Skip to main content
SpringerLink
Log in

Schmerzbehandlungszentren in den USA: Organisation, Therapieprogramme, Effizienz

  • Chapter
Psychologische Schmerztherapie

  • 178 Accesses

Zusammenfassung

Die Erkenntnis, daß chronischer Schmerz mit konventionellen, sich am Modell des akuten Schmerzes orientierenden Behandlungsformen nicht erfolgreich therapierbar ist, fand in den USA schon relativ früh eine pragmatische Umsetzung. Ende der 60er Jahre wurden die ersten „pain centers“ oder „pain clinics gegründet,“ deren Behandlungskonzepte auf einem multidisziplinären Ansatz fußen. Eine der frühesten Gründungen war das Schmerzzentrum an der University of Washington, School of Medicine in Seattle, mit dem sich v. a. die Namen Bonica, Loeser und Fordyce verbinden. Fordyce entwickelte dort seinen operanten Ansatz der Schmerzbewältigung, an dem sich heute viele der interdisziplinären Behandlungszentren orientieren (Fordyce 1976). Von diesem Zentrum ging ein ungeheurer Motivationsschub für die Schmerzforschung und die Einrichtung von Schmerztherapiezentren aus. Heute soll es in den USA ca. 1200 Schmerzkliniken geben (Ng 1981; Crue 1983, zit. nach Newman u. Seres 1986).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • references>Aronoff GM (ed) (1988) Pain centers: A revolution in health care. Raven Press, New York

    Google Scholar 

  • Aronoff GM, Evans WO, Enders PL (1983) A review of follow-up studies of multidisciplinary pain units. Pain 16: 1–11

    Article  PubMed  CAS  Google Scholar 

  • Benjamin S (1989) Psychological treatment of chronic pain–a selective review. Psychosom 33: 121–132

    Article  CAS  Google Scholar 

  • Blanchard EB, Jaccard J, Andrasik KF, Guanieri P, Jurish SE (1985) Reduction in headache patients medical expenses associated with biofeedback and relaxation treatments. Biofeedback Self-Reg10: 63–68

    Google Scholar 

  • Block AR (1982) Multidisciplinary treatment of chronic low back pain: A review. Rehabil Psychol 27: 51–63

    Article  Google Scholar 

  • Bullinger M, Turk DC (1982) Selbstkontrolle: Strategien zur Schmerzbewältigung. In: Keeser W, Pöppel E, Mitterhusen P (Hrsg) Schmerz. Fortschritte der Klinischen Psychologie 27. Urban * Schwarzenberg, München

    Google Scholar 

  • Carosella AM, Lackner JM, Feuerstein M (1994) Factors associated with early discharge from a multidisciplinary work rehabilitation program for chronic low back pain. Pain 57: 69–76

    Article  PubMed  CAS  Google Scholar 

  • Cairns D, Pasino JA (1977) Comparison of verbal reinforcement and feedback in the operant treatment of disability due to chronic low back pain. Behav Ther 8: 621–630

    Article  Google Scholar 

  • Caudill M, Schnable R, Zuttermeister P, Benson H, Friedmann R (1991) Decreased clinic use by chronic pain: response to behavioral medicine intervention. Clin Pain 7: 305–310

    Article  CAS  Google Scholar 

  • Chapman S, Pemberton J (1994) Prediction of treatment outcome from clinically derived MMPI clusters in rehabilitation for chronic low back pain. Clin J Pain 10: 267–276

    Google Scholar 

  • Cinciripini PM, Floreen A (1982) An evaluation of a behavioral program for chronic pain. J Behav Med 5: 375–389

    Google Scholar 

  • Cutler RB, Fishbain DA, Ying Lu, Rosomoff RS, Rosomoff HL (1994) Prediction of pain center outcome for geriatic chronic pain patients. Clin J Pain io: 10–17

    Google Scholar 

  • Deardorff WW, Rubin HS, Scott DW (1991) Comprehensive multidisciplinary treatment of chronic pain: a follow-up study of treated and non-treated groups. Pain 45: 35–43

    Google Scholar 

  • DeGood DE (1983) Reducing medical patients reluctance to participate in psychological thera- pies: The initial session. Prof Psychol: Res Pract 14: 570–579

    Article  Google Scholar 

  • Dichgans J, Diener HC, Gerber D, Verspohl EJ, Kubiolka H, Kluck M (1984) Analgetika-induzierter Dauerkopfschmerz. Dtsch Med Wochenschr 10: 369–373

    Article  Google Scholar 

  • Fey SG, Williamson, Kerkland TE, Frangione RM (1984) The return to work of injured workers following comprehensive pain management. (Zit. nach Keefe et al. 1986 )

    Google Scholar 

  • Fishbain DA, Rosomoff HL, Rosomoff RS (1992) Drug abuse, dependence, and addiction in chronic patients. Clin J Pain 8: 77–85

    Article  PubMed  CAS  Google Scholar 

  • Fishbain DA, Rosomoff HL, Goldberg M, Cutler RB, Abdel-Moty E, Khabil TH, Rosomoff RS (1993) The prediction of return to the workplace after multidisciplinary pain center treatment. Clin J Pain 9: 3–15

    Article  PubMed  CAS  Google Scholar 

  • Flor H, Fydrich T, Turk DC (1992) Efficacy of multidisciplinary pain treatment centers: A meta-analytic review. Pain 49: 221–230

    Article  PubMed  CAS  Google Scholar 

  • Follick MJ, Zitter RE, Ahern DK (1983) Failures in the operant treatment of chronic pain. In: Foa EB, Emmelkamp P (eds) Failures in behavior therapy. Wiley, New York

    Google Scholar 

  • Fordyce WE, Roberts AH, Sternbach RA (1985) The behavioral management of chronic pain: A response to critics. Pain 22: 113–125

    Article  PubMed  CAS  Google Scholar 

  • Fordyce WE, Fowler RS, Lehmann JF, Delateur BJ, Sand PL, Trieschmann RB (1973) Operant

    Google Scholar 

  • conditioning in the treatment of chronic pain. Arch Phys Med Rehabil 54: 399-406

    Google Scholar 

  • Fordyce WE, Wilbert E, Fowler RS, Delateur BJ (1968) An application of behavior modification techniques to a problem of chronic pain. Behav Res Ther 6: 105–107

    Article  PubMed  CAS  Google Scholar 

  • Fordyce WE (1976) Behavioral methods for chronic pain and illness. Mosby, St. Louis

    Google Scholar 

  • Fordyce WE, Steger JC (1982) Chronischer Schmerz. In: Keeser W, Pöppel E, Mitterhusen P(Hrsg) Schmerz. Fortschr Klink Psychol 27, Urban * Schwarzenberg, München

    Google Scholar 

  • Gottlieb H, Strite LC, Koller R, Madorsky A, Hockersmith V, Kleemann M, Wagner J (1977) Comprehensive rehabilitation of patients having chronic low back pain. Arch Phys Med Rehabil 58: 101–108

    PubMed  CAS  Google Scholar 

  • Gottlieb HJ, Kotter R, Alperson BL (1982) Low back pain comprehensive rehabilitation program: a follow-up-study. Arch Phys Med Rehabil 63: 458–461

    Google Scholar 

  • Greenhoot JH, Sternbach Ra (1974) Conjoint treatment of chronic pain. Adv Neurol 4: 595–603

    Google Scholar 

  • Guck TP, Skultety FM, Meilman PW, Dowd ET (1985) Multidisciplinary pain center follow-up study: Evaluation with a no treatment control group. Pain 21: 295–306

    Article  PubMed  CAS  Google Scholar 

  • Guck TP, Meilmann PW, Skutety FM, Poloni LD (1988) Pain-patient MMPI subgroups–Evaluation of longterm treatment outcome. J Behav Med, 11: 159–170

    Article  PubMed  CAS  Google Scholar 

  • Hazard RG, Bendix A, Fenwick JW (1991) Disability exaggeration as a predictor or functional restoration outcomes for patients with low-back-pain. Spine 16: 1062–1067

    Article  PubMed  CAS  Google Scholar 

  • Härkäpää K, Järvikoski G, Mellin G, Hurri H (1990) A controlled study on the outcome of inpatient and outpatient treatment of low back pain, disability, and compliance during a 2.5-year follow-up period. Pain [suppl] 5: 386

    Article  Google Scholar 

  • Herman E, Baptiste S (1981) Pain control: Mastery through group experience. Pain 10: 79–86

    Article  PubMed  CAS  Google Scholar 

  • Houpt JL, Keefe FJ, Snipes MT (1984) The clinical specialty unit: The use of the psychiatry inpatient unit to treat chronic pain syndromes. Gen Hosp Psychiatry 6: 65–70

    Article  PubMed  CAS  Google Scholar 

  • Ignelzi RJ, Sternbach RA, Timmermans G (1977) The pain ward follow-up analyses. Pain 3: 277–280

    Article  PubMed  CAS  Google Scholar 

  • Jamison RN, Matt DA, Parris WCV (1988) Effects of time-limited vs. unlimited compensation on pain behavior and treatment outcome in low back pain patients. J Psychosom Res 32: 277–283

    Article  PubMed  CAS  Google Scholar 

  • Jensen NH, Jonson T, Hjorts E, Johansen SH (1987) A multidisciplinary pain clinic follow-up study: The results 1 year later. Pain 4 375

    Article  Google Scholar 

  • Keefe FJ, Gil KM, Rose SC (1986) Behavioral approaches in the multidisciplinary management of chronic pain: Programs and issues. Clin Psychol Rev 6: 87–113

    Article  Google Scholar 

  • Keefe FJ, Block AR, Williams RB, Surwit RS (1981) Behavioral treatment of chronic pain: Clinical outcome and individual differences in pain relief. Pain 11: 221–231

    Article  PubMed  CAS  Google Scholar 

  • Kerns RD, Turk DC, Holzman AD, Rudy TE (1986) Comparison of cognitive-behavioral and behavioral approaches to out-patient treatment of chronic pain. Clin J Pain 1: 195–203

    Google Scholar 

  • King SA, Snow BR (1989) Factors for predicting premature termination from a multidisciplina- ry inpatient chronic pain program. Pain 39: 281–287

    Article  PubMed  CAS  Google Scholar 

  • Kröner-Herwig B, Sachse R (1988) Biofeedback. Kohlhammer, Stuttgart

    Google Scholar 

  • Kröner-Herwig B (1995a) Die Therapie von chronischen Kopfschmerzen mittels psychologischer Behandlungsansätze - ein Überblick. In: Basler H-D, Kröner-Herwig B (Hrsg) Psychologische Therapie bei Kopf-and Rückenschmerzen - ein Bewältigungsprogramm zur Gruppen-and Einzeltherapie. Quintessenz, München

    Google Scholar 

  • Kröner-Herwig B (1995b) Die Therapie chronischer Rückenschmerzen mittels psychologisch fundierter Behandlungsverfahren - ein Überblick. In: Basler H-D, Kröner-Herwig B (Hrsg)

    Google Scholar 

  • Psychologische Therapie bei Kopf-and Rückenschmerzen - ein Bewältigungsprogramm zur Gruppen-and Einzeltherapie. Quintessenz, München

    Google Scholar 

  • Kröner-Herwig B, Glier B, Denecke H, Emde H, Frettlöh J, Günther S, Weiß L (1992) Pain medication reduction: A useful goal in psychological pain therapy. Poster presented at the II. International Congress of Behavioral Medicine, Hamburg. Volume of Abstracts, p 119

    Google Scholar 

  • Latimer PR (1982) External contingency management for chronic pain: Critical review of the evidence. Am J Psychiatry 139: 1308–1312

    PubMed  CAS  Google Scholar 

  • Linton SJ (1982) A critical review of behavioral treatment for chronic benign pain other than headache. BY J Clin Psychol 21: 321–337

    Google Scholar 

  • Linton SJ (1986) Behavioral remediation of chronic pain: A status report. Pain 24: 125–141 Maruta T, Osborne D (1978) Sexual activity in chronic pain patients. Psychosomatics 19: 531–537

    Google Scholar 

  • Maruta T, Swanson DW, Finlayson Re (1979a) Drug abuse and dependency in patients with chronic pain. Mayo Clin Proc 54: 241–244

    PubMed  CAS  Google Scholar 

  • Maruta T, Swanson DW, Swenson WM (1979b) Chronic pain: Which patients may a pain-management program help? Pain 7: 321–329

    Article  PubMed  CAS  Google Scholar 

  • Maruta T, Osborne D, Swanson DW, Halling JM (1981) Chronic pain patients and spouse–marital and sexual adjustment. Mayo Clin Proc 56: 307–310

    PubMed  CAS  Google Scholar 

  • Maruta T, Swanson DW, McHardy MJ (1990) Three year follow-up of patients with chronic pain

    Google Scholar 

  • who were treated in a multidisciplinary pain management center. Pain 41: 47-53

    Google Scholar 

  • Mayer TG, Gatchel RJ, Kishino N, Keeley J, Mayer H, Capra P, Mooney V (1986) A prospective

    Google Scholar 

  • short-term study of chronic low back pain patients utilizing novel objective functional measurement. Pain 25: 53-68

    Google Scholar 

  • Mayer TG, Gatchel RJ, Mayer H, Kishino ND, Keeley J, Mooney V (1987) A prospective two-year study of functional restoration in industrial low back injury: An objective assessment procedure. J Am Med Assoc 258: 1763–1767

    Article  CAS  Google Scholar 

  • McArthur DL, Cohen MC, Gottlieb HJ, Naliboff BD, Schandler SL (1987) Treating chronic low back pain: I. Admissions to initial follow-up. Pain 29: 1–22

    Article  PubMed  CAS  Google Scholar 

  • Moore JE, Chaney EF (1985) Out patient group treatment of chronic pain: Effects of spouse involvement. J Consult Clin Psychol 53: 326–334

    Google Scholar 

  • Newman RI, Seres JL, Yospe LP, Garlington BE (1978) Multidisciplinary treatment of chronic pain. Long term follow up of low back pain patients. Pain 4: 283–292

    Article  PubMed  CAS  Google Scholar 

  • Newman RI, Seres JL (1986) The interdisciplinarity pain center: An approach to the management of chronic pain. In: Holzman AD, Turk DC (eds) Pain Management. Pergamon Press, New York

    Google Scholar 

  • Ng LKJ (ed) (1981) New approaches to treatment of chronic pain. A review of multidisciplinary pain clinics and pain centers NIDA. Res Mon 36

    Google Scholar 

  • Painter JR, Seres JL, Newman RI (1980) Assessing benefits of the pain center: Why some patients regress. Pain 8: l01–113

    Article  Google Scholar 

  • Peters J, Large RG, Elkind G (1992) Follow-up results from a randomised controlled trial evauating in-and outpatient pain management programmes. Pain 50: 41–50

    Article  PubMed  CAS  Google Scholar 

  • Pfingsten M, Hildebrandt J, Franz C, Schwibbe G, Ensink FB (1993) Ergebnisse eines standardisierten multidimensionalen Gruppenbehandlungsprogramms für Patienten mit chronischen Rückenschmerzen. Gesundheitswesen 543: 224–244

    Google Scholar 

  • Philips HC (1987) The effects of behavioral treatment on chronic pain. Behav Res Ther 25: 365–377

    Google Scholar 

  • Poloni LD (1990) Long-term outcome in a chronic pain rehabilitation program. Paper pres. at the VI. World Congress on Pain, Adelaide 1990. Pain [Suppl] 5: 349

    Article  Google Scholar 

  • Ralphs JA, de C Williams A, Richardson PH, Pither CE, Nicholas MK (1994) Opiate reduction in chronic pain patients: a comparison of patient-controlled reduction and staff controlled cocktail methods. Pain 56: 279–288

    Google Scholar 

  • Roberts AH, Reinhardt L (1980) The behavioral management of chronic pain: Long-term follow-up with comparison groups. Pain 8: 151–162

    Article  PubMed  CAS  Google Scholar 

  • Romano JM, Turner JA (1985) Chronic pain and depression. Does the evidence support the relationship? Psychol Bull 97: 18–37

    Article  PubMed  CAS  Google Scholar 

  • Seres JL, Newman RI (1976) Results of treatment of chronic low back pain at the Portland Pain Center. J Neurosurg 45: 3–36

    Google Scholar 

  • Seres JL, Newman RI, Yospe LP, Garlington BE (1977) Evaluation and management of chronic pain by non-surgical means. In: Fletscher LJ (ed) Pain management: Symposium on the neurosurgical treatment of pain. Williams * Wilkins, Baltimore

    Google Scholar 

  • Simmons JW, Avant WS, Demski J, Parisher D (1989) Determining successful pain clinic treatment through validation of cost effectiveness. Spine 13: 342–344

    Google Scholar 

  • Skinner JB, Erskine A, Rubenstein I, Taylor M, Pearse S (1987) An evaluation of an out-patient program of cognitive behavioral therapy of chronic pain. Oain 4: 58

    Google Scholar 

  • Smith GT, Hughes LB, Duvall RD, Rothman S (1987) Treatment outcome of a multidisciplinary center for management of chronic pain. Pain 4: 58

    Article  Google Scholar 

  • Solomon P, Tunks E (1991) The role of ligitation in predicting disability outcomes in chronic pain patients. Clin J Pain 7: 300–304

    Article  PubMed  CAS  Google Scholar 

  • Sternbach RA (1974) Pain patients: Traits and treatment. Academic Press, New York

    Google Scholar 

  • Swanson DW, Maruta T, Swenson M (1977) Results of behavior modification in treatment of chronic pain. Pain 7: 367–378

    Article  Google Scholar 

  • Swanson DW, Maruta T, Swenson WM (1979) Results of behavior modification in the treatment of chronic pain. Psychosom Med 41: 55–61

    PubMed  CAS  Google Scholar 

  • Tan SY (1982) Cognitive and cognitive-behavioral methods for pain control: A selective review. Pain 12: 201–228

    Article  PubMed  CAS  Google Scholar 

  • Taylor H, Curran NM (1985) The Nuprin-Pain Report. Louis * Harris, New York

    Google Scholar 

  • Tota-Faucette ME, Gil KM, Williams DA, Keefe FJ, Goli V (1993) Predictors of response to pain management treatment. The role of family environment and changes in cognitive processes. Clin J Pain 9: 115–123

    Google Scholar 

  • Trabin T, Rader C, Cummings C (1987) A comparison of pain management outcomes for disability compensation and non-compensation patients. Psychol Health 1: 341–351

    Article  Google Scholar 

  • Traue HC (1986) Behavioral medicine–Verhaltensmedizin. Psychol Rundschau 27: 195–208

    Google Scholar 

  • Turk DC, Meichenbaum D, Genest M (1983) Pain and behavioral medicine. A cognitive beha- vioral perspective. Guilford Press, New York

    Google Scholar 

  • Turner JA, Jensen MP (1993) Efficacy of cognitive therapy for chronic low back pain. Pain 52: 169–177

    Article  PubMed  CAS  Google Scholar 

  • Turk DC, Flor H (1987) Pain * Pain behavior construct. Pain 31: 277–295

    Article  PubMed  CAS  Google Scholar 

  • Turner JA (1982) Comparison of group progressive-relaxation training and cognitive-behavio- ral group therapy for chronic low back pain. J Consult Clin Psychol 50: 757–765

    Article  PubMed  CAS  Google Scholar 

  • Turner A, Chapman CR (1982) Psychological interventions for chronic pain: A critical review.

    Google Scholar 

  • II. Operant conditionig, hypnosis, and cognitive-behavioral therapy. Pain 12: 23–46

    Google Scholar 

  • Turner JA, Clancy S (1988) Comparison of operant behavioral and cognitive behavioral group treatment for chronic low back pain. J Consult Clin Psychol 56: 261–266

    Article  PubMed  CAS  Google Scholar 

  • Wu NN (1987) Examination of long term pain treatment outcome through extended follow-up. Pain 4: 378

    Article  Google Scholar 

  • Zimmermann M, Seemann H (1986) Der Schmerz - Ein vernachlässigtes Gebiet der Medizin? Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

Download references

Authors
  1. B. Kröner-Herwig
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. FG Medizinische Psychologie, Philipps-Universität Marburg, Bunsenstraße 3, 35037, Marburg, Deutschland

    Heinz-Dieter Basler

  2. Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Schmerzambulanz der Universitätsklinik, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland

    Carmen Franz

  3. Klinische Psychologie, Georg-August-Universität Göttingen, Goßlerstr. 14, 37037, Göttingen, Deutschland

    Birgit Kröner-Herwig

  4. Psychologische Praxis, Plockstraße 1, 35390, Gießen, Deutschland

    Hans Peter Rehfisch

  5. Abt. für Psychotherapie u. Medizinische Psychologie, Psychosomatische Klinik, Bergheimer Straße 20, 69115, Heidelberg, Deutschland

    Hanne Seemann

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kröner-Herwig, B. (1996). Schmerzbehandlungszentren in den USA: Organisation, Therapieprogramme, Effizienz. In: Basler, HD., Franz, C., Kröner-Herwig, B., Rehfisch, H.P., Seemann, H. (eds) Psychologische Schmerztherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09591-1_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-09591-1_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-09592-8

  • Online ISBN: 978-3-662-09591-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation