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Psychosoziale Onkologie pp 193–211Cite as

Aktuelle Trends bei der Schmerzbekämpfung in der Onkologie

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Part of the book series: Jahrbuch der medizinischen Psychologie ((MEDPSYCHOL,volume 3))

Zusammenfassung

In letzter Zeit wurde dem Krebsschmerz sowohl in der wissenschaftlichen Forschung als auch in der klinischen Praxis verstärkte Aufmerksamkeit zuteil. Dies betrifft jedoch fast ausschließlich die pharmakologische Schmerzbehandlung, während die psychologischen Probleme, die mit den vielfältigen Schmerzsyndromen, welche bei Krebserkrankungen auftreten können, weiterhin vernachlässigt werden. Gründe hierfür, die vorwiegend in Kommunikationsbarrieren sowohl auf der Seite des Patienten als auch des Arztes zu suchen sind, werden dargestellt und diskutiert. Psychische Probleme, die bei Patienten mit Schmerzen stärker und häufiger sind als bei Krebserkrankten ohne Schmerzen, sind als reaktive Störungsbilder zu verstehen. Entsprechend werden psychologische Schmerztherapien vorgestellt, die gleichzeitig Angst und Streß mildern: Schmerzimmunisierungstraining, Aufmerksamkeitslenkung, Entspannungsverfahren, Biofeedback, Musiktherapie und verschiedene hypnotherapeutische Verfahren.

Summary

Recently, cancer pain has become the object of increasing attention in both scientific research and clinical practice. However, this is true almost only for the pharmacological treatment of pain, whereas psychological problems resulting from a great variety of pain syndromes in cancer patients are still being neglected. The reasons for this situation, which is mainly due to a communication block in patients and in doctors, will be discussed. Psychological problems, which are more severe and more frequent in patients with pain than in cancer patients without pain, are to be seen as a reactive disturbance. Therefore, I want to present psychological pain therapies to treat fear and stress simultaneously: pain immunization training, attention control, relaxation, biofeedback, music therapy, and various hypnotherapeutic procedures.

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Literatur

  • Ahles TA, Blanchard EB, Ruckdeschel JC (1983) The multidimensional nature of cancer-related pain. Pain 17:277–288

    Article  PubMed  CAS  Google Scholar 

  • Ahles TA (1985) Psychological approaches to the management of cancer-related pain. Semin Oncol Nurs: 1/2:141–146

    Article  PubMed  CAS  Google Scholar 

  • Avellanosa AM (1982) Experience with transcutaneous electrical nerve stimulation for relief of intractable pain in cancer patients. J Med 13:203–213

    PubMed  CAS  Google Scholar 

  • Bailey LM (1983) The effects of live music versus tape-recorded music on hospitalized cancer patients. Music Therapy 3/1:17–28

    Google Scholar 

  • Bailey LM (1986) Music therapy in pain management. J Pain Sympt Management 1/1:25–28

    Article  CAS  Google Scholar 

  • Bandura A (1977) Self-efficacy: toward a unified theory of behavioral change. Psychol Rev 84:191–215

    Article  PubMed  CAS  Google Scholar 

  • Bauer KH (1963) Das Krebsproblem. Springer, Berlin Göttingen Heidelberg

    Google Scholar 

  • Beecher HK (1959) Measurement of subjective responses. Quantitative effects of drugs. Oxford Univ. Press, New York

    Google Scholar 

  • Bernstein DA, Borkovec TD (1975) Entspannungstraining. Handbuch der Progressiven Muskelentspannung. Pfeiffer, München

    Google Scholar 

  • Bischoff C (1988) Verhaltensmedizinische Hilfestellungen bei Tumorschmerz. MMW 130/8:125–126

    Google Scholar 

  • Black P (1979) Management of cancer pain: on overview. Neurosurgery 5:507–518

    Article  PubMed  CAS  Google Scholar 

  • Bond MR (1985) Cancer pain: psychological substrates and therapy. In: Fields HL et al. (eds) Adv Pain Res Ther 9:559–567

    Google Scholar 

  • Bond MR, Pearson IB (1969) Psychological aspects of pain in women with advanced cancer of the cervix. J Psychosom Res 13:13–19

    Article  PubMed  CAS  Google Scholar 

  • Bonica J (1979) Importance of the problem. In: Bonica J, Ventafridda V (eds) Adv Pain Res Ther 2

    Google Scholar 

  • Bonica JJ (1980) Cancer pain. In: Bonica J J (ed) Pain. Raven, New York, pp 335–362

    Google Scholar 

  • Bradley LA (1983) Coping with chronic pain. In: Burish TG, Bradley LA (ed) Coping with chronic disease. Academic Press. New York London, pp 339–379

    Google Scholar 

  • Brechner JLG, Giannini JA, Khoury GF, Mayo R de, Maslow ER (1987) The comparative effectiveness of hypnosis combined with analgesic tailoring alone in the management of cancer pain. Pain [Suppl 4, AGM 653]

    Google Scholar 

  • Brigden ML, Barnett JB (1987) A practical approach to improving pain control in cancer patients. West J Med 146:580–584

    PubMed  CAS  Google Scholar 

  • Cangello VW (1961) The use of hypnotic suggestions for relief of malignant disease. Int J Clin Exp Hypn 9:17–22

    Article  PubMed  CAS  Google Scholar 

  • Cleeland CS (1984) The impact of pain on the patient with cancer. Cancer 54:2535–2541

    Article  Google Scholar 

  • Cleeland CS (1985) Measurement and prevalence of pain in cancer. Semin Oncol Nurs 1:87–92

    Article  PubMed  CAS  Google Scholar 

  • Cleeland CS (1987) Barriers to the management of cancer pain. Oncology [Suppl] April: 19–26

    Google Scholar 

  • Cleeland CS, Teaman BH (1986) Behavioral control of cancer pain. In: Holzman AD, Turk DC (eds) Pain management. A handbook of psychological treatment approaches. Pergamon, New York, pp 193–212

    Google Scholar 

  • Craig KD (1980) Ontogenetic and cultural influences on the expression of pain in man. In: Kosterlitz HW, Terenius LY (eds) Pain and socitie (Dahlem-Konferenz). Verlag Chemie, Weinheim

    Google Scholar 

  • Dalton JA, Feuerstein M (1988) Biobehavioral factors in cancer pain. Pain 33:137–147

    Article  PubMed  CAS  Google Scholar 

  • Daut RL, Cleeland CS (1982) The prevalence and severity of pain in cancer. Cancer 50:1913–1918

    Article  PubMed  CAS  Google Scholar 

  • Drechsel U (1984) Treatment of cancer pain with neurolytic agents. In: Zimmermann M, Drings P, Wagner G (eds) Pain in the cancer patient. Springer, Berlin Heidelberg New York Tokyo (Recent results in cancer research, vol 89, pp 137–147)

    Chapter  Google Scholar 

  • Elton D, Stanley G, Burrows G (1983) Psychological control of pain. Grune & Stratton, Sydney

    Google Scholar 

  • Erickson MH (1966) The interpersonal hypnotic technique for symptom correction and pain control. Am J Clin Hypn 8:198–209

    Article  PubMed  CAS  Google Scholar 

  • Erickson MH, Rossi EL (1981) Hypnotherapie. Pfeiffer, München

    Google Scholar 

  • Fagen TS (1982) Music therapy in the treatment of anxiety and fear in terminal pediatric patients. Music Ther 2/1:13–23

    Google Scholar 

  • Finer B (1979) Hypnotherapy in pain of advanced cancer. In: Bonica JJ, Ventafridda V (eds) Advances in pain research and therapy, vol 2, Raven, New York, pp 223–229

    Google Scholar 

  • Fishman B, Loscalzo M (1987) Cognitive-behavioral interventions in management of cancer pain: principles and applications. Med Clin North Am 71/2:271–287

    PubMed  CAS  Google Scholar 

  • Foley KM (1979) Pain syndromes in patients with cancer. In: Bonica JJ, Ventafridda V (eds) Advances in pain research and therapy, vol 2. Raven, New York, pp 59–75

    Google Scholar 

  • Foley KM (1985) Pharmacologic approaches to cancer pain management. In: Fields HL et al. (eds) Advances in pain research and therapy, vol 9. Raven, New York, pp 629–653

    Google Scholar 

  • Foley KM (1987) Cancer pain syndromes. J Pain Sympt Management 2:13–17

    Article  Google Scholar 

  • Fotopoulos SS, Graham C, Cook MR (1979) Physiologic control of cancer pain. In: Bonica JJ, Ventafridda V (eds) Advances in pain research and therapy, vol 2. Raven, New York, pp 231–245

    Google Scholar 

  • Graffam S, Johnson A (1988) A comparison of two relaxationstrategies for the relief of pain and its distress. J Pain Sympt Management 2:229–231

    Article  Google Scholar 

  • Haley J (1958) An interactional explanation of hypnosis. Am J Clin Hypn 1:41–57

    Google Scholar 

  • Harris JE (1985) Hypnosis in the relief of pain in the cancer patient. Med Hypnoanal 6/1–2:64–65

    Google Scholar 

  • Hendler T, Cobie S, Redd WH (1986) Fear of hypnosis: the role of labelling in patients acceptance of behavioral interventions. Behav Ther 17/1:2–13

    Article  Google Scholar 

  • Hilgard ER, Hilgard JR (1975a) Stanford hypnotic clinical scale. In: Hilgard ER, Hilgard JR (eds) Hypnosis in the relief of pain. Kaufman, Los Altos

    Google Scholar 

  • Hilgard ER, Hilgard JR (1975b) Hypnosis in the relief of pain. Kaufman, Los Altos

    Google Scholar 

  • Hilgard JR, LeBaron S (1982) Relief of anxiety and pain in children and adolescents with cancer: quantitative measures and clinical observations. Int J Clin Exp Hypn 30/4:417–442

    Article  PubMed  CAS  Google Scholar 

  • Hoppe F (1985) Direkte und indirekte Suggestionen in der hypnotischen Beeinflussung chronischer Schmerzen. Empirische Untersuchung. In: Peter B (Hrsg) Hypnose und Hypnotherapie nach Milton H. Erickson. Pfeiffer, München, S 58–75

    Google Scholar 

  • Jacob W (1986) Symptom Schmerz — Leiden als Ereignis. In: Luban-Plozza B (Hrsg) Patient, Arzt, Familie im Umgang mit Schmerz und Leid. Springer, Berlin Heidelberg New York Tokyo, S 27–29

    Chapter  Google Scholar 

  • Jay SM (1985) Behavioral management of children’s distress during painful medical procedures. Behav Res Ther 23/5:513–520

    Article  PubMed  CAS  Google Scholar 

  • Jay SM, Elliott C, Varni JW (1986) Acute and chronic pain in adults and children with cancer. J Consult Clin Psychol 54/5:601–607

    Article  PubMed  CAS  Google Scholar 

  • Jessup BA, Neufeld RW (1979) Biofeedback therapy for headache and other pain: an evaluative review. Pain 7:225–271

    Article  PubMed  CAS  Google Scholar 

  • Lankton SR, Lankton C (1983) The answer within: a clinical framework of Ericksonian hypnotherapy. Bruner & Mazel, New York

    Google Scholar 

  • Lea PA, Ware PD, Monroe PR (1960) The hypnotic control of intractable pain. Am J Clin Hypn 3:3–8

    Article  Google Scholar 

  • Margolis CG (1983) Hypnotic imagery with cancer patients. Am J Clin Hypn 25/2–3:128–134

    Google Scholar 

  • Margolis CG (1985) Hypnotic interventions for pain management. Int J Psychosom 32/3:12–19

    PubMed  CAS  Google Scholar 

  • Marks G, Richardson JL, Graham JW, Levine A (1986) Role of health locus of control beliefs and expectations of treatment efficacy in adjustment to cancer. J Pers Soc Psychol 51:443–450

    Article  PubMed  CAS  Google Scholar 

  • Massie MJ, Holland JC (1987) The cancer patient with pain: Psychiatric complications and their management. Med Clin North Am 71/2:243–258

    PubMed  CAS  Google Scholar 

  • McGrath PA, deVeber P, Leveret L (1986) The management of acute pain evoked by medical procedures in chilren with cancer. J Pain Sympt Mangement 1/3:145–150

    Article  CAS  Google Scholar 

  • McKegney FP, Bailey LR, Yates JW (1981) Prediction and management of pain in patients with advanced cancer. Gen Hosp Psychiatry 3:95–101

    Article  PubMed  CAS  Google Scholar 

  • Melzack RC (1973) The puzzle of pain. Pinguin, Harmondsworth

    Google Scholar 

  • Nehemkis AM, Charter RA, Stampp MS, Gerber KE (1982) Reattribution of cancer pain. Int J Psychiatr Med 12:213–228

    Article  CAS  Google Scholar 

  • Peter B (1985) (Hrsg) Hypnose und Hypnotherapie nach Milton H. Erickson. Pfeiffer, München

    Google Scholar 

  • Peter B (1986) Hypnotherapeutische Schmerzkontrolle. Hypn Kogn 3/1:27–1

    Google Scholar 

  • Peter B, Gerl W (1984) Hypnotherapie in der psychologischen Krebsbehandlung. Hypn Kogn 1:56–69

    Google Scholar 

  • Porges P (1984) Local anaesthetics in the treatment of cancer pain. In: Zimmermann M, Drings P, Wagner G (eds) Pain in the cancer patient. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Portenoy RK (1987) Optimal pain control in elderly cancer patients. Geriatrics 42:33–44

    PubMed  CAS  Google Scholar 

  • Rozensky RH (1985) Tolerance of pain by cancer patients in hyperthermia treatment. J Psychosoc Oncol 3:75–82

    Article  Google Scholar 

  • Sacerdote P (1970) Theory and practice of pain control in malignancy and other protracted or recurring painful illnesses. Int J Clin Exp Hypn 1:160–180

    Article  Google Scholar 

  • Schag CC, Heinrich RL, Ganz PA (1983) Cancer inventory of problem situations: an instrument for assessing cancer patients’ rehabilitation needs. J Psychosoc Oncol 1:11–24

    Article  Google Scholar 

  • Schreml W (1981) Medikamentöse Schmerztherapie bei Krebspatienten. Med Klin 76:43–47

    PubMed  CAS  Google Scholar 

  • Schultz JH (1979) Hypnosetechnik. Fischer, Stuttgart

    Google Scholar 

  • Seemann H, Schug S, Zech D, Zimmermann M (1988) Bericht über den 2nd International Congress on Cancer Pain, 14.-17. Juli 1988, New York. Schmerz 2. Springer, Berlin Heidelberg New York Tokyo, pp 216–224

    Google Scholar 

  • Senn HJ, Clauss A (1982) Schmerzen und Schmerzbekämpfung bei Tumorkrankheiten. Schweiz Med Wochenschr 112:1158–1164

    PubMed  CAS  Google Scholar 

  • Siegfried J, Kuehner A, Sturm V (1984) Neurosurgical treatment of cancer pain. In: Zimmermann M, Drings P, Wagner G (eds) Pain in the cancer patient. Springer, Berlin Heidelberg New York Tokyo (Recent results in cancer research, vol 89, pp 148–156)

    Chapter  Google Scholar 

  • Simonton OE, Matthews-Simonton S, Creighton J (1982) Wieder gesund werden. Rowohlt, Reinbek

    Google Scholar 

  • Spiegel D (1985) The use of hypnosis in controlling cancer pain. Cancer 35/4:221–231

    CAS  Google Scholar 

  • Spiegel D (1986) Psychosocial interventions with cancer patients. J Psychosoc Oncol 3/4:83–95

    Article  Google Scholar 

  • Spiegel D, Bloom JR (1983) Group therapy and hypnosis reduce metastatic breast carcinoma pain. Psychosom Med 45/4:333–339

    PubMed  CAS  Google Scholar 

  • Spink PJ (1983) Hypnosis in the relief of pain: a literature review. Med Hypnoanal 4/1:12–16

    Google Scholar 

  • Stam HJ, Ewens S, Goss C, Rosental L, Urton B, Casselman J, Thomson S (1987) The relationship between cancer pain and psychological distress: effects of interference of pain in daily life. Pain [Suppl 4]: Abstr. 279

    Google Scholar 

  • Stokvis B, Wiesenhütter E (1971) Der Mensch in der Entspannung. Hippokrates, Stuttgart

    Google Scholar 

  • Sykes NP (1987) Pain control in terminal cancer. Int Disabil Stud 9/1:33–37

    Article  PubMed  CAS  Google Scholar 

  • Taylor SE, Lichtman RR, Wood JV (1984) Attributions, beliefs about control, and adjustment to breast cancer. J Pers Soc Psychol 46:489–502

    Article  PubMed  CAS  Google Scholar 

  • Teske K, Daut R, Cleeland SC (1983) Relationship between nurses’ observations and self-report of pain 16:289–296

    CAS  Google Scholar 

  • Turk DC, Rennert KS (1981) Pain and the terminally-ill cancer patient: a cognitive social learning approach. In: Sobel H (ed) Behaviour therapy in terminal care: a humanistic approach. Ballinger, Cambridge

    Google Scholar 

  • Turner JA, Chapman CR (1982) Psychological interventions for chronic pain: a critical review. I. Relaxation training and biofeedback. Pain 12:1–23

    Article  PubMed  CAS  Google Scholar 

  • Twycross RG (1975) Diseases of the central nervous system: relief of terminal pain: Br Med J October:212–214

    Google Scholar 

  • Twycross RG (1980) Incidence and assessment of pain in terminal cancer. In: Twycross RG, Ventafridda V (eds) The continuing care of terminal cancer patients. Pergamon, Oxford, pp 56–74

    Google Scholar 

  • Twycross RG, Fairfield S (1982) Pain in far advanced cancer. Pain 14:303–310

    Article  PubMed  CAS  Google Scholar 

  • Ventafridda V, Tamburini M, De Canno F (1985) Comprehensive treatment in cancer pain. In: Fields HL, Dubner R, Cervero F (eds) Advances in pain research and therapy, vol 9. Raven, New York, pp 617–628

    Google Scholar 

  • Wagner G (1984) Frequency of pain in patients with cancer. In: Zimmermann M, Drings P, Wagner G (eds) Pain in the cancer patient. Springer, Berlin Heidelberg New York Tokyo (Recent results in cancer research, vol 89, pp 64–71)

    Chapter  Google Scholar 

  • Weisenberg M (1977) Pain and pain control. Psychol Bull 84:1008–1044

    Article  PubMed  CAS  Google Scholar 

  • Weisenberg M (1982) Cultural and ethnic factors in reaction to pain. In: Al-Issa I (ed) Culture and psychopathology. University Press, Baltimore, pp 187–198

    Google Scholar 

  • Wengle H (1988) Hypnose in der interdisziplinären Therapie des chronischen Schmerzpatienten. Prax Psychother Psychosom 33/4:193–199

    Google Scholar 

  • WHO (1986) Cancer pain relief. World Health Organization, Geneva

    Google Scholar 

  • Wolf J (1911) Die Lehre von der Krebskrankheit von den ältesten Zeiten bis zur Gegenwart. Fischer, Jena

    Google Scholar 

  • Woodforde JM, Fielding JR (1975) Pain and cancer. In: Weisenburg M (ed) Pain, clinical and experimental perspectives. Mosby, St. Louis, pp 332–336

    Google Scholar 

  • Zborowski M (1952) Cultural components in responses to pain. J Soc Issue 8:16–30

    Article  Google Scholar 

  • Zborowski M (1969) People in pain. Josey-Bars, San Francisco

    Google Scholar 

  • Zeltzer L, LeBaron S (1982) Hypnosis and nonhypnotic techniques for reduction of pain and anxiety during painful procedures in children and adolescents with cancer. J Pediatr 101:1032–1035

    Article  PubMed  CAS  Google Scholar 

  • Zeltzer L, Le Baron S (1983) Behavioral intervention for children and adolescents with cancer. Behav Med 5/2–3:17–22

    Google Scholar 

  • Zenz M (1985) Ambulante Schmerztherapie mit Opiaten. Diagn. Intensivmed 18:24–27

    Google Scholar 

  • Zimmermann M, Drings P (1984) Guidelines for therapy of pain in cancer patients. In: Zimmermann M, Drings P, Wagner G (eds) Pain in the cancer patient. Springer, Berlin Heidelberg New York Tokyo (Recent results in cancer research, vol 89, pp 1–12)

    Chapter  Google Scholar 

  • Zimmermann L, Pozehl B, Duncan K (1986) The effects of music therapy on oncologic patients with chronic pain (meeting abstract). Oncol Nurs Forum [Suppl 2] 13:74

    Google Scholar 

  • Zindel JP (1988) Hypnose und tiefenpsychologische Arbeit. Prax Psychother Psychosom 33/4:183–192

    Google Scholar 

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  1. H. Seemann
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Editors and Affiliations

  1. Abteilung für Medizinische Psychologie, Universitätskrankenhaus Hamburg-Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    Rolf Verres

  2. Abteilung für Medizinische Psychologie, Universitätsnervenklinik Kiel, Niemannsweg 147, D-2300, Kiel 1, Deutschland

    Monika Hasenbring

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Seemann, H. (1989). Aktuelle Trends bei der Schmerzbekämpfung in der Onkologie. In: Verres, R., Hasenbring, M. (eds) Psychosoziale Onkologie. Jahrbuch der medizinischen Psychologie, vol 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74986-5_16

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