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W\u00e4hrend dieser Pers\u00f6nlichkeitsstil urspr\u00fcnglich im Kontext kardiovaskul\u00e4rer Erkrankungen erforscht wurde, belegen aktuelle Studien auch eine signifikante Assoziation mit chronischen Schmerzerkrankungen, insbesondere R\u00fcckenschmerzen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Diese narrative \u00dcbersicht untersucht den aktuellen Kenntnisstand zur Beziehung zwischen Typ-D-Pers\u00f6nlichkeit und R\u00fcckenschmerz. Ziel ist es, m\u00f6gliche psychologische, verhaltensbezogene und biologische Mechanismen zu analysieren und klinische Implikationen f\u00fcr die orthop\u00e4dische Schmerztherapie abzuleiten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methode<\/jats:title>\n                    <jats:p>Es wurde eine selektive Literaturrecherche in den Datenbanken PubMed, PsycINFO und Google Scholar durchgef\u00fchrt. Ber\u00fccksichtigt wurden Originalarbeiten, systematische Reviews und Metaanalysen der letzten 20\u00a0Jahre mit Fokus auf psychosomatische Aspekte chronischer R\u00fcckenschmerzen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Mehrere Studien zeigen, dass Personen mit Typ-D-Merkmalen ein erh\u00f6htes Risiko f\u00fcr das Auftreten und die Chronifizierung von R\u00fcckenschmerzen aufweisen. M\u00f6gliche vermittelnde Mechanismen sind maladaptive Stressverarbeitung, Somatisierung, reduzierte soziale Unterst\u00fctzung sowie Ver\u00e4nderungen in neuroendokrinen und inflammatorischen Prozessen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerungen<\/jats:title>\n                    <jats:p>Die Typ-D-Pers\u00f6nlichkeit ist ein relevanter psychosozialer Risikofaktor in der Entstehung und Persistenz chronischer R\u00fcckenschmerzen. Ihre fr\u00fchzeitige Erkennung k\u00f6nnte zur Verbesserung multidisziplin\u00e4rer Therapieans\u00e4tze beitragen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00132-025-04718-4","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T11:10:08Z","timestamp":1757416208000},"page":"140-145","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Typ-D-Pers\u00f6nlichkeitsstil und R\u00fcckenschmerzen","Type\u00a0D personality style and back pain"],"prefix":"10.1007","volume":"55","author":[{"given":"Christian","family":"Riediger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Ferl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph H.","family":"Lohmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Sch\u00f6nrogge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"issue":"9","key":"4718_CR1","first-page":"1229","volume":"16","author":"R Althoff","year":"2012","unstructured":"Althoff\u00a0R et\u00a0al (2012) Type\u00a0D personality and pain intensity in chronic low back pain. 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