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Interdisziplinäre multimodale stationäre Schmerztherapie für junge Erwachsene
Der Schmerz ( IF 1 ) Pub Date : 2019-09-23 , DOI: 10.1007/s00482-019-00417-0
Sabrina Schenk , Susanne Grothus , Dunja Genent , Felix Selent , Boris Zernikow , Julia Wager

BACKGROUND Emerging adulthood between the ages of 18 and 25 are vulnerable years that offer many opportunities and simultaneously represent huge challenges for autonomy and identity development. Chronic pain in this vulnerable stage of life is associated with long-term negative consequences. So far, knowledge regarding the effectiveness of treatment offers for this patient group is scarce. OBJECTIVE The aim of this study is to examine the effectiveness of a multimodal inpatient pain therapy for young adults with chronic pain. In addition, the change and influence of the autonomy development will be investigated. MATERIALS AND METHODS The present longitudinal study examined the effectiveness of a 3-week multimodal inpatient pain treatment in young adults with chronic pain. Three-month follow-up data from 74 patients aged 18-25 years (75.7% female) were included in the study. Standardized questionnaires were used to investigate pain characteristics, pain-associated and emotional impairments quality of life, and various facets of autonomy. RESULTS The results show that pain-related and emotional impairments are significantly reduced after therapy. Furthermore, there is a significant improvement in the quality of life and resilience. The increased quality of life and reduced pain-related and emotional impairment are associated with a gain of autonomy convictions. DISCUSSION Multimodal inpatient pain treatment seems to be effective during emerging adulthood. Autonomy convictions seem to be an important starting point for therapeutic success and have a modulating importance in terms of positive changes in emotional impairment and quality of live. Therefore, this aspect should be considered when pain treatment offers are developed for this age group.

中文翻译:

年轻成人的跨学科多模式住院疼痛治疗

背景 18 至 25 岁之间的成年期是脆弱的时期,提供了许多机会,同时对自主性和身份发展提出了巨大挑战。在这个脆弱的生命阶段,慢性疼痛与长期的负面后果有关。到目前为止,关于该患者群体的治疗方案有效性的知识很少。目的 本研究的目的是检查多模式住院疼痛治疗对患有慢性疼痛的年轻人的有效性。此外,还将考察自主发展的变化和影响。材料和方法 本纵向研究检查了 3 周多模式住院疼痛治疗对患有慢性疼痛的年轻成人的有效性。来自 74 名 18-25 岁患者的三个月随访数据 (75. 7% 女性)被纳入研究。使用标准化问卷调查疼痛特征、疼痛相关和情绪障碍、生活质量和自主权的各个方面。结果 结果表明,治疗后疼痛相关和情绪障碍显着减少。此外,生活质量和复原力也有显着改善。生活质量的提高和疼痛相关和情绪障碍的减少与获得自主信念有关。讨论 多模式住院疼痛治疗似乎在成年期有效。自主信念似乎是治疗成功的重要起点,并且在情绪障碍和生活质量的积极变化方面具有调节重要性。所以,
更新日期:2019-09-23
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