Schiltenwolf M
Sektion Schmerztherapie, Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Deutschland.
Z Rheumatol. 2007 Oct;66(6):473-83. doi: 10.1007/s00393-007-0205-1.
Persons suffering from chronic musculoskeletal pain and applying for disability claims, should be assessed according to the biopsychosocial disease model. Interdisciplinary guidelines give advice on how to proceed. The claims assessor representing somatic disciplines has to recognize those subjects whose pain is not sufficiently explainable by the extent of physical damage but show typical signs of chronification (generalization of the pain extent, further body complaints, symptoms of depression), to recommend further assessment by a psychiatric or psychosomatic specialist. Technical findings must not be overestimated or the pain complaints of the subjects rejected as deliberate feigning. The extent of the pain and the underlying (physical and psychosocial) disorders have to be assessed by a consistent description of the implications for all areas of life.
患有慢性肌肉骨骼疼痛并申请残疾索赔的人，应根据生物心理社会疾病模型进行评估。跨学科指南提供了如何进行评估的建议。代表躯体学科的索赔评估人员必须识别出那些疼痛程度无法通过身体损伤程度充分解释，但表现出典型慢性化迹象（疼痛范围扩大、更多身体不适、抑郁症状）的受试者，建议由精神科或身心医学专家进行进一步评估。技术检查结果不应被高估，也不应将受试者的疼痛主诉当作故意伪装而予以驳回。必须通过对生活各个领域影响的一致描述来评估疼痛程度和潜在的（身体和心理社会）障碍。
