Cited by 302Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationPain Management and Opioid Use

Behinderungseinschätzung bei chronischen Schmerzpatienten

Dillmann, U., Nilges, P., Saile, H., Gerbershagen, H. U.·1994·Der Schmerz

Abstract

Despite its importance for chronic pain diseases, pain-related disability is a poorly defined concept with theoretical deficits. The distinction between impairment, disability, and handicap proposed by the WHO is an important contribution to clarification of the disability construct. With reference to four criteria (underlying disability construct, degree of behaviour generalization, assessment mode, scope) different assessment procedures of pain-related disability are presented and the advantages and disadvantages of each are discussed. A multidimensional approach to pain-related disability is advocated. Diagnostic information yielded by different assessment procedures should be viewed as complementary rather than as exclusive data sources. A German version of a self-report instrument (Pain Disability Index) that assesses disability in chronic pain patients is presented. The results from four data sets concerning different aspects of reliability and validity confirm the good psychometric properties of the instrument. The instrument can be used in chronic pain research as well as in clinical contexts. It is recommended that subjective disability data be complemented by behavioral observation and additional data sources (e.g. assessment of disability by the spouse/partner).

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Crossref · 10.1007/bf02530415

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Authors
Dillmann, U., Nilges, P., Saile, H., & Gerbershagen, H. U.
Affiliations
  • Universität Trier (DE)
  • DRK Landesverband Rheinland-Pfalz (DE)
Venue
Der Schmerz
Published
1994-06
Volume
8
Issue
2
Pages
100-110
ISSN
  • 0932-433X (ISSN-L)
  • 1432-2129
OpenAlex
W2600282621
Cited by
302
References
42
Citations by year
2026: 6 · 2025: 8 · 2024: 3 · 2023: 11 · 2022: 9 · 2021: 11 · 2020: 9 · 2019: 11 · 2018: 18 · 2017: 14 · 2016: 16 · 2015: 18 · 2014: 12 · 2013: 15 · 2012: 12
FWCI
3.29
Type
journal article
Language
de
Open access
closed
Locations
  • Der Schmerz (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords
pain-related disability, chronic pain, disability assessment, Pain Disability Index, questionnaire development, psychometric properties, reliability and validity

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