Glombiewski J A
Klinische Psychologie und Psychotherapie, Fachbereich Psychologie, Universität Koblenz-Landau, Ostbahnstr. 10, 76829, Landau, Deutschland.
Schmerz. 2018 Aug;32(4):274-282. doi: 10.1007/s00482-018-0311-9.
Exposure therapy is an economical and promising psychological method for the treatment of chronic back pain, although little research has been done and its evidence needs further clarification. Exposure therapy has so far been little used in practice, which is partly due to the few published studies on this topic and partly to the uncertainty of the practitioners as to whether exposure therapy can be carried out without risk. Exposure therapy can be classified as a "tailored treatment" approach, in which patients with certain profiles (here: increased fear of movement) receive specific treatments. In this review article, the theoretical principles of exposure therapy are presented. Subsequently, possibilities for the identification of those patients suitable for exposure treatment are explained. The practical procedure is presented using a case study. The four randomized controlled trials available to date are described in detail and discussed.
暴露疗法是一种经济且有前景的治疗慢性背痛的心理方法,尽管相关研究较少,其证据仍需进一步阐明。暴露疗法目前在实践中使用较少,部分原因是关于该主题的已发表研究较少,部分原因是从业者不确定暴露疗法是否可以无风险地实施。暴露疗法可归类为一种“量身定制的治疗”方法,即具有特定特征(此处为对运动的恐惧增加)的患者接受特定治疗。在这篇综述文章中,介绍了暴露疗法的理论原理。随后,解释了识别适合暴露治疗患者的方法。通过一个案例研究展示了实际操作过程。详细描述并讨论了迄今为止现有的四项随机对照试验。