Advertisement

Psychologische Behandlungsmöglichkeiten bei Kindern mit chronischen Schmerzen

  • U. Mohn
  • M. Lykaitis
  • R. Pothmann
  • B. Kröner-Herwig

Zusammenfassung

Psychologische Behandlungsansätze gewinnen in bezug auf chronische Schmerzen im Kindesalter in jüngster Zeit zunehmend an Bedeutung (vgl. Hoelscher u. Lichstein 1984; McGrath u. Unruh 1987; Ross u. Ross 1988). Pharmakologische Interventionen zur Kupierung und Prophylaxe chronischer Schmerzen stellen in der Regel nur symptomorientierte Maßnahmen dar (Gladtke 1988). Zudem gibt es über den Einsatz pharmakologischer Behandlungen bei Kindern nur wenige kontrollierte Studien (vgl. Hoelscher u. Lichstein 1984; Rothner 1989) bezüglich der positiven oder negativen Auswirkungen. Eine nach Meinung vieler Experten notwendige verhaltensmedizinische bzw. -pädiatrische Sichtweise chronischer Schmerzen bei Kindern erfordert die Berücksichtigung multimodaler Faktoren. Somit kann auf den Einbezug psychosozialer Faktoren — sowohl bei der Erfassung der Entstehungs- und Aufrechterhaltungsbedingungen sowie bei der Behandlung — nicht verzichtet werden.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. references>Allen KD, McKeen LR (1991) Home-based multicomponent treatment of pediatric migriane. Headache 31: 467–472Google Scholar
  2. Andrasik F, Blanchard EB, Edlund SR, Rosenblum EL (1982) Autogenic feedback in the treatment of two children with migraine headache. Child Fam Behav Ther 4: 13–23CrossRefGoogle Scholar
  3. Andrasik F, Blanchard EB, Edlund SR, Attanasio V (1983) EMG-biofeedback treatment of a child with muscle contraction headache. Am J Clin Biofeedback 6: 96–102Google Scholar
  4. Andrasik F, Attanasio V, Blanchard EB et al. (1984) Behavioral treatment of pediatric headache. In: Andrasik F (ed) Recent developments in the assessment and treatment of headache. Philadelphia (zit. nach Andrasik F, Blake DD, McCarran MS 1986 )Google Scholar
  5. Bakal DA, Dernijen S, Kaganov S (1981) Cognitive behavioral treatment of chronic headache. Headache 21: 81–86PubMedCrossRefGoogle Scholar
  6. Beames L, Sanders M, Bor W (1992) The role of parent training in the cognitive behavioral treatment of children’s headaches. Behav Psychother 20: 167–180CrossRefGoogle Scholar
  7. Becker M (1988) Idiopathische rezidivierende Bauchschmerzen. In: Pothmann R (Hrsg) Chronische Schmerzen im Kindesalter. Hippokrates, StuttgartGoogle Scholar
  8. Bernstein DA, Borkovec TD (1982) Entspannungstraining. Handbuch der progressiven Muskelentspannung nach Jacoboson, 3 Aufl. Pfeiffer, MünchenGoogle Scholar
  9. Bille B (1962) Migraine in school children. Acta Paediatr 51 [Suppl 136]Google Scholar
  10. Budzynski T, Stoyva JM, Adler CS, Mullaney DI (1973) EMG-biofeedback and tension headache: A controlled outcome study. Biofeedback Self Reg 19: 253–264Google Scholar
  11. Burke EJ (1986) Home versus clinical-based treatment for migraine headache: Effects of parental involvement and therapist contact. Diss Abst Int 47 (4-A): 1241Google Scholar
  12. Bussone G, Grazi L, D’Amico D (1991) Electromiography-biofeedback (EMG-BFB) treatment for children and adolescents headache. International Juvenile Headache Congress, Rome, Abstract pp 178–180Google Scholar
  13. Cautela J, Groden J (1978) Relaxation: A comprehensive manual for adults, children, and children with special needs. Research Press, ChampaignGoogle Scholar
  14. Craig KD (1982) Ontogenetische und kulturelle Einflüsse beim Schmerz. In: Kesser W, Pöppel E, Mitterhusen P (Hrsg) Schmerz. Urban & Schwarzenberg, München, S 377–391Google Scholar
  15. Cunningham SJ, Lascelles MA, McGrath PJ, Humphreys P, Goodman JT, Firestone P, Keene D, Richardson G (1990) Health professional’s handbook for help yourself. A treatment for migraine headache. Universitiy of Ottawa Press, OttawaGoogle Scholar
  16. Diamond S, Franklin M (1975) Biofeedback: Choice of treatment in childhood migraine. In: Luthe W, Antonelli F (eds) Therapy in psychosomatic medicine 4. Autogenic Therapy, Rome (zit. nach Hoelscher TJ, Lichstein K, 1984 )Google Scholar
  17. Emmen HH, Passchier J (1987) Treatment of headache among children by progressive relaxation. Cephalalgia 7 [Suppl 6]: 387–389PubMedGoogle Scholar
  18. Engel JM (1992) Relaxation training: a self-help approach for children with headaches. Am J Occupat Ther 46: 591–596Google Scholar
  19. Engel JM, Rapoff MA ( 1989 a + b) Behavioral treatment of recurrent pediatric headaches. Paper presented at the First European Conference on Pain in Children, MaastrichtGoogle Scholar
  20. Engel JM, Rapoff MA (1990) Biofeedback-assisted relaxation for adult and pediatric headache disorders. The Occupational Therapy Journal of Research 10: 283–299Google Scholar
  21. Fentress DW (1983) Behavioral medicine treatment of pediatric migraine. Diss Abst Int 44 (5-B): 15–91Google Scholar
  22. Fentress DW, Masek BJ, Mehegan JE, Benson H (1986) Biofeedback and relaxation-response training in the treatment of pediatric migraine. Dev Med Cild Neurol 28: 139–146CrossRefGoogle Scholar
  23. Feuerstein M, Adams HE (1977) Cephalic vasomotor feedback in the modification of migraine headache. Biofeedback Self Regul 2: 241–254PubMedCrossRefGoogle Scholar
  24. Fordyce WE, Steger JC (1982) Chronischer Schmerz. In: Keeser W, Pöppel E, Mitterhusen P (Hrsg) Schmerz. Urban & Schwarzenberg, München, S 296–349Google Scholar
  25. Fordyce WE, Fowler RS, Lehmann JF, DeLateur BJ, Sand PL, Trieschmann RB (1973) Operant conditioning in the treatment of chronic pain. Archives of Physical Medicine and Rehabilitation 54: 399–408Google Scholar
  26. Gerber WD, Haag G (Hrsg) (1982) Migräne. Springer, Berlin Heidelberg New YorkGoogle Scholar
  27. Gervasio AH (1986) Familiy relationships and compliance. In: Gerber KE, Nehemkis AM (eds) Compliance. Springer, Berlin Heidelberg New York Tokyo, pp 98–127Google Scholar
  28. Gladke E (1988) Pharmakotherapie des chronischen Schmerzes beim Kind. In: Pothmann R(Hrsg) Chronische Schmerzen im Kindesalter. Hippokrates, Stuttgart, S 199–207Google Scholar
  29. Grazzi L, Leone M, Frediani F, Bussone G (1990) A therapeutic alternative for tension headache in children: treatment and 1-year follow-up results. Biofeedback Self Regul 15: 1–6PubMedCrossRefGoogle Scholar
  30. Green BJ, Sallade JB (1980) Group counseling with children who have migraine headaches. Element School Guidance Counsel 15: 87–89Google Scholar
  31. Guarnieri P, Blanchard EB (1990) Evaluation of home-based thermal biofeedback treatment of pediatric migraine headache. Biofeedback Self Regul 15: 179–184PubMedCrossRefGoogle Scholar
  32. Hatch JP, Fisher JG, Rough JD (eds) (1987) Biofeedback, Plenum Press, New YorkGoogle Scholar
  33. Hoag NL (1989) A test of specific and nonspecific effects in behavioral treatments of pediatric migraine. Diss Abst Int 50 (3-B): 1110Google Scholar
  34. Hoelscher TJ, Lichstein K (1984) Behavioral assessment and treatment of child migraine: Implications for clinical research and practice. Headache 24: 94–103Google Scholar
  35. Houts AC (1982) Relaxation and thermal feedback treatment of child migraine headache: A case study. Am J Clin Biofeedback 5: 154–157Google Scholar
  36. Knapp TW (1983) Migräne I. Symptomatologie und Ätiologie. Beltz, WeinheimGoogle Scholar
  37. Kröner-Herwig B, Sachse R (1988) Biofeedbacktherapie, 2. Aufl. Kohlhammer, Stuttgart Kröner-Herwig B, Mohn U, Pothmann R (1992) Progressive Relaxation und EMG-BiofeedbackGoogle Scholar
  38. in der Therapie von chronischem Kopfschmerz bei Kindern. Schmerz 6: 121–127Google Scholar
  39. Kroll T (1994) Schmerzmessung und Schmerzdiagnostik. In: Petermann F, Wiedebusch S, Kroll T (Hrsg) Schmerz im Kindesalter. Hogrefe, Göttingen, S 157–178Google Scholar
  40. Labbé EE, Ward CH (1990) Electromyographic biofeedback with mental imagery and home practice in the treatment of children with muscle-contraction headache. J Dev Behav Pediatr 11: 65–68PubMedGoogle Scholar
  41. Labbé EE, Williamson DA (1983) Temperature biofeedback in the treatment of children with migraine headaches. J Pediatr Psychol 8: 317–326PubMedCrossRefGoogle Scholar
  42. Labbé EE, Williamson DA (1984) Treatment of childhood migraine using autogenic feedback training. J Consulting Clin Psychol 52: 968–976CrossRefGoogle Scholar
  43. Larsson B, Melin L (1986) Chronic headaches in adolescents: Treatment in a school setting with relaxation training as compared with information-contact and self-registration. Pain 25: 325–336Google Scholar
  44. Larsson B, Daleflod B, Hakansson L, Melin L (1987) Therapist-assisted versus self-help relaxation treatment of chronic headaches in adolescents. A school-based intervention. J Child Psychol Psychiatry 28: 127–136PubMedCrossRefGoogle Scholar
  45. Larsson B, Melin, L, Lamminen ML, Ullstedt EA (1987) A school-based treatment of chronic headaches in adolescents. J Pediatr Psychol 12: 553–566PubMedCrossRefGoogle Scholar
  46. Larsson B, Melin L, Döberl A (1990) Recurrent tension headache in adolescents treated with self-helf relaxation training and a muscle relaxant drug. Headache 30: 665–671PubMedCrossRefGoogle Scholar
  47. Liersch R (1988) Brustschmerzen. In: Pothmann R (Hrsg) Chronische Schmerzen im Kindesal- ter. Hippokrates, Stuttgart, S 152–163Google Scholar
  48. Lykaitis M (1985) Migräne im Kindesalter. Lang, FrankfurtGoogle Scholar
  49. Marazzo MJ, Hickling EJ, Sison GFP (1984) The combined use of rational-emotive therapy and biofeedback in the treatment of childhood migraine. J Rational-Emotive Ther 2: 27–31CrossRefGoogle Scholar
  50. Masek BJ, Russo DC, Varni JW (1984) Behavioral approaches to the management of chronic pain in children. Pediatr Clin North Am 31: 1113–1131PubMedGoogle Scholar
  51. McGrath PA (1987 a) The multidimensional assessment and management of recurrent pain syndromes in children. Behav Res Ther 25: 251–262Google Scholar
  52. McGrath PA (1987 b) An assessment of children’s pain: A review of behavioral, physiological and direct scaling techniques. Pain 31: 147–176PubMedCrossRefGoogle Scholar
  53. McGrath PJ, Humphreys P (im Druck) Recurrent headaches in children and adolescents: Diagnosis and treatment. Pediatrician 152Google Scholar
  54. McGrath PJ, Unruh A (1987) Pain in children and adolescents. Elsevier, Amsterdam New York OxfordGoogle Scholar
  55. McGrath PJ, Cunningham SJ, Goodman JT, Unruh A (1986) The clinical measurement of pain in children. A review. Clin J Pain 1: 221–227CrossRefGoogle Scholar
  56. McGrath PJ, Humphreys P, Goodman JT, Keene D, Firestone P, Jacob P, Cunningham SJ (1988) Relaxation prophylaxis for childhood migraine: A randomized placebo-controlled trial. Dev Med Child Neurol 30: 626–631PubMedCrossRefGoogle Scholar
  57. McGrath PJ, Cunningham SJ, Lascelles MA, Humphreys P (eds) (1990) Help Yourself. A treatment for migraine headache. University of Ottowa Press, OttowaGoogle Scholar
  58. McGrath PJ, Humphreys P, Keene D, Goodman JT, Lascelles MA, Cunningham SJ, Firestone P (1992) The efficacy and efficiency of a self-administered treatment for adolescents migraine. Pain 49: 321–324PubMedCrossRefGoogle Scholar
  59. Mehegan JE (1982) Behavioral medicine treatment of pediatric migraine. Diss Abst Int 43 (1-B): 256–257Google Scholar
  60. Mehta M (1992) Biobehavioral intervention in recurrent headaches in children. Headache Quarterly 3: 426–430Google Scholar
  61. Minuchin S, Rosman BL, Baker L (1981) Psychosomatische Krankheiten in der Familie. Klett, StuttgartGoogle Scholar
  62. Mitchell KR, White RG (1977) Behavioral self-management: A application to the problem of migraine headaches. Behav Ther 8: 213–221CrossRefGoogle Scholar
  63. Moscato D, Rivaroli P (1991) The biofeedback as the only therapy for migraine with obesity. International Juvenile Headache Congress, Rome, Abstract, pp 335–336Google Scholar
  64. Neuhaus C, Bemmerer K (1984) Eine kognitiv-verhaltensmäßige Therapie bei Kindern mit Kopfschmerz - eine Pilotstudie. Eberhardt-Karls-Universität, Tübingen (unveröff. Dipl-Arbeit )Google Scholar
  65. Oester J (1972) Reccurent abdominal pain, headache and limb pain in children and adolescents. Pediatrics 50: 429–436Google Scholar
  66. Olness K, MacDonald JT (1981) Self-hypnosis and biofeedback in the management of juvenile migraine. J Dev Behav Petiatr 2:168–170 (zit. nach Olness K, MacDonald JT, Uden DL, 1987 )Google Scholar
  67. Olness K, MacDonald JT, Uden DL (1987) Comparison of self-hypnosis and propranolol in the treatment of juvenile classic migraine. Pediatrics 79: 593–597Google Scholar
  68. Passchier J, v Bree MBM, Emmen HH, Osterhaus S, Orlebeke JF, Verhage F (1990) Relaxation training in school classes does not reduce headache complaints. Headache 3o: 660–664 Piaget J (1982) Sprechen und Denken des Kindes, 5 Aufl. Schwann, DüsseldorfGoogle Scholar
  69. Pothmann R (Hrsg) (1988) Chronische Schmerzen im Kindesalter. Hippokrates, Stuttgart Pothman R, v Frankenberg S, Müller B, Sartory G, Hellmeier W (1994) Epidemiology of head-Google Scholar
  70. ache in children and adolescents: evidence of high prevalence of migraine among girls under1o. Int J Behav Med 1: 76–89Google Scholar
  71. Ramsden R, Friedman B, Williamson D (1983) Treatment of childhood headache reports with contingency management procedures. J Clin Child Psycho’ 12: 202–206Google Scholar
  72. Richter IL, McGrath PF, Humphreys P, Goodman JT, Firestone P, Keene D (1986) Cognitive and relaxation treatment of pediatric migraine. Pain 25: 195–203PubMedCrossRefGoogle Scholar
  73. Rosenstock HA, Cambor CG (1979) Family therapy approach to incapacitating migraine. Inter J Family Ther 1: 46–55CrossRefGoogle Scholar
  74. Ross DM, Ross SA (1988) Childhood pain - current issues, research and management. Urban & Schwarzenberg, Baltimore MünchenGoogle Scholar
  75. Ross LV, Christophersen ER (1991) Behavioral treatment of childhood headaches. J Pain Symptom Manage 6-3: 152Google Scholar
  76. Rothner AD (1989) Headaches in children and adolescents. Clin J Pain 5: 67–75PubMedCrossRefGoogle Scholar
  77. Schechter NL (1984) Recurrent pains in children: An overview and an approach. Pediatr Clin North Am 31: 949–968Google Scholar
  78. Siegel LJ, Richards CS (1978) Behavioral interventions with somatic disorders in children. In: Marholin ID (ed) Child behavior therapy. Wiley, New York, ppGoogle Scholar
  79. Sillanpää M (1983) Changes in prevalence of migraine and other headaches during the first seven school years. Headache 23: 15–19PubMedCrossRefGoogle Scholar
  80. Strohmaier U, Zweißele S (1983) EMG-Biofeedback bei Kindern mit Kopfschmerz - eine Pilotstudie. Eberhard-Karls-Universität, Tübingen (unveröff. Dipl-Arbeit )Google Scholar
  81. Thompson KL, Varni JW (1986) A development cognitive-behavioral approach to pediatric pain assessment. Pain 25: 283–296PubMedCrossRefGoogle Scholar
  82. Varni JW, Dietrich SL (1982) Behavioral pediatrics: Towards a reconceptualization. Behav Med Update 3: 5–7Google Scholar
  83. Waranach HR, Keenan DM (1985) Behavioral treatment of children with recurrent headaches. J Behav Ther Exp Pschiatry 16: 31–38CrossRefGoogle Scholar
  84. Werder DS (1978) An exploratory study of childhood migraine using thermal biofeedback as a treatment alternative. Paper presented at the Meeting Biofeedback Society of America, Albuquerque (zit. nach Hoelscher TJ, Lichstein K, 1984 )Google Scholar
  85. Werder DS, Sargent JD (1984) A study of childhood headache using biofeedback as a treatment alternative. Headache 24: 122–126PubMedCrossRefGoogle Scholar
  86. Wisniewski JJ, Genshaft JL, Mulick JA, Coury DL, Hammer D (1988) Relaxation therapy and compliance in the treatment of adolescent headache. Headache 28: 612–617PubMedCrossRefGoogle Scholar
  87. Wittchen HU (1982) Das Situationsbezogene Muskel-und Gefäßentspannungsprogramm (SEP). Max Plank Institut für Psychiatrie, MünchenGoogle Scholar
  88. Womack WM, Smith MS, Chen ACN (1988) Behavioral management of childhood headache: A pilot study and case history report. Pain 32: 279–283PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • U. Mohn
  • M. Lykaitis
  • R. Pothmann
  • B. Kröner-Herwig

There are no affiliations available

Personalised recommendations