ 28, ♂ 9) as well as numerically higher headache-related limitation of daily life. There were significant effects over time with a decrease in headache frequency (F (2.88) = 5.862; p = 0.004) and improvement in daily functioning (F (2.92) = 5.340; p = 0.006). There was no gender-specific treatment response.

Discussion: The DreKiP therapy shows effects in girls and boys with primary headache. Higher headache frequencies and everyday life restrictions in girls may have hormonal but also psychosocial causes and should be addressed in educational measures.

背景:女孩和女性比男孩和男性更容易患头痛。到目前为止,性别对头痛治疗效果的影响还很少被研究。我们研究了德累斯顿儿童和青少年头痛项目DreKiP门诊多模式中的性别差异。方法:我们在一个15小时的结构化小组计划中治疗了140例原发性头痛患者。在基线(T0)以及项目结束后的六个月(T1)和十二个月(T2),收集与头痛相关的日常活动限制(PedMIDAS)以及头痛频率、强度和疼痛相关残疾(P-PDI)的数据。回顾性地,分别对女孩和男孩的这些数据进行了分析。结果:91名患者(9-19岁,中位数 = 15;71.4 % 女性)数据可用于至少两个测量时间点。在所有时间点,女孩的头痛频率都明显高于男孩(T0时头痛天数/最后三个月的中位数:♀43,♂20;T1:♀32,♂12;T2:♀28中,♂9),以及与头痛相关的日常生活限制在数量上更高。随着时间的推移,头痛频率降低,效果显著(F(2.88) = 5.862;p = 0.004)和改善日常功能(F(2.92) = 5.340;p = 0.006)。没有性别特异性治疗反应。讨论:DreKiP疗法对原发性头痛的女孩和男孩都有疗效。女孩较高的头痛频率和日常生活限制可能有激素原因,但也有心理社会原因,应在教育措施中加以解决。
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引用次数: 0
[Interdisciplinary multimodal assessment : Interprofessional interaction in team meetings and final talks]. [跨学科多模式评估:团队会议和最终会谈中的跨专业互动]。
IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Pub Date : 2024-04-01 Epub Date: 2023-08-10 DOI: 10.1007/s00482-023-00740-7
Leonie Schouten, Ulrike Kaiser, Frank Petzke

Background: In PAIN2020 (Innovation Fund, 01NVF17049), an outpatient interdisciplinary multimodal assessment (IMA) was introduced early in the course of the disease. The central quality feature is the close interdisciplinary collaboration of pain medicine, physiotherapy and psychology, which requires a complex organizational and coordination process, especially in team meetings and final discussions.

Objectives: The (different) views of the professional groups involved are brought together in the team process as a common consensus. The process of shaping the interaction of the professional groups among each other in the team meeting and final discussion as well as with the patients is examined (qualitatively) and discussed.

Methods: In PAIN2020, a workshop on IMA was held to jointly reflect on the insights and experiences gained in the process so far through monitoring with staff or teams of the PAIN2020 centers. In one of three work phases, interprofessionally composed groups gathered statements from participants on the design of the interaction in team meeting and final discussion in three rotating rounds within the framework of a World Café.

Results: It was possible to identify conducive and obstructive factors for the design of interdisciplinary collaboration in team meetings and final discussions, which were brought together in a superordinate framework model.

Discussion: The provision of the new care service as an interdisciplinary task in a team goes beyond existing structural and process parameters in the definition of framework conditions in interdisciplinary multimodal pain therapy and should therefore also take personal competencies and professional competencies into account. Therefore, new dimensions arise for the implementation of the IMA, which should be discussed in the future.

背景:在 PAIN2020(创新基金,01NVF17049)中,门诊跨学科多模式评估(IMA)在病程早期就被引入。其核心质量特征是疼痛科、理疗科和心理科的跨学科密切合作,这需要一个复杂的组织和协调过程,尤其是在团队会议和最终讨论中:目标:在团队合作过程中,各相关专业团体的(不同)观点汇聚成共同的共识。方法:在 PAIN2020 中,举办了一次研讨会,讨论了在团队会议和最终讨论中专业团体之间以及专业团体与患者之间的互动过程:PAIN2020 举办了一次关于 IMA 的研讨会,通过与 PAIN2020 中心的工作人员或团队进行监测,共同反思迄今为止在这一过程中获得的见解和经验。在三个工作阶段中的一个阶段,由跨专业人员组成的小组收集了与会者关于团队会议互动设计的发言,并在世界咖啡馆的框架内进行了三轮轮流讨论:结果:可以确定团队会议和最终讨论中跨学科合作设计的有利和不利因素,并将这些因素汇总到一个上位框架模型中:讨论:作为团队中的一项跨学科任务,提供新的护理服务超出了跨学科多模式疼痛治疗框架条件定义中现有的结构和过程参数,因此还应考虑到个人能力和专业能力。因此,跨学科多模式疼痛治疗的实施出现了新的层面,我们应在未来对此进行讨论。
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引用次数: 0
[Mentalizing the pain-Implementation of a mentalization-based manual for the therapeutic support of pain patients.] [将疼痛心理化--实施基于心理化的疼痛患者治疗支持手册]。
IF 1 4区 医学 Q2 Medicine Pub Date : 2024-04-01 Epub Date: 2023-04-18 DOI: 10.1007/s00482-023-00709-6
L A Kasper, A-C Pfeifer, J Volkert, M Schiltenwolf, S Taubner

Chronic pain is usually a complex disorder with possible indications for an impairment at the personality functioning level. Guidelines recommend a multiprofessional interdisciplinary treatment approach. Based on the alternative model of personality disorders of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) and the International Classification of Diseases, eleventh revision (ICD-11), an integrative manual was designed to exactly fit the interdisciplinary multimodal treatment of patients of the day clinic for pain at the orthopedic clinic of the University Hospital Heidelberg. The treatment manual specifically promotes various areas of personality functioning levels, such as emotion regulation, identity, empathy and relationships through individual and group interventions against the background of a mentalization-based therapeutic attitude. A focus group was used to qualitatively evaluate the implementation of the new treatment manual. With good applicability of the manual and satisfaction of the therapy team, a common language for the interdisciplinary team could be created to improve the therapeutic interaction.

慢性疼痛通常是一种复杂的疾病,可能存在人格功能障碍的迹象。指南建议采用多专业跨学科治疗方法。根据《精神疾病诊断与统计手册》第五版(DSM-5)和《国际疾病分类》第十一次修订版(ICD-11)的人格障碍替代模式,我们设计了一本综合手册,以完全适合海德堡大学医院骨科诊所疼痛日间门诊病人的跨学科多模式治疗。该治疗手册以心智化治疗态度为背景,通过个人和小组干预,特别促进了各方面的人格功能水平,如情绪调节、身份认同、移情和人际关系。焦点小组对新治疗手册的实施情况进行了定性评估。由于手册的适用性很好,治疗团队也很满意,因此可以为跨学科团队创造一种共同语言,以改善治疗互动。
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引用次数: 0
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