{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:36:19Z","timestamp":1790775379022,"version":"4.1.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Europa-Universit\u00e4t Flensburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>H\u00f6here Schmerzgrade h\u00e4ngen mit hoher psychischer Belastung zusammen und erh\u00f6hen das Risiko f\u00fcr die Aufrechterhaltung von chronischen R\u00fcckenschmerzen (CRS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Die Kriteriumsvalidit\u00e4t des Schweregradindex sollte erstmalig im Kontext der verhaltensmedizinisch-orthop\u00e4dischen Rehabilitation (VMO) sowie an weiteren psychosozialen und arbeitsbezogenen Kennwerten \u00fcberpr\u00fcft werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methode<\/jats:title>\n                    <jats:p>Die Multicenterstudie an 1010 Personen mit nichtspezifischen CRS (Internationale Klassifikation der Krankheiten und verwandter Gesundheitsprobleme, ICD-10: M51\/53\/54) untersuchte zu Beginn einer station\u00e4ren VMO den Unterschied in psychologischen sowie arbeits- und schmerzbezogenen Kennwerten in Abh\u00e4ngigkeit vom Schweregrad (I\u2013IV). Zudem wurden die H\u00e4ufigkeitsverteilungen der klinisch unauff\u00e4lligen und auff\u00e4lligen F\u00e4lle in der schmerzspezifischen Selbstwirksamkeit, Depressivit\u00e4t und subjektiven Prognose der Erwerbst\u00e4tigkeit in Abh\u00e4ngigkeit vom Schweregrad \u00fcberpr\u00fcft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Der Schweregradindex trennte die Grade in den psychologischen sowie arbeits- und schmerzbezogenen Kennwerten in erwarteter Richtung. In angeschlossenen paarweisen Vergleichen unterschied sich Grad\u00a0IV signifikant von den niedrigeren Graden. Personen mit h\u00f6heren Schweregraden wiesen ung\u00fcnstige Werte in den psychosozialen Ma\u00dfen auf und lagen h\u00e4ufiger im auff\u00e4lligen Bereich.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die Befunde st\u00fctzen die Kriteriumsvalidit\u00e4t des Schweregradindex. Das psychosoziale Risikoprofil bei h\u00f6heren Graden unterst\u00fctzt sowohl eine fr\u00fchzeitige schmerzbezogene und psychologische Diagnostik als auch eine gezielte Zuweisung zu bedarfsgerechten interdisziplin\u00e4ren multimodalen Behandlungsangeboten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphic abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00482-024-00844-8","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T10:01:49Z","timestamp":1730973709000},"page":"46-55","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validit\u00e4t des Schweregradindex bei nichtspezifischen chronischen R\u00fcckenschmerzen","Validity of the Chronic Pain Grade Scale in nonspecific chronic low back pain"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8429-125X","authenticated-orcid":false,"given":"Petra","family":"Hampel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Maria","family":"H\u00fcwel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"issue":"1\u20132","key":"844_CR1","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1007\/s00337-019-00634-9","volume":"58","author":"M Bach","year":"2020","unstructured":"Bach\u00a0M, Simhandl\u00a0C (2020) Chronischer Schmerz \u2013 eine psychosomatische Sichtweise. 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