Schmerzempfindung bei Jugendlichen mit chronischen funktionellen Schmerzen

Wager, Julia; Tietze, Anna-Lena; Denecke, H. J.; Schroeder, Sandra; Vocks, Silja; Kosfelder, Joachim; Zernikow, Boris; Hechler, Tanja

doi:10.1007/s00482-010-0920-4

Cited by 22 publications

(7 citation statements)

References 38 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The SES scale is widely used in Germany, is validated for clinical pain syndromes, 12 , 31 and is sensitive to change in clinical and experimental trials. 13 , 15 , 24 Patients with neuropathic chronic back pain reported higher sensory and affective SES scores than nonneuropathic.…”

Section: Discussionmentioning

confidence: 99%

“…12 Various sets of descriptors were used to distinguish, eg, A-delta-mediated vs C-fiber-mediated pain, 16 , 28 nociceptive vs neuropathic pain, 7 , 11 trigeminal neuralgia vs atypical facial pain, 22 and primary vs secondary chronic pain syndromes. 1 , 31 Verbal descriptors were also used to prime processing of painful stimuli, 10 to examine the sensitivity of patients to words, 6 and to identify neuropathic components of low back pain. 2 We previously confirmed the factorial structure of the SES in a human surrogate model using electrical skin stimulation 13 and used those verbal descriptors to differentiate pain qualities induced by injection of hypertonic saline into muscle, fascia, or subcutaneous tissue.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of pain quality reveals distinct differences between nociceptive innervation of low back fascia and muscle in humans

Schilder

Magerl

Klein

et al. 2018

PR9

View full text Add to dashboard Cite

Introduction/Objectives:Verbal descriptors are an important pain assessment parameter. The purpose of this study was to explore the ability to discriminate deep muscle pain and overlying fascia pain according to verbal descriptors and compare the pattern with skin stimulation (from previously published data).Methods:In 16 healthy human subjects, electrical stimulation was chosen to excite a broad spectrum of nociceptive primary afferents innervating the respective tissues. The 24-item Pain Perception Scale (Schmerzempfindungsskala [SES]) was used to determine the induced pain quality.Results:Overall, affective (P = 0.69) and sensory scores (P = 0.07) were not significantly different between muscle and fascia. Factor analysis of the sensory descriptors revealed a stable 3-factor solution distinguishing superficial thermal (“heat pain” identified by the items “burning,” “scalding,” and “hot”) from superficial mechanical (“sharp pain” identified by the items “cutting,” “tearing,” and “stinging”) and “deep pain” (identified by the items “beating,” “throbbing,” and “pounding”). The “deep pain” factor was more pronounced for muscle than fascia (P < 0.01), whereas the other 2 factors were more pronounced for fascia (both P < 0.01). The patterns of skin and fascia matched precisely in sensory factors and on single-item level.Conclusion:The differences in sensory descriptor patterns between muscle and fascia may potentially guide treatment towards muscle or fascia in low back pain physiotherapeutic regimes. The similarity of descriptor patterns between fascia and skin, both including the terms “burning” and “stinging,” opens the possibility that neuropathic back pain (when the dorsal ramus of the spinal nerve is affected) may be confused with low back pain of fascia origin.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of pain quality reveals distinct differences between nociceptive innervation of low back fascia and muscle in humans

Schilder

Magerl

Klein

et al. 2018

PR9

View full text Add to dashboard Cite

show abstract

“…Using the affective pain perception subscale of the Pain Perception Scale for adolescents (SES‐J 31 ), subjects reported whether certain adjectives such as “cruel” or “miserable” accurately described their perception of pain (4‐point scale; 1 = do not agree to 4 = strongly agree ). The sum score ranged from 8 to 32, with higher scores indicating heightened pain‐related emotional burden.…”

Section: Methodsmentioning

confidence: 99%

Predictors and concomitants of the remission of frequent headache in pediatrics: A longitudinal community study

Rau,

Humberg,

Könning

et al. 2024

Headache

View full text Add to dashboard Cite

ObjectiveWe aimed to examine factors associated with frequent headache remission in schoolchildren aged 10–18 years.BackgroundFrequent headache is a common health problem in adolescence, and some individuals in this population experience remission. Factors preceding headache remission as opposed to ongoing headache, and their development over time, have not been examined extensively.MethodsData were derived from a large school sample (N = 2280). Over the course of 1 year, n = 156 adolescents experienced remission from frequent headaches, while n = 125 adolescents continued to have frequent headaches throughout the year. In this longitudinal case–control study, we predicted headache remission using demographic, pain, psychosocial, sleep, and physiological characteristics. Additionally, we sought to explore the development of psychosocial, sleep, and physiological characteristics in relation to remitted versus ongoing headache over the 1‐year period.ResultsA model containing the variables sex (odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.248–0.76, p = 0.003), headache intensity (OR = 0.85, 95% CI = 0.73–0.99, p = 0.035), anxiety score (OR = 0.92, 95% CI = 0.85–1.01, p = 0.071), and depression score (OR = 0.94, 95% CI = 0.89–1.00, p = 0.041) predicted the outcome variable (remitted vs. non‐remitted headache), explaining 17% of the variance in group membership. Schoolchildren reporting remitted headache at the end of the year exhibited lower depression (F[1, 557.01] = 45.77, p < 0.001) and anxiety scores (F[1, 557.01] = 21.72, p < 0.001), higher school satisfaction (F[1, 209.46] = 7.15, p = 0.008), and fewer difficulties falling asleep (F[1, 856.52] = 41.21, p < 0.001) or sleeping through the night (F[1, 731.12] = 26.42, p < 0.001) throughout the year compared to those with non‐remitted headache. Depression scores declined significantly over the year in the group with remitted headache, whereas these scores remained constant in the group with non‐remitted headache.ConclusionOur results suggest a correlation between headache remission and male sex, improved mental health, and reduced pain‐related burden. Moreover, there was an observed decline in symptoms of depression during headache remission. Psychotherapy may be a promising treatment strategy for addressing frequent headaches reported by children and adolescents.Plain Language SummaryOur goal was to find out why some kids aged 10–18 years stop having frequent headaches, which is why we asked 2280 schoolchildren to fill out a survey five times during the school year. Kids who stopped having frequent headaches were more often boys, had better mental health, and were not bothered as much by pain. The results suggest that psychotherapy might help kids and teens who get a lot of headaches.

show abstract

“…im ‚Deutschen Schmerzfragebogen für Kinder und Jugendliche‘ (DSF-KJ) erfragt 12 . Die Qualität der Schmerzen kann mit Hilfe der ‚Schmerzempfindungsskala für Jugendliche‘ (SES-J) ab elf Jahren – im Selbstbericht oder im Fremdbericht durch die Eltern – erfasst werden 13 . Auf einer vierstufigen Skala (1 = „trifft nicht zu“; 4 = „trifft genau zu“) werden rhythmische und sensorische Schmerzwahrnehmung von den Betroffenen durch verschiedene Adjektive wie z.…”

Section: Diagnostik Primärer Chronischer Schmerzen Bei Kindern Und Ju...unclassified

“…Mit Hilfe der ‚SES-J‘ lässt sich neben der Schmerzqualität auch die affektive Schmerzempfindung von Kindern ab elf Jahren valide im Selbstbericht einschätzen 13 . Die affektive Schmerzempfindung soll von den jungen Patient*innen mithilfe von acht Adjektiven wie bspw.…”

Section: Diagnostik Primärer Chronischer Schmerzen Bei Kindern Und Ju...unclassified

Psychologische Diagnostik primärer chronischer Schmerzen im Kindes- und Jugendalter

Rach¹,

Kistinger²,

Hechler³

2022

Schmerz.Therapie

View full text Add to dashboard Cite

Schmerzempfindung bei Jugendlichen mit chronischen funktionellen Schmerzen

Abstract: With this questionnaire there is now a validated German assessment tool to measure pain perception in adolescents with chronic pain (Pain Perception Scale for Adolescents, SES-J). Due to its practicability it is suitable for clinical application.

Cited by 22 publications

References 38 publications

Assessment of pain quality reveals distinct differences between nociceptive innervation of low back fascia and muscle in humans

Assessment of pain quality reveals distinct differences between nociceptive innervation of low back fascia and muscle in humans

Predictors and concomitants of the remission of frequent headache in pediatrics: A longitudinal community study

Psychologische Diagnostik primärer chronischer Schmerzen im Kindes- und Jugendalter

Contact Info

Product

Resources

About