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Zusammenfassung

In diesem Beitrag werden Fragen, Probleme und insbesondere Methoden der Schmerzmessung behandelt. Methoden der klinischen Schmerzmessung stehen im Vordergrund. Zunächst wird eine Systematik erarbeitet, die sich auf die Aspekte „Datenebenen“, „Datenquellen“, „Zeitbezug der Information“ und „Methodengruppe“ konzentriert. Im Hauptteil wird beispielhaft von diagnostischen Methoden berichtet, die im Schnittpunkt dieser 4 Aspekte liegen. Ziel der Darstellung soll es sein, daß der Leser auf konkrete Fragen bezüglich der Anwendung einer diagnostischen Methode ein konkretes Angebot bekommt und erfährt, wo er Genaueres darüber nachlesen kann. Interview, Exploration bzw. Anamnese werden in diesem Beitrag ausgespart.

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Literatur

  1. Aka H, Watson SJ et al (1984) Enkephalinlike material elevated in ventricular cerebrospinal fluid of pain patients after analgetic focal stimulation. Science 201: 463–465Google Scholar
  2. Barber TX, Hahn KW (1962) Physiological and subjective responses to pain producing stimulation under hypnotically-suggested and waking-imagined “analgesia”. Journal of Abnormal and Social Psychology 65: 411–418PubMedCrossRefGoogle Scholar
  3. Bergner M, Bobbitt RA, Carter WB, Gilson BS (1981) The sickness impact profile: Development and fanal revision of a health status measure. Health Care 19: 787–805Google Scholar
  4. Billing M, Carlsson CA, Menge B, Pellettieri L, Peterson LE (1983) Estimation of time as a measure of pain magnitude. Journal of Psychosomatic Research 27: 493–497CrossRefGoogle Scholar
  5. Birbaumer N (1984) Psychologische Analyse und Behandlung von Schmerzzuständen. In: Zimmermann M, Handwerker HO (Hrsg.) Schmerz. Springer, Berlin Heidelberg New York Tokyo (S 124–153 )Google Scholar
  6. Boeckstyns MEH (1987) Development and construct validity of a knee pain questionnaire. Pain 31: 47–52PubMedCrossRefGoogle Scholar
  7. Bonnel AM, Boureau F (1985) Labor pain assessment: Validity of a behavioral index. Pain 22: 81–90Google Scholar
  8. Brena SF, Unikel IF (1976) Nerve blocks and contingency management in chronic pain states. In: Bonica JJ, Abbe-Fessard D (eds.) Advances in pain research and therapy. Raven Press, New York (Vol 1 )Google Scholar
  9. Bromm B, Scharein E (1983) A sensitive method to evaluate effects of analgesics in man. Methods and Findings in Experimental and Clinical Pharmacology 5: 545–551PubMedGoogle Scholar
  10. Bromm B (ed) (1984) Pain measurement in man. Elsevier, AmsterdamGoogle Scholar
  11. Brown GK, Nicassio PM (1985) Development of a questionnaire for assessing active and helpless coping strategies in chronic pain patients. Paper presented at the 19th annual convention of the Association for the Advancement of Behavior Therapy, Houston TXGoogle Scholar
  12. Budzynski TH, Stoyva JM, Adler CM, Mullaney DJ (1973) EMG biofeedback and tension headache: a controlled outcome study. Psychosomatic Medicine 35: 484–496PubMedGoogle Scholar
  13. Cailliet R (1981) Low back pain syndromes. Davis, PhiladelphiaGoogle Scholar
  14. Cairns D, Thomas L, Mooney V, Pace JB (1976) A comprehensive treatment approach to chronic low back pain. Pain 2: 301–308PubMedCrossRefGoogle Scholar
  15. Cautela J (1977) The use of covert conditioning in modifying pain behavior. Journal of Behavior Therapy and Experimental Psychiatry 8: 45–52CrossRefGoogle Scholar
  16. Chapman CR, Casey KL, Dubner R, Foley KM, Gracely RH, Reading AE (1985) Pain measurement: An overview. Pain 22: 1–31PubMedCrossRefGoogle Scholar
  17. Chapman CR, Maricca G (eds) Advances in pain research and therapy. Raven Press, New York (pp. 71–101, Vol 7)Google Scholar
  18. Cinciripini PM, Floreen A (1982) An evaluation of a behavioral program for chronic pain. Journal of Behavioral Medicine 5: 375–389PubMedCrossRefGoogle Scholar
  19. Clark WC (1974) Pain sensitivity and the report of pain: An introduction of sensory decision theory. Anaesthesiology 40: 272–287CrossRefGoogle Scholar
  20. Classen W (1986) Der Tagesgang des Schmerzerlebens und seine Beeinflussung durch analgetische Medikation. Zeitschrift für Klinische Psychologie 15: 124–132Google Scholar
  21. Coger RW, Kenton B et al (1980) Somato-sensory evoked potentials and noxious stimulation in patients with intractable noncancer pain syndromes. Psychiatric Research 2: 279–294CrossRefGoogle Scholar
  22. Craig KD, Prkachin KM (1983) Nonverbal measures of pain. In: Melzack R (ed) Pain measurement and assessment. Raven Press, New York (pp 173–179 )Google Scholar
  23. Curio I (1988) Physiological responses during magnitudeGoogle Scholar
  24. estimation of thermal nociceptive stimuli. Vortrag, European Conference of Psychophysiology in man. PragGoogle Scholar
  25. Cziske R (1984) Mehrdimensionale Schmerzmessung als diagnostische Hilfe? Beispiel: Rheumaleiden. Zeitschrift für Klinische Psychologie 13: 166–183Google Scholar
  26. Daut RL, Cleeland CS, Flanery RC (1983) Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases, 17: 197–210Google Scholar
  27. Diaz CC, Carlson JG (1984) Single-and successivesite EMG training in responding to anticipated pain. Journal of Behavioral Medicine 7: 231–246PubMedCrossRefGoogle Scholar
  28. Dohrenbusch R (1988) Streß-und Krankheitsbewältigung bei Patienten mit chronisch-endzündlichen Erkrankungen: Rheumatoider Arthritis, Spondylitis ankylosans und chronischentzündlichen Darmerkrankungen. Dissertation, Universität BonnGoogle Scholar
  29. Dolce JJ, Raczynski JM (1985) Neuromuscular activity and electromyografy in painful backs: Psychological and biomechanical models in assessment and treatment. Psychological Bulletin 97: 502–520Google Scholar
  30. Dowling J (1983) Autonomic measures and behavioral indices of pain sensitivity. Pain 16: 193–200PubMedCrossRefGoogle Scholar
  31. Downie WW, Leatham PA, Rhind VM (1978) Studies with pain rating scales. Annuals of Rheumatoid Diseases 37: 378–381CrossRefGoogle Scholar
  32. Feuerstein M, Papciak AS, Hoon PE (1987) Biobehavioral mechanisms of chronic low back pain. Clinical Psychology Review 7: 243–273CrossRefGoogle Scholar
  33. Fiske DW (1971) Measuring the concepts of personality. Aldine, ChicagoGoogle Scholar
  34. Flor H (1983) Ein schmerzbezogener Kognitionsfragebogen. Unveröffentlichter Fragebogen, ohne OrtsangabeGoogle Scholar
  35. Follick MJ, Ahern DK, Laser-Wolston N (1984) Evaluation of a daily activity diary for chronic pain patient. Pain 19: 373–382PubMedCrossRefGoogle Scholar
  36. Fordyce W (1976) Behavioral methods for chronic pain and illness. Mosley, St. LouisGoogle Scholar
  37. Fordyce WE, Lansky D, Calsyn D, Shelton J, Stolov W, Rock DL (1984) Pain measurement and pain behavior. Pain 18: 53–69PubMedCrossRefGoogle Scholar
  38. Fries JF, Spitz PW, Young DY (1982) The dimension of health outcomes: The Health Assessment Questionnaire, Disability and Pain scales. Journal of Rheumatology 9: 789–793Google Scholar
  39. Ganchrow JR, Steiner JE, Kleiner M, Edelstein EL (1978) A multidisciplinary appraoch to the expression of pain in psychic depression. Perceptual and Motor Skills 47: 379–390PubMedCrossRefGoogle Scholar
  40. Gerber WD, Diener HC (1987) Verlaufsprotokolle zur Schmerztherapie: Das Tübinger Kopfschmerztagebuch. Vortrag, 1. Workshop über “Qualitätssicherung in der Algesiologie”. 23.-25.1.1987Google Scholar
  41. Mainz Gottlieb H, Striete LC (1977) Comprehensive rehabilitation of patients having chronic low back pain. Archives of Physical Medicine and Rehabilitation 58: 101–108Google Scholar
  42. Gracely RH, McGrath P, Dubner R (1978) Ratio scales of sensory and affective verbal pain description. Pain 5: 5–18PubMedCrossRefGoogle Scholar
  43. Gracely RH (1983) Pain language and ideal pain assessment. In: Melzack R (ed) Pain measurement and assessment. Raven Press, New York (pp 71–77 )Google Scholar
  44. Hammer F (1986) Evaluation eines Fragebogens zur Erfassung schmerzbezogener Kognitionen bei Patienten mit chronischer Polyarthritis. Unveröffentlichte Diplomarbeit. Psychologisches Institut der Universität BonnGoogle Scholar
  45. Handwerker HO (1984) Experimentelle Schmerzanalyse beim Menschen. In: Zimmermann M, Handwerker HO (Hrsg) Schmerz. Springer, Berlin (pp 87–123 )Google Scholar
  46. Hendler N, Uematesu S, Long D (1982) Thermographic validation of physical complaints in “psychogenic pain” patients. Psychosomatics 23: 283–287PubMedGoogle Scholar
  47. Hoppe F (1985) Zur Faktorenstruktur von Schmerzerleben and Schmerzverhalten bei chronischen Schmerzpatienten. Diagnostica 31: 70–78Google Scholar
  48. Huskisson EC (1974) Measurement of pain. The Lanzet 9: 1127–1131Google Scholar
  49. Jensen MP, Karoly P, Braver S (1986) The measurement of clinical pain intensity: A comparison of six methods. Pain 27: 117–126Google Scholar
  50. Joyce CRB, Zutschi DW, Hrubes V, Mason RM (1975) Comparison of fixed interval and visual analogue scales for rating chronic pain. European Journal of Clinical Pharmacology 8: 415–420PubMedCrossRefGoogle Scholar
  51. Kanfer FH, Saslow G (1969) Behavioral diagnosis. In: Franks CM (ed) Behavior therapy: Appraisal and status. McGraw-Hill, New York (pp 417–444 )Google Scholar
  52. Karoly P, Jensen MP (1987) Multimethod assessment of chronic pain. Pergamon Press, OxfordGoogle Scholar
  53. Keefe FJ, Block AR (1982) Development of an observation method for assessing pain behavior in chronic low back pain patients. Behavior Therapy 13: 363–375CrossRefGoogle Scholar
  54. Keefe FJ, Brown C, Scott DS, Ziesat H (1982) Behavioral assessment of chronic pain. In: Keefe FJ, Blumenthal IA (eds) Assessment strategies in behavioral medicine. Gruner & Stratton, New York (pp. 321–350 )Google Scholar
  55. Keefe FJ, Wilkins RH, Cook WA (1984) Direct observations of pain behavior in low back pain patients during physical examination. Pain 20: 59–68PubMedCrossRefGoogle Scholar
  56. Keefe FJ, Hill RH (1985) An objective approach to quantifying pain behavior and gait patterns in low back pain patients. Pain 21: 153–161PubMedCrossRefGoogle Scholar
  57. Keefe FJ, Gil KM, Rose SC (1986) Behavioral approaches in the multidisciplinary management of chronic pain: programs and issues. Clinical Psychology Review 6: 87–113CrossRefGoogle Scholar
  58. Keefe FJ (1987) Clinical pain assessment: Implications for management. Refresher Courses on Pain Management, Hamburg, August 2, 1987 (pp 89–98 )Google Scholar
  59. Keefe FJ, Crisson JE (in press) Observational methods for assessing pain: A practical guide. In: Blumenthal IA, McKee DC (eds) Applications in behavioral medicine and health psychology: A clinicion’s source book. Professional Resource Exchange, Sarasota, FloridaGoogle Scholar
  60. Keele KD (1983) The temporal aspects of pain: The pain chart. In: Melzack, R (ed) Pain measurement and assessment. Raven Press, New YorkGoogle Scholar
  61. Kerns RD, Turk DC, Rudy TE (1985) The West Haven-Yale Multidimensional Pain Inventory ( WHYMPI ). Pain 23: 345–356Google Scholar
  62. Kremer E, Block A, Gaylor M (1981) Behavioral approaches to chronic pain: The inaccuracy of patient selfreport measures. Archives of Physical Medicine and Rehabilitation 62: 188–191Google Scholar
  63. Lanc O (1977) Psychophysiologische Methoden. Kohlhammer, StuttgartGoogle Scholar
  64. Larbig W (1983) Schmerz. Kohlhammer, StuttgartGoogle Scholar
  65. Leavitt F (1983) Detecting psychological disturbance using verbal pain measuring: The back pain classification scale. In: Melzack R (ed) Pain Measurement and Assessment. Raven Press, New York (pp 79–85 )Google Scholar
  66. Linton SJ, Melin L, Götestam KG (1984) Behavioral analysis of chronic pain and its management. Progress in Behavior Modification 18: 1–42PubMedGoogle Scholar
  67. McGrath PA (1987) An assessment of children’s pain: A review of behavioral, physiological and direct scaling techniques. Pain 31: 147–176PubMedCrossRefGoogle Scholar
  68. Melzack R (1975) The McGill Pain Questionnaire: Major properties and scoring methods. Pain 1: 277–299PubMedCrossRefGoogle Scholar
  69. Melzack R (ed) (1983) Pain measurement and assessment. Raven Press, New YorkGoogle Scholar
  70. Morrell EM, Keefe FJ (1988) The actometer: an evaluation of instrument applicability for chronic pain patients. Pain 32: 265–270PubMedCrossRefGoogle Scholar
  71. Philips HC, Hunter M (1982) A laboratory technique for the assessment of pain behavior. Journal of Behavioral Medicine 5: 283–294PubMedCrossRefGoogle Scholar
  72. Pilowsky I, Spence N (1975) Patterns of illness behavior in patients with intractable pain. Journal of Psychosomatic Research 19: 279–287PubMedCrossRefGoogle Scholar
  73. Radvila A, Adler RH, Galeazzi RL, Vorkauf H (1987) The development of a German language ( Berne) pain questionnaire and its application in a situation causing acute pain. Pain 28: 185–195Google Scholar
  74. Reading AE, Newton JR (1978) A card sort method of pain assessment. Journal of Psychosomatic Research 22: 503–512PubMedCrossRefGoogle Scholar
  75. Reading AE (1983) Pain measurement and experience. Journal of Psychosomatic Research 27: 415–420PubMedCrossRefGoogle Scholar
  76. Richards JS, Nepomuceno C, Riles M, Suer Z (1982) Assessing pain behavior: The UAB Pain Behavior Scale. Pain 14: 393–398Google Scholar
  77. Rosenstiel AK, Keefe FJ (1983) The use of coping strategies in chronic low back pain patients: Relationships to patient characteristic and current adjustment. Pain 17: 33–44Google Scholar
  78. Rybstein-Blinchik E (1979) Effects of different cognitive strategies on the chronic pain experience. Journal of Behavioral Medicine 2: 93–102PubMedCrossRefGoogle Scholar
  79. Salamy JG, Wolk DJ, Shucard DW (1983) Psychophysiological assessment of statements about pain. Psychophysiology 20: 579–584PubMedCrossRefGoogle Scholar
  80. Sanders SH (1979) Behavioral assessment and treatment of clinical pain: Appraisal of current status. In: Hersen M, Eisler RM, Miller PM (eds) Progress in Behavior Modification. Academic Press, New York (pp 249–291, Vol 8 )Google Scholar
  81. Scholz OB, Luderschmidt C (1986) Methodische Besonderheiten der multimethodalen Schmerzmessung am Menschen. Vortrag, DFG-Kolloquium, 18.10.86, WürzburgGoogle Scholar
  82. Scholz OB (1987) Bericht über den Stand der Forschungsarbeiten zum Thema “Multimethodale Schmerzmessung mit Hilfe des Pain Perception Profile ”PPP“ nach Tursky, 1976”Google Scholar
  83. Scholz OB, Curio I, Balk U (1987) Erfahrungen mit dem Pain Perception Profile von Tursky bei Patienten mit progressiv-systemischer Sklerose. Vortrag, 1. Workshop über “Qualitätssicherung in der Algesiologie”, 23.-25.1.1987, MainzGoogle Scholar
  84. Scholz OB (1988) Expressiveness and rheumatic diseases. Vortrag, XXIV International Congress of Psychology, 28.8. - 2.9. 1988, Sydney, AustraliaGoogle Scholar
  85. Seidenstücker G, Baumann U (1978) Multimethodale Diagnostik. In: Baumann U, Berbalk H, Seidenstücker G (Hrsg) Klinische Psychologie - Trends in Forschung und Praxis. Huber, Bern (pp. 134–182, Band 1 )Google Scholar
  86. Seemann H (1987) Anamnesen und Verlaufsprotokolle chronischer Schmerzen für die Praxis–Ein Überblick. Der Schmerz 1: 3–12PubMedCrossRefGoogle Scholar
  87. Stein C, Mendl G (1988) The German counterpart to McGill Pain Questionnaire. Pain 32: 251–255PubMedCrossRefGoogle Scholar
  88. Stephan S, Cassel W (1987) Der Einsatz von Kopfschmerz-Tagesprotokollen in der klinischen Therapieevaluation. Vortrag, 1. Workshop über “Qualitätssicherung in der Algesiologie”, 23.-25.1.1987, MainzGoogle Scholar
  89. Sternbach RA, Murphy R, Timmermans G, Greenkoot J, Akeson W (1974) Measuring the severity of clinical pain. Advances in Neurology 4: 281–288Google Scholar
  90. Sternbach RA (ed) (1978) The psychology of pain. Raven Press, New YorkGoogle Scholar
  91. Swanson D, Swenson W, Maruta T, McPhee M (1976) Program for managing chronic pain: Parts I and II. Mayo Clinic Proceedings 51: 401–411Google Scholar
  92. Swanson DW, Maruta T, Swenson WM (1979) Results of behavior modification in the treatment of chronic pain. Psychosomatic Medicine 41: 55–61PubMedGoogle Scholar
  93. Syrjala KL, Chapman CR (1984) Measurement of clinical pain: A review and integration of research findings. In: Benedetti CGoogle Scholar
  94. Torgerson WS (1984) What objective measures are there for evaluating pain. The Journal of Trauma 24:187191, SupplGoogle Scholar
  95. Turk DC, Rudy T (1985) Pain Experience: Assessing the cognitive component. In: Abstract from the fifth Annual Meeting of the American Pain Society, Dallas Texas, Oct. 17–20Google Scholar
  96. Turk DC, Meichenbaum D, Genest M (1983) Pain and behavioral medicine. Guilford Press, New YorkGoogle Scholar
  97. Turner JA (1987) Identifying psychological influences on chronic pain problems for assessment and treatment. International Association for the study of pain, Hamburg, August 2, 1987Google Scholar
  98. Tursky D, Jamner LD, Friedman R (1982) The pain perception profile: A psychophysical approach to the assessment of pain report. Behavior Therapy 13: 376–394Google Scholar
  99. Ventafridda V, De Conno F, Di Trapani P, Gallico S, Guarise G, Rigamonti G, Tamburini M (1983) A new method of pain quantification based on a weekly self-descriptive record of the intensity and duration of pain. In: Bonica JJ et al (eds) Advances in pain research and therapy. Raven Press, New York (pp. 891895, Vol 5 )Google Scholar
  100. Wallin BG (1988) Recording of postganglionic impulse traffic in man. What can it tell us about health and disease? In: Hellhammer D, Florin I, Weiner H (eds) Neurobiological approaches to human disease. Huber, BernGoogle Scholar
  101. Watkins LR, Mayer DJ (1982) Organization of endogenous opiate and nonopiate pain control systems. Science 216: 1185–1192PubMedCrossRefGoogle Scholar
  102. Wolff BB (1977) The role of laboratory pain induction methods in the systemic study of human pain. Acupuncture and Electro-Therapeutic Research Int J, 2: 271–305Google Scholar
  103. Ziesat HA Jr., Gentry WD (1978) The pain apperception test: An investigation of concurrent validity. Journal of Clinical Psychology 34: 786–789Google Scholar
  104. Zung WWK (1983) A self-rating pain and distress scale. Psychosomatics 24: 887–894PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1990

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  • O. B. Scholz

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