Rentenbegehren und Therapie chronischer Rückenschmerzen

Abstract

CBT in an outpatient setting seems to be an effective treatment for patients with chronic back pain and even patients with a desire for early retirement benefit from treatment.

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

“…For chronic musculoskeletal pain, interventions that appear to be more effective are the multidisciplinary and multidimensional ones (Grade of recommendation: A) (Guzman et al, 2006 ; Kääpä et al, 2006 ; Mangels et al, 2009 ; Mannion et al, 2013 ; Monticone et al, 2013 ; Kamper et al, 2014 ). CBT, both conducted in individual settings (Grade of recommendation: B, these studies are not always methodologically perfect and the impact on pain is still quite low) (Turner and Jensen, 1993 ; Turner, 1996 ; Rose et al, 1997 ; Smeets et al, 2006 ; Trapp et al, 2009 ; Glombiewski et al, 2010a ; Taloyan et al, 2013 ) and group settings (Grade of recommendation: A) (Turner et al, 1990 ; Turner and Jensen, 1993 ; Newton-John et al, 1995 ; Basler et al, 1997 ; Rose et al, 1997 ; Haldorsen et al, 1998 ; Linton and Ryberg, 2001 ; Linton and Nordin, 2006 ; Lamb et al, 2010a , b ), and educational and behavioral interventions (Grade of recommendation: B) (Tavafian et al, 2007 ; Brox et al, 2008 ; Henschke et al, 2010 ; van Middelkoop et al, 2011 ) are also highly recommended. It must be noted that the efficacy of cognitive-behavioral therapies are consistent across both individual and group settings (Rose et al, 1997 ) and that all of the interventions previously listed are also effective are also effective in the context of patients planning early retirement as a result of pain or a highly disabling condition, both of which are frequently perceived as obstacles to improvement (Trapp et al, 2009 ).…”