Chronische Schmerzen im Alter – psychologische Aspekte und ihre therapeutischen Konsequenzen
Mattenklodt P, Ingenhorst A, Flatau B, Grießinger N (2023)
Publication Type: Journal article, Review article
Publication year: 2023
Journal
Book Volume: 33
Pages Range: 12-20
Journal Issue: 1
DOI: 10.1055/a-2229-3576
Abstract
Chronic pain in the elderly is becoming increasingly important and is associated with serious health impacts. Therefore, international guidelines demand that pain therapy for the elderly should preferably be an interdisciplinary multimodal therapy which is based on a bio-psycho-social pain model. Specific psychometric tests and interview guidelines are available for the interdisciplinary pain assessment. The evidence for the effectiveness of interdisciplinary multimodal pain therapy in the elderly is still limited. However, controlled clinical trials have shown that these patients also benefit - especially if the inter-vention is adapted to their specific needs. In psychological training, pain acceptance, balancing rest and activity, social integration and deal-ing with aging are particularly important topics. Relaxation and mindfulness techniques can also favorably affect pain and function. Thus, they are popular with patients and are often adopted in everyday pain management. Pain education is considered useful as an adjunctive measure and can also be increasingly supported by digital media in the elderly. To reduce fear-avoidance beliefs, a confrontation therapy approach based on the principles of anxiety therapy (AMIKA) is recommended. Since it is unclear how long the achieved therapeutic effects last, follow-up care is of particular importance in therapy for older patients.
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Germany (DE)How to cite
APA:
Mattenklodt, P., Ingenhorst, A., Flatau, B., & Grießinger, N. (2023). Chronische Schmerzen im Alter – psychologische Aspekte und ihre therapeutischen Konsequenzen. Osteologie, 33(1), 12-20. https://doi.org/10.1055/a-2229-3576
MLA:
Mattenklodt, Peter, et al. "Chronische Schmerzen im Alter – psychologische Aspekte und ihre therapeutischen Konsequenzen." Osteologie 33.1 (2023): 12-20.
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