Der Teufelskreis aus Schmerz, Angst und Bewegungsvermeidung: Ursachen und mögliche Auswege

Juliane Traxler; Julia Glombiewski; Johan W.S. Vlaeyen

doi:10.1055/a-0969-4227

Der Schmerzpatient, Table of Contents

Der Schmerzpatient 2020; 3(01): 8-17
DOI: 10.1055/a-0969-4227

Schwerpunkt

Georg Thieme Verlag KG Stuttgart · New York

Der Teufelskreis aus Schmerz, Angst und Bewegungsvermeidung: Ursachen und mögliche Auswege

Juliane Traxler

,

Julia Glombiewski

,

Johan W.S. Vlaeyen

Abstract

Menschen mit chronischen Schmerzen haben mitunter Angst vor bestimmten Bewegungen. Sie vermeiden entsprechende Aktivitäten, bauen körperlich ab und leiden schlimmstenfalls unter noch stärkeren Schmerzen und Depressionen. Die Ursache für ihre ‚Kinesiophobie‘ liegt in bewegungsassoziierten Negativerfahrungen, im sozialen Umfeld und auch in der unbeabsichtigten Fehlkommunikation oder etwaigen Verunsicherung von Therapeuten. Die Expositionstherapie sowie das Graded-Activity-Konzept helfen, um den Teufelskreis des Angst-Vermeidungs-Modells zu durchbrechen.

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References

Literatur
1 Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 2000; 85 (03) 317-332 doi:10.1016/s0304-3959(99)00242-0
2 Vlaeyen JW, Linton SJ. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain 2012; 153 (06) 1144-1147 doi:10.1016/j.pain.2011.12.009
3 Gheldof EL, Crombez G, van den Bussche E. et al. Pain-related fear predicts disability, but not pain severity: A path analytic approach of the fear-avoidance model. Eur J Pain 2010; 14 (08) 870.e1-9 doi:10.1016/j.ejpain.2010.01.003
4 Leeuw M, Goossens ME, Linton SJ. et al. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med 2007; 30 (01) 77-94 doi:10.1007/s10865-006-9085-0
5 Wideman TH, Adams H, Sullivan MJ. A prospective sequential analysis of the fear-avoidance model of pain. Pain 2009; 145 (1 – 2): 45-51 doi:10.1016/j.pain.2009.04.022
6 Goubert L, Crombez G, van Damme S. The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach. Pain 2004; 107 (03) 234-241 doi:10.1016/j.pain.2003.11.005
7 Picavet HSJ, Vlaeyen JW, Schouten JS. Pain catastrophizing and kinesiophobia: predictors of chronic low back pain. Am J Epidemiol 2002; 156 (11) 1028-1034 doi:10.1093/aje/kwf136
8 Roelofs J, Peters M L, Patijn J. et al. Electronic diary assessment of pain-related fear, attention to pain, and pain intensity in chronic low back pain patients. Pain 2004; 112 (03) 335-342 doi:10.1016/j.pain.2004.09.016
9 Sullivan MJ, Lynch ME, Clark A. Dimensions of catastrophic thinking associated with pain experience and disability in patients with neuropathic pain conditions. Pain 2005; 113 (03) 310-315 doi:10.1016/j.pain.2004.11.003
10 Swinkels-Meewisse IE, Roelofs J, Oostendorp RA. et al. Acute low back pain: pain-related fear and pain catastrophizing influence physical performance and perceived disability. Pain 2006; 120 (1 – 2): 36-43 doi:10.1016/j.pain.2005.10.005
11 Linton SJ. A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976) 2000; 25 (09) 1148-1156 doi:10.1097/00007632-200005010-00017
12 Vlaeyen JW, Crombez G, Linton SJ. The fear-avoidance model of pain. Pain 2016; 157 (08) 1588-1589 doi:10.1097/j.pain.0000000000000574
13 Ulrich T, Nickel R, Schwab R. et al. Die somatoforme Schmerzstörung. Deutsches Ärzteblatt 2000; 97 (21) A-1469/B-1229/C-1149 https://www.aerzteblatt.de/pdf.asp?id=23123 Stand: 15.10.2019;
14 Kawachi I, Sparrow D, Vokonas PS. et al. Symptoms of anxiety and risk of coronary heart disease. The Normative Aging Study. Circulation 1994; 90 (05) 2225-2229 doi:10.1161/01.cir.90.5.2225
15 Paterniti S, Zureik M, Ducimetière P. et al. Sustained anxiety and 4-year progression of carotid atherosclerosis. Arterioscler Thromb Vasc Biol 2001; 21 (01) 136-141 doi:10.1161/01.atv.21.1.136
16 Reiss S. Expectancy model of fear, anxiety, and panic. Clinical psychology review 1991; 11 (02) 141-153 doi:10.1016/0272-7358(91)90092-9
17 Rhudy JL, Meagher MW. Fear and anxiety: divergent effects on human pain thresholds. Pain 2000; 84 (01) 65-75 doi:10.1016/s0304-3959(99)00183-9
18 Meyer K, Sprott H, Mannion AF. Cross-cultural adaptation, reliability, and validity of the German version of the Pain Catastrophizing Scale. J Psychosom Res 2008; 64 (05) 469-478 doi:10.1016/j.jpsychores.2007.12.004
19 Sullivan MJ, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess 1995; 7 (04) 524-532 doi:10.1037/1040-3590.7.4.524
20 Doménech J, Sanchis-Alfonso V, López L. et al. Influence of kinesiophobia and catastrophizing on pain and disability in anterior knee pain patients. Knee Surg Sports Traumatol Arthrosc 2013; 21 (07) 1562-1568 doi:10.1007/s00167-012-2238-5
21 Doménech J, Sanchis-Alfonso V, Espejo B. Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain. Knee Surg Sports Traumatol Arthrosc 2014; 22 (10) 2295-2300 doi:10.1007/s00167-014-2968-7
22 McNeil DW, Rainwater AJ. Development of the fear of pain questionnaire-III. J Behav Med 1998; 21 (04) 389-410
23 Kreddig N, Rusu AC, Burkhardt K. et al. The German PASS-20 in patients with low back pain: new aspects of convergent, divergent, and criterion-related validity. Int J Behav Med 2015; 22 (02) 197-205 doi:10.1007/s12529-014-9426-2
24 McCracken LM, Zayfert C, Gross RT. The Pain Anxiety Symptoms Scale: development and validation of a scale to measure fear of pain. Pain 1992; 50 (01) 67-73 doi:10.1016/0304-3959(92)90113-p
25 Asmundson GJ, Norton PJ, Norton GR. Beyond pain: the role of fear and avoidance in chronicity. Clin Psychol Rev 1999; 19 (01) 97-119
26 Crombez G, Vlaeyen JW, Heuts PH. et al. Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability. Pain 1999; 80 (1 – 2): 329-339 doi:10.1016/s0304-3959(98)00229-2
27 Trost Z, France CR, Thomas JS. Pain-related fear and avoidance of physical exertion following delayed-onset muscle soreness. Pain 2011; 152 (07) 1540-1547 doi:10.1016/j.pain.2011.02.038
28 Miller RP, Kori SH, Todd DD. The Tampa Scale. Unpublished report. Tampa, Florida; 1991. Im Internet: https://www.whria.com.au/wp-content/uploads/2015/03/TAMPA.pdf Stand: 18.10.2019
29 Rusu AC, Kreddig N, Hallner D. et al. Fear of movement/(Re) injury in low back pain: confirmatory validation of a German version of the Tampa Scale for Kinesiophobia. BMC Musculoskelet Disord 2014; 15: 280 doi:10.1186/1471-2474-15-280
30 Lundberg M, Larsson M, Ostlund H. et al. Kinesiophobia among patients with musculoskeletal pain in primary healthcare. J Rehabil Med 2006; 38 (01) 37-43
31 Roelofs J, Goubert L, Peters ML. et al. The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia. Eur J Pain 2004; 8 (05) 495-502 doi:10.1016/j.ejpain.2003.11.016
32 Vlaeyen JW, Kole-Snijders AM, Boeren RG. et al. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 1995; 62 (03) 363-372 doi:10.1016/0304-3959(94)00279-n
33 Crombez G, Eccleston C, van Damme S. et al. Fear-avoidance model of chronic pain: the next generation. Clin J Pain 2012; 28 (06) 475-483 doi:10.1097/AJP.0b013e3182385392
34 Crombez G, van Damme S, Eccleston C. Hypervigilance to pain: an experimental and clinical analysis. Pain 2005; 116 (1 – 2): 4-7 doi:10.1016/j.pain.2005.03.035
35 den Hollander M. de Jong JR, Volders S. et al. Fear reduction in patients with chronic pain: a learning theory perspective. Expert Rev Neurother 2010; 10 (11) 1733-1745 doi:10.1586/ern.10.115
36 Olsson A, Phelps EA. Learned fear of “unseen” faces after Pavlovian, observational, and instructed fear. Psychol Sci 2004; 15 (12) 822-828 doi:10.1111/j.0956-7976.2004.00762.x
37 Meulders A, Franssen M, Fonteyne R. et al. Acquisition and extinction of operant pain-related avoidance behavior using a 3 degrees-of-freedom robotic arm. Pain 2016; 157 (05) 1094-1104 doi:10.1097/j.pain.0000000000000483
38 Glogan E, van Vliet C, Roelandt R. et al. Generalization and Extinction of Concept-BasedPain-Related Fear. J Pain 2019; 20 (03) 325-338 doi:10.1016/j.jpain.2018.09.010
39 Meulders A, Jans A, Vlaeyen JW. Differences in pain-related fear acquisition and generalization: an experimental study comparing patients with fibromyalgia and healthy controls. Pain 2015; 156 (01) 108-122 doi:10.1016/j.pain.0000000000000016
40 Horton RE, Pillai Riddell RR. Mothersʼ facial expressions of pain and fear and infantsʼ pain response during immunization. Infant Ment Health J 2010; 31 (04) 397-411 doi:10.1002/imhj.20262
41 Helsen K, Goubert L, Peters ML. et al. Observational learning and pain-related fear: An experimental study with colored cold pressor tasks. J Pain 2011; 12 (12) 1230-1239 doi:10.1016/j.jpain.2011.07.002
42 Helsen K, Vlaeyen JW, Goubert L. Indirect acquisition of pain-related fear: an experimental study of observational learning using coloured cold metal bars. PLoS One 2015; 10 (03) e0117236 doi:10.1371/journal.pone.0117236
43 Helsen K, Goubert L, Vlaeyen JW. Observational learning and pain-related fear: exploring contingency learning in an experimental study using colored warm water immersions. J Pain 2013; 14 (07) 676-688 doi:10.1016/j.jpain.2013.01.771
44 Corcoran TB, Haigh F, Seabrook A. et al. The quality of internet-sourced information for patients with chronic pain is poor. Clin J Pain 2009; 25 (07) 617-623 doi:10.1097/AJP.0b013e3181a5b5d5
45 Heathcote LC, Pate JW, Park AL. et al. Pain neuroscience education on YouTube. PeerJ 2019; 7: e6603 doi:10.7717/peerj.6603
46 Vlaeyen JW, Linton SJ. Are we “fear-avoidant”?. Pain 2006; 124 (03) 240-241 doi:10.1016/j.pain.2006.06.031
47 Darlow B, Dowell A, Baxter GD. et al. The enduring impact of what clinicians say to people with low back pain. Ann Fam Med 2013; 11 (06) 527-534 doi:10.1370/afm.1518
48 Leeuw M, Goossens ME, van Breukelen GJ. et al. Measuring perceived harmfulness of physical activities in patients with chronic low back pain: the Photograph Series of Daily Activities – short electronic version. J Pain 2007; 8 (11) 840-849 doi:10.1016/j.jpain.2007.05.013
49 Trost Z, France CR, Thomas JS. Examination of the photograph series of daily activities (PHODA) scale in chronic low back pain patients with high and low kinesiophobia. Pain 2009; 141 (03) 276-282 doi:10.1016/j.pain.2008.11.016
50 Craske MG, Treanor M, Conway CC. et al. Maximizing exposure therapy: An inhibitory learning approach. Behav Res Ther 2014; 58: 10-23 doi:10.1016/j.brat.2014.04.006
51 OʼSullivan K, Dankaerts W, OʼSullivan L. et al. Cognitive Functional Therapy for Disabling Nonspecific Chronic Low Back Pain: Multiple Case-Cohort Study. Physical Therapy 2015; 95 (11) 1478-1488 doi:10.2522/ptj.20140406
52 de Jong JR, Vlaeyen JW, Onghena P. et al. Reduction of pain-related fear in complex regional pain syndrome type I: The application of graded exposure in vivo. Pain 2005; 116 (03) 264-275 doi:10.1016/j.pain.2005.04.019
53 Glombiewski JA, Holzapfel S, Riecke J. et al. Exposure and CBT for Chronic Back Pain: An RCT on Differential Efficacy and Optimal Length of Treatment. J Consult Clin Psychol 2018; 86 (06) 533-545 doi:10.1037/ccp0000298
54 Leeuw M, Goossens ME, van Breukelen GJ. et al. Exposure in vivo versus operant graded activity in chronic low back pain patients: results of a randomized controlled trial. Pain 2008; 138 (01) 192-207 doi:10.1016/j.pain.2007.12.009
55 López-de-Uralde-Villanueva I, Munoz-Garcia D, Gil-Martinez A. et al. A systematic review and meta-analysis on the effectiveness of graded activity and graded exposure for chronic nonspecific low back pain. Pain Med 2016; 17 (01) 172-188 doi:10.1111/pme.12882