Mittelfristige Effekte einer multimodalen Behandlung bei Patienten mit Fibromyalgiesyndrom

Lange, M.; Krohn-Grimberghe, B.; Petermann, Franz

doi:10.1007/s00482-010-1003-2

Cited by 14 publications

(6 citation statements)

References 27 publications

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“…CBT is effective both in the treatment of related symptoms and for the reduction in the intensity of perceived pain (Grade of recommendation: A) (Rossy et al, 1999 ; Bernardy et al, 2010 ; Glombiewski et al, 2010b ; Gritzner et al, 2012 ; Clauw, 2014 ). Psycho-educational and behavioral interventions, aimed at helping the patient to improve the management of the disease in his daily life, appear also to be effective in reducing perceived pain (Grade of recommendation: B) (Burckhardt et al, 1994 ; Nicassio et al, 1997 ; Thieme et al, 2003 , 2006 ; Hammond and Freeman, 2006 ) as well as multidisciplinary treatments (Grade of recommendation: B) (Lemstra and Olszynski, 2005 ; Lera et al, 2009 ; Lange et al, 2011 ; Vincent et al, 2013 ).…”

Section: Evidences and Discussionmentioning

confidence: 99%

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

et al. 2016

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Background: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams.Objectives: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases.Methods: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions.Results: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive—Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post—Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache.Conclusions: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the paper.

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Section: Evidences and Discussionmentioning

confidence: 99%

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

et al. 2016

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“…In a study on 198 patients with chronic pain, Schütze et al observed an improvement in the average depression scale value of 1.3 and the anxiety scale value of 1.5 1 year after MPT [35]. A study on MPT for fibromyalgia showed differences of 0.7 (depression-scale) and 1.6 (anxiety-scale) [40]. In the present study, depression scales were reduced by 2.4 and anxiety scale by 2.9.…”

Section: Discussionmentioning

confidence: 99%

Multimodal pain therapy for persistent idiopathic facial pain - a pilot study

Foerster

Kleinmann

Schlueter

et al. 2022

BioPsychoSocial Med

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Objective Persistent Idiopathic Facial Pain (PIFP) is a pain syndrome with missing evidence-based therapy recommendations. According to the biopsychosocial pain model, multidisciplinary pain treatment (MPT) offers a promising therapeutic option for chronic pain syndromes. MPT is an interprofessional treatment procedure, consisting of medical, physiotherapeutic and psychotherapeutic treatment units, which has not yet been studied in PIFP. Methods This retrospective study included 25 patients with PIFP, who had been treated with MPT. Pain intensity on the numerical rating scale (NRS), perceived disability, habitual well-being, as well as anxiety/depression and stress scales were recorded. Moreover, the patients evaluated the efficacy of each type of the single therapeutic interventions. Results There was a highly significant decrease in the characteristic pain intensity. Also habitual well-being improved significantly, as did anxiety and depression. The perceived disability and stress also improved, but without statistical significance. Physiotherapy was rated as the most effective therapeutic unit. Among the medical measures, consultations took first place (40% of the participants). Nearly three-fourths of the patients (72%) would recommend MPT. Conclusion The present study shows beneficial outcomes in patients with PIFP following MPT. Patients evaluate physiotherapeutic treatment as particularly efficacious. Therefore, MPT can be considered as a therapeutic option in patients with PIFP.

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“…Für Patienten mit einem Fibromyalgie-Syndrom bestehen im deutschen Sprachraum über längere Zeit Schulungserfahrungen (2,6,(20)(21)(22) Teilnehmeräußerungen zu dem Inhalt "mit der Krankheit besser umgehen zu lernen"…”

Section: Wissenschaftlicher Hintergrundunclassified

Stellenwert der Patientenschulung für Patientinnen und Patienten mit Fibromyalgie-Syndrom

Ehlebracht-König¹

2017

Arthritis und Rheuma

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ZusammenfassungZur Vorbereitung auf die vollständige Überarbeitung des Patientenschulungsprogramms der Deutschen Gesellschaft für Rheumatologie für Patientinnen und Patienten mit einem Fibromyalgie-Syndrom wurde eine umfangreiche Befragung von Betroffenen mittels Fokusgruppen durchgeführt. Insgesamt 48 Teilnehmerinnen und Teilnehmer hatten die Möglichkeit in einem strukturierten Interview, Themen zu nennen, deren Stellenwert für sie im Rahmen einer Patientenschulung hoch war. Im Vordergrund standen sowohl der Wunsch, Selbstmanagementkompetenzen zum eigenverantwortlichen Umgang mit der Erkrankung zu erlernen als auch Informationen zur Erkrankung zu erhalten. Es konnte eine Rangliste der häufigsten Nennungen erstellt werden, sodass die Inhalte Eingang in die Neukonzeption des Schulungsprogramms fanden. Alle Teilnehmer schätzten die Bedeutung der Patientenschulung für sich selbst als sehr hoch ein.

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Mittelfristige Effekte einer multimodalen Behandlung bei Patienten mit Fibromyalgiesyndrom

Abstract: Based on the positive medium-term effects on functioning in everyday life and self-efficacy there is evidence that patients benefit from multimodal rehabilitation programs including integrative patient education.

Cited by 14 publications

References 27 publications

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Multimodal pain therapy for persistent idiopathic facial pain - a pilot study

Stellenwert der Patientenschulung für Patientinnen und Patienten mit Fibromyalgie-Syndrom

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