{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T22:15:10Z","timestamp":1649196910226},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nZiel der Studie Es besteht eine hohe Komorbidit\u00e4t zwischen chronischen Schmerzen und Ein- und Durchschlafst\u00f6rungen (Insomnien). Hierbei wirken sich die Schmerzen nicht nur st\u00f6rend auf den Schlaf aus \u2013 eine schlechte Schlafqualit\u00e4t kann auch das Schmerzempfinden verst\u00e4rken. Bisher erfolgt die Behandlung beider St\u00f6rungsbilder jedoch gr\u00f6\u00dftenteils separat. In einer Pilotstudie wurde die Wirkung eines kognitiv-verhaltenstherapeutischen Schlaftrainings, das auf die gemeinsame Behandlung beider St\u00f6rungsbilder abzielt, im Bereich der ambulanten orthop\u00e4dischen Rehabilitation untersucht.<\/jats:p><jats:p>\nMethodik N=41 Patient\/innen nahmen an der Untersuchung teil, wobei 15 Teilnehmer\/innen der Kontrollgruppe angeh\u00f6rten. Das Training umfasst 4 Module \u00e1 90min und wurde speziell f\u00fcr Patient\/innen mit chronischen Schmerzen und komorbider Insomnie konzipiert. Es beinhaltet verschiedene Ma\u00dfnahmen der kognitiven Verhaltenstherapie zur Behandlung von Insomnie und chronischen Schmerzen (z.\u2009B. Schlafhygiene, Schlafrestriktion, Schlaf-Schmerz-Protokoll, kognitive Umstrukturierung) und adressiert speziell den Zusammenhang zwischen Schlaf und Schmerz. Vor und nach dem Training wurden Schlafqualit\u00e4t, schlafbezogene Gedanken (Focussing, Gr\u00fcbeln), internale gesundheitsbezogene Kontroll\u00fcberzeugung, Schmerzst\u00e4rke (am Tag und in der Nacht) sowie schmerzbezogene Gedanken (schmerzbezogene \u00c4ngste, schmerzbezogene Hilflosigkeit\/Depression) mittels Fragebogen erfasst.<\/jats:p><jats:p>\nErgebnisse F\u00fcr die meisten Parameter (Schlafqualit\u00e4t, Schlafeffizienz, Focussing, Gr\u00fcbeln, internale gesundheitliche Kontroll\u00fcberzeugung, durchschnittliche Schmerzen am Tag und in der Nacht, maximale Schmerzen in der Nacht, schmerzbezogene \u00c4ngste und schmerzbezogene Hilflosigkeit\/Depression) ergaben gemischte Varianzanalysen (kleine \u03b7\u00b2=0,010 bis mittlere \u03b7\u00b2=0,068) Interaktionseffekte zwischen Messzeitpunkt und Gruppe, wobei die Effekte f\u00fcr Gr\u00fcbeln und durchschnittliche Schmerzen am Tag nicht signifikant waren. F\u00fcr die maximalen Schmerzen am Tag zeigte sich kein Interaktionseffekt. Effektgr\u00f6\u00dfen f\u00fcr den Pr\u00e4-Post-Vergleich der einzelnen Gruppen ergaben mittlere (internale gesundheitsbezogene Kontroll\u00fcberzeugung: d=0,52) bis gro\u00dfe (Schlafqualit\u00e4t: d=1,73) signifikante Verbesserungen f\u00fcr die Trainingsgruppe. F\u00fcr die Kontrollgruppe zeigten sich keine (Focussing: d=0,00) bis kleine (maximale Schmerzst\u00e4rke am Tag: d=\u22120,43) jedoch stets nicht signifikante Effekte.<\/jats:p><jats:p>\nSchlussfolgerung Das vorliegende Trainingsprogramm k\u00f6nnte eine Erg\u00e4nzung zum herk\u00f6mmlichen Behandlungsspektrum bei chronischen Schmerzen darstellen und sollte an gr\u00f6\u00dferen Stichproben weiter evaluiert werden.<\/jats:p>","DOI":"10.1055\/a-1509-9247","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T22:57:44Z","timestamp":1629759464000},"page":"35-42","source":"Crossref","is-referenced-by-count":0,"title":["Besserer Schlaf und weniger Schmerzen? Schlaftraining in der orthop\u00e4dischen Rehabilitation"],"prefix":"10.1055","volume":"61","author":[{"given":"Nadine","family":"Tscharaktschiew","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologie, Technische Universit\u00e4t Chemnitz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"Ende","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologie, Technische Universit\u00e4t Chemnitz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiane","family":"Onderka","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologie, Technische Universit\u00e4t Chemnitz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,23]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jsmc.2016.08.004","article-title":"Assessing and Managing Sleep Disturbance in Patients with Chronic Pain","volume":"11","author":"M D Cheatle","year":"2016","journal-title":"Sleep Med Clin"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.sleep.2018.05.023","article-title":"Sleep disturbances and sleep disorders in adults living with chronic pain: a meta-analysis","volume":"52","author":"J L Mathias","year":"2018","journal-title":"Sleep Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1111\/j.1365-2869.2007.00571.x","article-title":"Prevalence and correlates of clinical insomnia co-occurring with chronic back pain","volume":"16","author":"NK Y Tang","year":"2007","journal-title":"J Sleep Res"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1111\/jsr.12594","article-title":"European guideline for the diagnosis and treatment of insomnia","volume":"26","author":"D Riemann","year":"2017","journal-title":"J Sleep Res"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s11818-016-0097-x","article-title":"S3-Leitlinie Nicht erholsamer Schlaf\/Schlafst\u00f6rungen","volume":"21","author":"D Riemann","year":"2017","journal-title":"Somnologie"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1037\/hea0000245","article-title":"The bidirectional relationship between sleep complaints and pain: Analysis of data from a randomized trial","volume":"35","author":"E Koffel","year":"2016","journal-title":"Health Psychol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1055\/s-0030-1265949","article-title":"Schlaf und Schmerz: Ein wechselseitiger Zusammenhang?","volume":"38","author":"C Pieh","year":"2011","journal-title":"Psychiatrische Prax"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-47983-4","volume-title":"Psychoedukation bei chronischen Schmerzen: Manual und Materialien","author":"M von Wachter","year":"2016"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.neubiorev.2018.11.006","article-title":"Neurobiological mechanisms underlying the sleep-pain relationship in adolescence: A review","volume":"96","author":"J Christensen","year":"2019","journal-title":"Neurosci Biobehav Rev"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1093\/pm\/pnz144","article-title":"Exploring the Meaning of Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Pain","volume":"21","author":"E Koffel","year":"2020","journal-title":"Pain Med"},{"key":"ref11","volume-title":"Schlaftraining: Ein Therapiemanual zur Behandlung von Schlafst\u00f6rungen","author":"T M\u00fcller","year":"2010"},{"key":"ref12","volume-title":"Riemann D. Schlafst\u00f6rungen","author":"K Spiegelhalder","year":"2011"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-50512-0","volume-title":"Schmerzpsychotherapie","author":"B Kr\u00f6ner-Herwig","year":"2017","edition":"8. Aufl."},{"key":"ref14","first-page":"183","volume-title":"Schmerzbehandlung","author":"B Kr\u00f6ner-Herwig","year":"2016"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1007\/s00482-014-1471-x","article-title":"Multimodale Schmerztherapie f\u00fcr die Behandlung chronischer Schmerzsyndrome: Ein Konsensuspapier der Ad-hoc-Kommission Multimodale interdisziplin\u00e4re Schmerztherapie der Deutschen Schmerz-gesellschaft zu den Behandlungsinhalten","volume":"28","author":"B Arnold","year":"2014","journal-title":"Der Schmerz"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1037\/rep0000035","article-title":"A brief cognitive-behavioral intervention for sleep in individuals with chronic noncancer pain: A randomized controlled trial","volume":"60","author":"R Berry","year":"2015","journal-title":"Rehabil Psychol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1155\/2012\/679648","article-title":"The durability of cognitive behavioral therapy for insomnia in patients with chronic pain","volume":"2012","author":"C R Jungquist","year":"2012","journal-title":"Sleep Disord"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.5665\/sleep.5158","article-title":"Nonpharmacological Treatments of Insomnia for Long-Term Painful Conditions: A Systematic Review and Meta-Analysis of Patient-Reported Outcomes in Randomized Controlled Trials","volume":"38","author":"NK Y Tang","year":"2015","journal-title":"Sleep"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1016\/j.brat.2012.08.006","article-title":"Hybrid cognitive-behavior therapy for individuals with insomnia and chronic pain: a pilot randomized controlled trial","volume":"50","author":"N K Tang","year":"2012","journal-title":"Behav Res Ther"},{"key":"ref21","volume-title":"Fragebogen zur Erfassung spezifischer Pers\u00f6nlichkeitsmerkmale Schlafgest\u00f6rter FEPS-II","author":"R M Hoffmann","year":"1996"},{"key":"ref22","volume-title":"Fragebogen zur Erfassung der Schmerzverarbeitung FESV","author":"E Geissner","year":"2001"},{"key":"ref23","volume-title":"Fragebogen zur Erhebung von Kontroll\u00fcberzeugungen zu Krankheit und Gesundheit KKG","author":"A Lohaus","year":"1989"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research","volume":"28","author":"D J Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"ref26","volume-title":"Behandlung von Schlafst\u00f6rungen","author":"D Riemann","year":"1996"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.smrv.2014.11.007","article-title":"Cognitive behavioral therapy in persons with comorbid insomnia: A meta-analysis","volume":"23","author":"J M Geiger-Brown","year":"2015","journal-title":"Sleep Med Rev"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1055\/s-0035-1567836","article-title":"Defining the Role of Cognitive Behavioral Therapy in Treating Chronic Low Back Pain: An Overview","volume":"5","author":"D A Hanscom","year":"2015","journal-title":"Global Spine J"},{"key":"ref29","first-page":"61","volume-title":"Gesundheitspsychologische Diagnostik","author":"M Romppel","year":"2016"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1016\/j.spinee.2013.08.027","article-title":"Individual and intervention-related factors associated with adherence to home exercise in chronic low back pain: a systematic review","volume":"13","author":"N A Beinart","year":"2013","journal-title":"Spine J"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1155\/2002\/579425","article-title":"Disrupted sleep patterns and daily functioning in patients with chronic pain","volume":"7","author":"L M McCracken","year":"2002","journal-title":"Pain Res Manag"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1509-9247.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T00:15:22Z","timestamp":1645143322000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1509-9247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,23]]},"references-count":29,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,2,17]]},"published-print":{"date-parts":[[2022,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1509-9247","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,23]]}}}