Behinderungseinschätzung bei chronischen Schmerzpatienten
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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The PDI has good internal consistency (Cronbach's α = 0.85 to 0.90).
“Its internal consistency is good (Cronbach's α = 0.85 to 0.90) (36).”
From Efficacy of Cognitive-Behavioral Therapy for the Prophylaxis of Migraine in Adults: A Three-Armed Randomized Controlled Trial (2022) · cites this paper as [36]
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“(DOCX 11 kb) Abbreviations ACT: Acceptance and commitment therapy; CBT: Cognitive behavioural therapy; CPAQ: Chronic Pain Acceptance Questionnaire; GFI: Goodness of fit index; HADS: Hospital Anxiety and Depression Scale; PDI: Pain Disability Index; PIPS: Psychological Inflexibility in Pain scale; QBPDS: Quebec Back Pa…”
MethodInfluentialDer Einfluss muskuloskelettaler Funktionsstörung auf chronische Schmerzsyndrome des Bewegungssystems
Niemier, K., Ritz, W., & Seidel, W. (2006) · Der Schmerz · doi:10.1007/s00482-006-0511-6 · Cited by 38 · see citing works
Referral practices in patients suffering from non‐malignant chronic pain
Schulte, E., Hermann, K., Berghöfer, A., Hagmeister, H., Schuh‐Hofer, S., Schenk, M., Köpf, A., Vilain, M., Martus, P., Willich, S. N., et al. (2009) · European Journal of Pain · doi:10.1016/j.ejpain.2009.05.015 · Cited by 38 · see citing works
Treatment in a Randomized Multicenter Trial of Acupuncture for Migraine (ART Migraine)
Linde, K., Streng, A., Hoppe, A., Brinkhaus, B., Witt, C. M., Hammes, M. G., Irnich, D., Hummelsberger, J., Willich, S. N., & Melchart, D. (2006) · Complementary Medicine Research · doi:10.1159/000091999 · Cited by 38 · see citing works
Coping und Genesungsverlauf nach lumbaler Bandscheibenoperation
Grebner, M., Breme, K., Rothoerl, R. D., Hartmann, A., Thomé, C., & Woertgen, C. (1999) · Der Schmerz · doi:10.1007/s004820050180 · Cited by 38 · see citing works
Ueberall, M. A., & Müller-Schwefe, G. H. H. (2011) · Current Medical Research and Opinion · doi:10.1185/03007995.2011.583231 · Cited by 37 · see citing works
Pain Drawings Improve Subgrouping of Low Back Pain Patients
Hüllemann, P., Keller, T., Kabelitz, M., Freynhagen, R., Tölle, T. R., & Baron, R. (2016) · Pain Practice · doi:10.1111/papr.12470 · Cited by 37 · see citing works
Multimodale Gruppentherapie bei Senioren mit chronischen Schmerzen
Mattenklodt, P., Ingenhorst, A., Wille, C., Flatau, B., Hafner, C., Geiss, C., Sittl, R., Ulrich, K., & Grießinger, N. (2008) · Der Schmerz · doi:10.1007/s00482-008-0694-0 · Cited by 36 · see citing works
Cryoneurolysis for zygapophyseal joint pain: a retrospective analysis of 117 interventions
Wolter, T., Deininger, M., Hubbe, U., Mohadjer, M., & Knoeller, S. M. (2011) · Acta Neurochirurgica · doi:10.1007/s00701-011-0966-9 · Cited by 36 · see citing works
Häuser, W., Brähler, E., Wolfe, F., & Henningsen, P. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.01.009 · Cited by 36 · see citing works
Horn‐Hofmann, C., Scheel, J., Dimova, V., Parthum, A., Carbon, R., Grießinger, N., Sittl, R., & Lautenbacher, S. (2017) · European Journal of Pain · doi:10.1002/ejp.1115 · Cited by 38 · see citing works
Türp, J. C., Hugger, A., Nilges, P., Hugger, S., Siegert, J., Busche, E., Effenberger, S., & Schindler, H. J. (2006) · Der Schmerz · doi:10.1007/s00482-006-0472-9 · Cited by 36 · see citing works
Huge, V., Schloderer, U., Steinberger, M., Wuenschmann, B., Schöps, P., Beyer, A., & Azad, S. C. (2006) · Pain Medicine · doi:10.1111/j.1526-4637.2006.00238.x · Cited by 36 · see citing works
Kreddig, N., Rusu, A. C., Burkhardt, K., & Hasenbring, M. I. (2015) · International Journal of Behavioral Medicine · doi:10.1007/s12529-014-9426-2 · Cited by 33 · see citing works
Avoidance-Endurance Fast-Screen (AE-FS)
Wolff, S., Willburger, R., Hallner, D., Rusu, A. C., Rusche, H., Schulte, T. L., & Hasenbring, M. I. (2018) · Der Schmerz · doi:10.1007/s00482-018-0310-x · Cited by 33 · see citing works
Fehrmann, E., Tuechler, K., Kienbacher, T., Mair, P., Spreitzer, J., Fischer-Grote, L., Kollmitzer, J., & EBENBICHLER, G. R. (2017) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000479 · Cited by 33 · see citing works
Pfingsten, M., Franz, C., Hildebrandt, J., Saur, P. M. M., & Seeger, D. (1996) · Der Schmerz · doi:10.1007/s004820050058 · Cited by 33 · see citing works
Acupuncture for osteoarthritic pain: an observational study in routine care
Linde, K., Weidenhammer, W., Streng, A., Hoppe, A. M., & Melchart, D. (2005) · Lara D. Veeken · doi:10.1093/rheumatology/kei252 · Cited by 33 · see citing works
Sleep deprivation in chronic somatoform pain—effects on mood and pain regulation
Busch, V., Haas, J., Crönlein, T., Pieh, C., Geisler, P., Hajak, G., & Eichhammer, P. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.07.021 · Cited by 31 · see citing works
Keller, S., Ehrhardt‐Schmelzer, S., Herda, C. A., Schmid, S., & Basler, H. ‐. (1997) · European Journal of Pain · doi:10.1016/s1090-3801(97)90037-9 · Cited by 31 · see citing works
Kues, J. N., Janda, C., Kleinstäuber, M., & Weise, C. (2014) · Trials · doi:10.1186/1745-6215-15-472 · Cited by 30 · see citing works
The Acupuncture Randomised Trial (Art) for Tension-Type Headache - Details of the Treatment
Melchart, D., Streng, A., Hoppe, A., Brinkhaus, B., Becker‐Witt, C., Hammes, M. G., Irnich, D., Hummelsberger, J., Willich, S. N., & Linde, K. (2005) · Acupuncture in Medicine · doi:10.1136/aim.23.4.157 · Cited by 30 · see citing works
Klasen, B., Brüggert, J., & Hasenbring, M. I. (2006) · PubMed · doi:10.1007/s00482-006-0470-y · Cited by 28 · see citing works
Farin‐Glattacker, E. (2015) · Health and Quality of Life Outcomes · doi:10.1186/s12955-015-0359-5 · Cited by 28 · see citing works
Schemer, L., Schroeder, A., Ørnbøl, E., & Glombiewski, J. A. (2019) · European Journal of Pain · doi:10.1002/ejp.1326 · Cited by 28 · see citing works
Probst, T., Neumeier, S., Altmeppen, J., Angerer, M., Loew, T. H., & Pieh, C. (2016) · Pain Research and Management · doi:10.1155/2016/3204914 · Cited by 27 · see citing works
Haas, J., Eichhammer, P., Traue, H. C., Hoffmann, H., Behr, M., Crönlein, T., Pieh, C., & Busch, V. (2012) · Journal of Oral Rehabilitation · doi:10.1111/joor.12013 · Cited by 26 · see citing works
Hay, G., Korwisi, B., Rief, W., Smith, B. H., Treede, R., & Barke, A. (2022) · Pain · doi:10.1097/j.pain.0000000000002640 · Cited by 25 · see citing works
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Hüllemann, P., Keller, T., Kabelitz, M., Gierthmühlen, J., Freynhagen, R., Tölle, T. R., Forstenpointner, J., & Baron, R. (2018) · Pain Practice · doi:10.1111/papr.12704 · Cited by 24 · see citing works
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Shaygan, M., Böger, A., & Kröner‐Herwig, B. (2013) · European Journal of Pain · doi:10.1002/j.1532-2149.2013.00322.x · Cited by 23 · see citing works
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Greater disability with increased pain involvement, pain intensity and depressive preoccupation
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Klan, T., Gaul, C., Liesering-Latta, E., Both, B., Held, I., Hennemann, S., & Witthöft, M. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.852616 · Cited by 22 · see citing works
“Secondary outcomes were (v) headache index/28 days, (vi) medication days, defined as the number of days of using headache medication for a 28-day period, (vii) sensitivity to and avoidance of headache triggers, measured with the Headache Triggers Sensitivity and Avoidance Questionnaire (HTSAQ), (35) (viii) headache-re…”
MethodEffectiveness of a Multimodal Treatment Program for Somatoform Pain Disorder
Pieh, C., Neumeier, S., Loew, T. H., Altmeppen, J., Angerer, M., Busch, V., & Lahmann, C. (2013) · Pain Practice · doi:10.1111/papr.12144 · Cited by 21 · see citing works
Riecke, J., Holzapfel, S., Rief, W., & Glombiewski, J. A. (2013) · Trials · doi:10.1186/1745-6215-14-203 · Cited by 22 · see citing works
- 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
- Licence
- www.springer.com/tdm (tdm)
- 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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