Körperbild und Rückenschmerz

Levenig, Claudia; Hasenbring, Monika; Kleinert, Jens; Kellmann, Michael

doi:10.1007/s00482-016-0122-9

Cited by 16 publications

(6 citation statements)

References 37 publications

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“…During the past decade, unfavorable facets of body image became of increasing interest, that is, perceptual aspects, such as misperceptions of the painful body part (eg, "I can't find it," "It feels as though it has shrunk" 14 ), and cognitive-affective aspects of body image, the latter referring to negative evaluations of one's own body with respect to self-acceptance (eg, "I have more physical deficits than others" 15 ), health (eg, "I often reach my physical limits" 15 ), and physical efficacy (eg, "I am strong" 15 ). [14][15][16][17] Recently, it has been shown that nonathletic patients with LBP reveal a more negative body image than healthy controls, although the direction of this relationship remains open. 17 However, there are inconsistent results regarding athletes.…”

mentioning

confidence: 99%

Body Image in Athletes and Nonathletes With Low Back Pain: Avoidance–Endurance-Related Subgroups and Sports Status Play a Role

Levenig¹,

Kellmann²,

Kleinert³

et al. 2021

Journal of Sport Rehabilitation

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Context: Low back pain (LBP) is a serious health problem, both in the general population as well as in athletes. Research has shown that psychosocial aspects, such as dysfunctional pain responses, play a significant role in the chronification of LBP. Recent research supports the relevance of the multidisciplinary concept of body image in the interpretation of LBP. Objective: To examine the differences in 2 psychosocial aspects, body image and pain responses, between athletes and nonathletes with LBP. Design: Cross-sectional design. Setting: The questionnaires were distributed in the course of LBP treatment. Participants: Data from 163 athletes (mean age = 28.69 [9.6] y) and 75 nonathletes (mean age = 39.34 [12.63] y) were collected. Interventions: Data were collected by questionnaires assessing body image, pain behavior, training activity, and LBP. Main Outcome Measures: To examine group differences between athletes and nonathletes regarding body image and pain behavior, the authors performed 2-way analyses of variance with Bonferroni post hoc tests. Results: The results showed (1) a significant main effect regarding pain responses and body image, showing that participants with eustress endurance or adaptive pain behavior revealed a more positive body image in both groups compared with participants with distress endurance or fear-avoidance behavior, and (2) a significant main effect for the factor group in the body image dimension of physical efficacy, indicating a more positive body image for athletes. Conclusion: These results suggest that considering multiple risk factors for LBP, such as body image and dysfunctional pain behavior, as well as subgrouping, might be valuable for research and for broadening therapy options.

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mentioning

confidence: 99%

Body Image in Athletes and Nonathletes With Low Back Pain: Avoidance–Endurance-Related Subgroups and Sports Status Play a Role

Levenig¹,

Kellmann²,

Kleinert³

et al. 2021

Journal of Sport Rehabilitation

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“…Disruption of body image has been observed in people with chronic pain (Moseley and Flor, 2012;Levenig et al, 2016;Wand et al, 2016). These disruptions include changes in perceived body dimensions (Wand et al, 2016) and perceptions of vulnerability and fear of (re)injury (Vlaeyen J.W.…”

Section: Potential Mechanismsmentioning

confidence: 99%

“…These disruptions include changes in perceived body dimensions (Wand et al, 2016) and perceptions of vulnerability and fear of (re)injury (Vlaeyen J.W. et al, 1995;Levenig et al, 2016). Authors have highlighted the possibility that addressing body image disruptions may be therapeutic (Moseley, 2004;Moseley and Flor, 2012;Riva et al, 2017Riva et al, , 2019.…”

Section: Potential Mechanismsmentioning

confidence: 99%

Virtual Reality Body Image Training for Chronic Low Back Pain: A Single Case Report

Harvie

Rio

Smith

et al. 2020

Front. Virtual Real.

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Background: Virtual reality (VR) allows people to embody avatars that are different from themselves in appearance and ability. These experiences provide opportunities to challenge bodily perceptions. We devised a novel VR Body Image Training (VR-BIT) approach to target self-perceptions and pain in people with persistent pain.Methods: A 45-year old male with a 5-year history of disabling chronic low back pain participated in a 4-week VR-BIT intervention. Pain began following a fall from a first-floor deck. Pain was central and on the right side of his lower back, radiating to his right buttock and thigh. Pain was constant and varying at a 5/10 average intensity. The 4-week intervention consistent of three face-to-face sessions 1-week apart, followed by 1-week of in-home VR-BIT. During the first face-to-face session, the participant embodied three athletic avatars: a superhero (Incredible Hulk), a boxer, and a rock climber. Since the participant strongly identified with the boxer, only boxing experiences were subsequently used. Primary outcomes relating to body image (self-perceived strength, vulnerability, agility, and confidence with activity) and pain intensity were assessed using numerical rating scales (0-10 NRS). Disability, kinesiophobia, overall change, and self-efficacy were assessed as secondary outcomes. Outcomes were assessed during each face-to-face session, and at 1-week and 3-month follow-up.Results: The participant reported a high degree of engagement. Positive changes were noted during and after VR for all body image and pain assessments. Improvements were retained at 3-months for body image ratings (mean change: 4.5/10 NRS) and average pain intensity (change: 2/10 NRS). Improvements in disability (45% improvement); self-efficacy (pre: 2/12; post: 10/12); and overall change ("Very much improved") were noted at 3-month follow-up. No change in kinesiophobia was detected. No adverse advents were recorded. Conclusion:The participant engaged strongly with the intervention and showed clinically meaningful changes in body image, pain, disability, and self-efficacy. Despite his long history of pain and rapid improvements, reported changes may be due to non-treatment effects. Nonetheless, VR-BIT clearly warrants further investigation as a potential addition to usual care.

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“…In recent years, several studies on the concept of positive body image [11] and disturbed body image [12] have contributed to a better classification of this phenomenon and the possible underlying psychopathology. Research has also already shown an interaction between chronic pain and body image [12][13][14]. On the one hand, a negative or distorted perception of body image seems to have a decisive influence on the development of chronic pain [14].…”

Section: Introductionmentioning

confidence: 99%

“…Research has also already shown an interaction between chronic pain and body image [12][13][14]. On the one hand, a negative or distorted perception of body image seems to have a decisive influence on the development of chronic pain [14]. On the other hand, chronic pain disorders themselves seem to be able to promote changes in body image [12].…”

Section: Introductionmentioning

confidence: 99%

Patients With Chronic Pain: The Aspect Of Negative Body Image

Kieselbach,

Fauler,

Abberger

2024

Psychother Psychosom Med Psychol

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Objective Negative body image is an increasingly important factor in chronic pain disorders; particularly because the two conditions mutually influence each other. Our study examines body-image-related attitudes and comorbid psychic symptoms in patients with chronic pain disorders. Methods and Measures 188 patients with chronic pain answered the Dresden body image questionnaire (DKB-35), the Hospital Anxiety and Depression Scale (HADS) and the Beck’s Depression Inventory (BDI). Results The mean values of the DKB-35 subscales range between 2.24 und 3.29. The subscale “vitality” has the lowest mean value. BDI and HADS correlated significantly with the DKB-35 subscales. The subscale “body-acceptance” intercorrelated high with the two subscales “vitality” and “self-aggrandizement”. Conclusion Our findings verify that chronic pain is strongly associated with negative body image. The issues of vitality and psychological symptoms seem particularly central in this complex interaction. The biopsycho-social model and the avoidance-endurance approach to chronic pain offer important ideas for explanation and treatment.

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Körperbild und Rückenschmerz

Abstract: Further studies are necessary which include body image concepts as a possible psychosocial risk factor, in particular studies on the mechanism of body image procedures.

Cited by 16 publications

References 37 publications

Body Image in Athletes and Nonathletes With Low Back Pain: Avoidance–Endurance-Related Subgroups and Sports Status Play a Role

Body Image in Athletes and Nonathletes With Low Back Pain: Avoidance–Endurance-Related Subgroups and Sports Status Play a Role

Virtual Reality Body Image Training for Chronic Low Back Pain: A Single Case Report

Patients With Chronic Pain: The Aspect Of Negative Body Image

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