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Psychologische Grundlagen von Schmerz

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Praktische Schmerzmedizin

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Zusammenfassung

Psychologische Faktoren sind – unabhängig von der primären Ätiologie der Beschwerden – selbstverständlicher Bestandteil der menschlichen Schmerzerfahrung. Vor Descartes wurden mangels Kenntnis biologischer Mechanismen „nichtsomatische“ Erklärungen überbetont. Mit der erheblichen Zunahme unseres Wissens über somatische Faktoren kam es zu einer vorübergehenden Entwertung psychologischer Einflüsse, sie dienten als „Lückenbüßer“ zur Erklärung noch nicht somatisch verstehbarer Schmerzen. Inzwischen stehen multifaktorielle Schmerzmodelle sowie differenzierte diagnostische und therapeutische Verfahren zur Verfügung, mit denen psychologische Faktoren bei Schmerz verstanden und behandelt werden können. In diesem Beitrag werden die Entwicklung und der aktuelle Diskussionsstand zur Rolle psychologischer Faktoren für Schmerzen skizziert.

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Authors and Affiliations

  1. DRK Schmerz-Zentrum Mainz, Auf der Steig 14-16, 55131, Mainz, Deutschland

    Paul Nilges

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  1. Paul Nilges
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Correspondence to Paul Nilges .

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Editors and Affiliations

  1. Klinik für Neurologie, Universitätsklinikum Kiel, Kiel, Germany

    Ralf Baron

  2. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover, Germany

    Wolfgang Koppert

  3. Göttingen, Germany

    Michael Strumpf

  4. Universitätsmedizin Göttingen, Göttingen, Germany

    Anne Willweber-Strumpf

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Nilges, P. (2014). Psychologische Grundlagen von Schmerz . In: Baron, R., Koppert, W., Strumpf, M., Willweber-Strumpf, A. (eds) Praktische Schmerzmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54670-9_2-1

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  • DOI: https://doi.org/10.1007/978-3-642-54670-9_2-1

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  • Online ISBN: 978-3-642-54670-9

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