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Erfassung der Bereitschaft zur Änderung des BewÄltigungsverhaltens bei chronischen Schmerzpatienten
Abstract
Research question The transtheoretical model (TTM) describes the willingness of behavior change as a process characterized by six stages: precontemplation, contemplation, preparation, action, maintenance, and termination. This study investigates the possibility to apply the TTM to the treatment of chronic pain patients. The main goal is the development of items for a self-administered instrument, which documents the willingness to use cognitive-behavioral methods for pain management independently. With this instrument a treatment can be assigned according to the patient's motivation in order to improve outcomes of pain management programs. Methods Based on TTM theory 56 items were developed and adminstered to a sample of 118 chronic pain patients, who were recruited via different facilities for pain therapy. Item- and factor analysis were conducted for determining psychometrical attributes of items and latent scales. Results Analyses resulted in four consistent scales and accordingly four distinctive stages: precontemplation, preparation, action, and maintenance, which showed sufficiently high indices of homogeneity and discriminant validity. The relationships between scale scores and sociodemographic and pain related variables proved to be in accordance to the theory. Conclusions The results show transferability of the TTM to pain management in general. Two stages, contemplation and termination, could not be identified yet. Mainly termination seems not to be existent in the…
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Lesser-motivated chronic pain patients show a significant increase in healthcare system expenses, consulting significantly more physicians, staying more frequently in hospital, and joining more rehabilitation programs than patients in the other stages.
“there was a significant increase in healthcare system expenses by lesser-motivated patients. These patients consulted significantly more physicians, stayed more frequently in hospital, and joined more rehabilitation programs than patients in the other stages.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
Less motivated patients might lack pain-coping strategies compared to patients in the maintenance stage.
“These results suggest that the less motivated patients might lack pain-coping strategies compared to the patients in the maintenance stage.21”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
There is a stage-dependent correlation between depression, anxiety, and control beliefs (locus of control) in chronic pain patients.
“demonstrated a stage-dependent correlation between depression, anxiety, and control beliefs (locus of control) as well.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
Patients in the precontemplation stage took medicine more frequently than patients in the maintenance stage.
“demonstrated that patients in the precontemplation stage took medicine more frequently than patients in the maintenance stage.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
Chronic pain patients (80% back pain patients) have been classified into 13% precontemplation stage, 50% preparation stage, 22% action stage, and 12% maintenance stage.
“classified chronic pain patients (80% back pain patients) into 13% precontemplation stage, 50% preparation stage, 22% action stage, and 12% maintenance stage.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
The motivational stages of the transtheoretical model have been identified in samples of arthritis patients, fibromyalgic patients, and a heterogeneous sample of chronic pain patients.
“According to the transtheoretical model, these motivational stages were identified in a sample of arthritis patients,16”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
There has been growing interest in the chronic pain patient's motivation and self-management training.
“There has been growing interest in the chronic pain patient’s motivation and self-management training.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [21]
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Einfluss einer Motivationsintervention auf die Bewältigung chronischer Schmerzen
Rau, J., Ehlebracht-König, I., & Petermann, F. (2008) · Der Schmerz · doi:10.1007/s00482-008-0658-4 · Cited by 25
Røe, C., Damsgård, E., Fors, T., & Anke, A. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-95 · Cited by 20
Zenker, S., Petraschka, M., Schenk, M., Reißhauer, A., Newie, T., Hermanns, K., Wernecke, K.-D., & Spies, C. (2006) · The Journal of Pain · doi:10.1016/j.jpain.2006.01.446 · Cited by 17
Küchler, A., Sabatowski, R., & Kaiser, U. (2012) · Der Schmerz · doi:10.1007/s00482-012-1223-8 · Cited by 17
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Rau, J., & Petermann, F. (2008) · Der Schmerz · doi:10.1007/s00482-008-0640-1 · Cited by 17
Rau, J., Ehlebracht-König, I., & Petermann, F. (2007) · Der Schmerz · doi:10.1007/s00482-007-0542-7 · Cited by 14
Der Freiburger Fragebogen - Stadien der Bewältigung chronischer Schmerzen (FF-STABS):
Maurischat, C., Härter, M. C., & Bengel, J. (2002) · Diagnostica · doi:10.1026//0012-1924.48.4.190 · Cited by 12
Self-citationPsychotherapie chronischer Ersch�pfungszust�nde
Gaab, J. (2004) · Psychotherapeut · doi:10.1007/s00278-004-0399-5 · Cited by 10
Symptom- und Beschwerdevalidierung chronifizierter Schmerzen in sozialmedizinischer Begutachtung
Dohrenbusch, R. (2009) · Der Schmerz · doi:10.1007/s00482-009-0789-2 · Cited by 9
Erfassung der Veränderungsmotivation bei Tinnituspatienten
Härter, M. C., Battlehner, J., Münscher, A., Graul, J., & Maurischat, C. (2004) · HNO · doi:10.1007/s00106-004-1181-2 · Cited by 7
Self-citationInterdisziplinäres Schmerzassessment im stationären Setting
Sens, E., Mothes-Lasch, M., & Lütz, J. (2017) · Der Schmerz · doi:10.1007/s00482-017-0237-7 · Cited by 7
Erfassung der "Stages of Change" im Transtheoretischen Modell Prochaskas : eine Bestandsaufnahme
Maurischat, C. (2001) · PsyDok Dokumentenserver für die Psychologie (Leibniz-Zentrum für Psychologische Information und Dokumentation) · doi:10.23668/psycharchives.8820 · Cited by 5
Self-citationMotivationsförderung bei chronischen Schmerzpatienten
Leonhardt, C., & Pfingsten, M. (2008) · Der Schmerz · doi:10.1007/s00482-008-0713-1 · Cited by 3
Onlinenachsorge nach stationärer multimodaler Schmerztherapie
Neubauer, E., Schiltenwolf, M., & Moessner, M. (2008) · Springer eBooks · doi:10.1007/978-3-540-75736-8_18
Koßobutzki, M. A. (2011) · Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver · doi:10.17169/refubium-13825
25 Jahre Verhaltenstherapie bei chronischen Schmerzzuständen- ein persönlicher Rückblick
Köhler, H. (2003) · Forum Psychotherapeutische Praxis · doi:10.1026//1616-1041.3.2.73
Goldschmidt, S., & Würz, J. (2007) · Diagnostica · doi:10.1026/0012-1924.53.3.169
Metadata
- Authors
- Maurischat, C., Auclair, P., Bengel, J., & Härter, M.
- Affiliations
- University of Freiburg (DE)
- ORCID
- Venue
- Der Schmerz
- Published
- 2002-02-01
- Volume
- 16
- Issue
- 1
- Pages
- 34-40
- ISSN
- 0932-433X (ISSN-L)
- 1432-2129
- OpenAlex
- W7690065
- Cited by
- 17
- References
- 0
- Citations by year
- 2017: 1 · 2014: 1 · 2012: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- de
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Der Schmerz (publishedVersion)
- PubMed (publishedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- transtheoretical model, chronic pain, willingness to change, behavior change, cognitive-behavioral pain management, motivational readiness, precontemplation, maintenance phase, pain management program
- MeSH terms
- Behavior, Chronic Disease, Data Interpretation, Statistical, Humans, Motivation, Pain, Psychometrics, Psychotherapy, Surveys and Questionnaires, Pain Management
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