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PTBS und chronische Schmerzen: Entstehung, Aufrechterhaltung und Zusammenhang – ein Überblick

PTSD and chronic pain: development, maintenance and comorbidity – a review

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Zusammenfassung

Neben der posttraumatischen Belastungsstörung (PTBS) leidet eine Vielzahl von Traumatisierten zudem an chronischen Schmerzen. Das Wissen um die Entstehung und Aufrechterhaltung der komorbiden Störungen ist daher von essenzieller Bedeutung für die Behandlung. Der vorliegende Beitrag erläutert anhand eines aktuellen Literaturüberblicks Entstehungs-, Aufrechterhaltungs- und Zusammenhangsmechanismen der PTBS und chronischer Schmerzen. Darüber hinaus wird das „perpetual avoidance model“ vorgestellt und mit Implikationen für die Praxis ergänzt.

Abstract

In addition to posttraumatic stress disorder (PTSD) many traumatized individuals also suffer from chronic pain. Understanding the development and maintenance of these two disorders and how they interact is of crucial importance for treatment. This article provides an overview of the current literature on mechanisms of development, maintenance and comorbidity of PTSD and chronic pain. Moreover the perpetual avoidance model and its implications for practical application are presented.

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Authors and Affiliations

  1. Behandlungszentrum für Folteropfer Berlin, Turmstr. 21, 10559, Berlin, Deutschland

    A. Liedl & C. Knaevelsrud

  2. Technische Universität Dresden, Dresden, Deutschland

    A. Liedl

  3. Freie Universität Berlin, Berlin, Deutschland

    C. Knaevelsrud

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  1. A. Liedl
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Liedl, A., Knaevelsrud, C. PTBS und chronische Schmerzen: Entstehung, Aufrechterhaltung und Zusammenhang – ein Überblick. Schmerz 22, 644–651 (2008). https://doi.org/10.1007/s00482-008-0714-0

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