Kasper L A, Pfeifer A-C, Volkert J, Schiltenwolf M, Taubner S
Institut für Psychosoziale Prävention, Universitätsklinikum Heidelberg, Bergheimerstr. 54, 69115, Heidelberg, Deutschland.
Psychologisches Institut, Universität Heidelberg, Heidelberg, Deutschland.
Schmerz. 2024 Apr;38(2):118-124. doi: 10.1007/s00482-023-00709-6. Epub 2023 Apr 18.
Chronic pain is usually a complex disorder with possible indications for an impairment at the personality functioning level. Guidelines recommend a multiprofessional interdisciplinary treatment approach. Based on the alternative model of personality disorders of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) and the International Classification of Diseases, eleventh revision (ICD-11), an integrative manual was designed to exactly fit the interdisciplinary multimodal treatment of patients of the day clinic for pain at the orthopedic clinic of the University Hospital Heidelberg. The treatment manual specifically promotes various areas of personality functioning levels, such as emotion regulation, identity, empathy and relationships through individual and group interventions against the background of a mentalization-based therapeutic attitude. A focus group was used to qualitatively evaluate the implementation of the new treatment manual. With good applicability of the manual and satisfaction of the therapy team, a common language for the interdisciplinary team could be created to improve the therapeutic interaction.
慢性疼痛通常是一种复杂的病症，可能表明在人格功能层面存在损害。指南推荐采用多专业跨学科的治疗方法。基于《精神疾病诊断与统计手册》第五版（DSM - 5）和《国际疾病分类》第十一版（ICD - 11）中的人格障碍替代模型，设计了一本综合手册，以精准适配海德堡大学医院骨科门诊疼痛日间诊所患者的跨学科多模式治疗。该治疗手册通过基于心理化治疗态度背景下的个体和团体干预，特别促进人格功能水平的各个领域，如情绪调节、身份认同、同理心和人际关系。使用焦点小组对新治疗手册的实施情况进行定性评估。由于该手册具有良好的适用性且治疗团队感到满意，可为跨学科团队创建一种通用语言，以改善治疗互动。
