{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T11:39:54Z","timestamp":1784115594411,"version":"3.55.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"09\/10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective Negative body image is an increasingly important factor in\n                    chronic pain disorders; particularly because the two conditions mutually\n                    influence each other. Our study examines body-image-related attitudes and\n                    comorbid psychic symptoms in patients with chronic pain disorders.<\/jats:p><jats:p>\n          Methods and Measures 188 patients with chronic pain answered the Dresden\n                    body image questionnaire (DKB-35), the Hospital Anxiety and Depression Scale\n                    (HADS) and the Beck\u2019s Depression Inventory (BDI).<\/jats:p><jats:p>\n          Results The mean values of the DKB-35 subscales range between 2.24 und\n                    3.29. The subscale \u201cvitality\u201d has the lowest mean value. BDI and HADS correlated\n                    significantly with the DKB-35 subscales. The subscale \u201cbody-acceptance\u201d\n                    intercorrelated high with the two subscales \u201cvitality\u201d and\n                    \u201cself-aggrandizement\u201d.<\/jats:p><jats:p>\n          Conclusion Our findings verify that chronic pain is strongly associated\n                    with negative body image. The issues of vitality and psychological symptoms seem\n                    particularly central in this complex interaction. The biopsycho-social model and\n                    the avoidance-endurance approach to chronic pain offer important ideas for\n                    explanation and treatment.<\/jats:p>","DOI":"10.1055\/a-2322-8484","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T22:35:40Z","timestamp":1718663740000},"page":"369-375","source":"Crossref","is-referenced-by-count":5,"title":["Patients With Chronic Pain: The Aspect Of Negative Body\n                    Image"],"prefix":"10.1055","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2402-4827","authenticated-orcid":false,"given":"Kristin","family":"Kieselbach","sequence":"additional","affiliation":[{"name":"Interdisziplin\u00e4res Schmerzzentrum, Universit\u00e4tsklinikum\n                    Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Fauler","sequence":"additional","affiliation":[{"name":"Interdisziplin\u00e4res Schmerzzentrum, Universit\u00e4tsklinikum\n                    Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgit","family":"Abberger","sequence":"additional","affiliation":[{"name":"Interdisziplin\u00e4res Schmerzzentrum, Universit\u00e4tsklinikum\n                    Freiburg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1111\/pme.12458","article-title":"The impact of body weight and depression on low back pain in a representative\n                    population sample","volume":"15","author":"W H\u00e4user","year":"2014","journal-title":"Pain Medicine"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","article-title":"Global burden of 369 diseases and injuries in 204 countries and territories,\n                    1990-2019: a systematic analysis for the Global Burden of Disease Study\n                    2019","volume":"396","author":"GBD 2019 Diseases and Injuries\n                        Collaborators","year":"2020","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1976","DOI":"10.1097\/j.pain.0000000000001939","article-title":"The revised International Association for the Study of Pain definition of pain:\n                    concepts, challenges, and compromises","volume":"161","author":"S N Raja","year":"2020","journal-title":"Pain"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1382","DOI":"10.1097\/j.pain.0000000000000507","article-title":"Do we need a third mechanistic descriptor for chronic pain states?","volume":"157","author":"E Kosek","year":"2016","journal-title":"Pain"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/j.pain.0000000000001384","article-title":"Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain\n                    for the International Classification of Diseases (ICD-11)","volume":"160","author":"R D Treede","year":"2019","journal-title":"Pain"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1007\/s40265-022-01685-4","article-title":"From a symptom-based to a mechanism-based pharmacotherapeutic treatment in\n                    complex regional pain syndrome","volume":"82","author":"TJ P Mangnus","year":"2022","journal-title":"Drugs"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2421","DOI":"10.1097\/j.pain.0000000000001401","article-title":"When pain gets stuck: the evolution of pain chronification and treatment\n                    resistance","volume":"159","author":"D Borsook","year":"2018","journal-title":"Pain"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1055\/s-2004-834551","article-title":"Konsensuspapier zur terminologischen Abgrenzung von Teilaspekten des\n                    K\u00f6rpererlebens in Forschung und Praxis","volume":"55","author":"F R\u00f6hricht","year":"2005","journal-title":"Psychotherapy Psychosomatik Medizinische Psychologie"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S1740-1445(03)00011-1","article-title":"Body image: past, present, and future","volume":"1","author":"T F Cash","year":"2004","journal-title":"Body Image"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1055\/s-0033-1351276","article-title":"Der Dresdner K\u00f6rperbildfragebogen (DKB-35): Validierung auf der Basis einer\n                    klinischen Stichprobe","volume":"64","author":"K P\u00f6hlmann","year":"2014","journal-title":"Psychotherapy Psychosomatik Medizinische Psychologie"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.bodyim.2015.04.001","article-title":"What is and what is not positive body image? 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Distorted body image and tactile dysfunction in patients with\n                    chronic back pain","volume":"140","author":"G L Moseley","year":"2008","journal-title":"Pain"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.bodyim.2019.11.005","article-title":"Body image experiences in the context of chronic pain: An examination of\n                    associations among perceptions of pain, body dissatisfaction, and positive body\n                    image","volume":"32","author":"C H Markey","year":"2020","journal-title":"Body Image"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1007\/s00482-016-0122-9","article-title":"K\u00f6rperbild und R\u00fcckenschmerz","volume":"30","author":"C G Levenig","year":"2016","journal-title":"Schmerz"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"886","DOI":"10.1097\/AJP.0000000000000173","article-title":"Prevalence of chronic disabling noncancer pain and associated demographic and\n                    medical variables: a cross-sectional survey in the general german\n                    population","volume":"31","author":"W H\u00e4user","year":"2015","journal-title":"The Clinical Journal of Pain"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"2433","DOI":"10.1001\/archinte.163.20.2433","article-title":"Depression and pain comorbidity: a literature review","volume":"163","author":"M J Bair","year":"2003","journal-title":"Archives of Internal Medicine"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1515\/sjpain-2017-0163","article-title":"\"When I feel the worst pain, I look like shit\" - body image concerns\n                    in persistent pain","volume":"18","author":"O S\u00fcndermann","year":"2018","journal-title":"Scandinavian Journal of Pain"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1007\/s00482-010-0908-0","article-title":"F45.41 Chronische Schmerzst\u00f6rung mit somatischen und psychischen Faktoren. Eine\n                    Kodierhilfe","volume":"24","author":"P Nilges","year":"2010","journal-title":"Schmerz"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1007\/s00482-017-0251-9","article-title":"Chronische Schmerzst\u00f6rung mit somatischen und psychischen Faktoren (F45.41).\n                    Pr\u00fcfkriterien zur Operationalisierung der ICD-10-GM-Diagnose","volume":"31","author":"B Arnold","year":"2017","journal-title":"Schmerz"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"21","DOI":"10.3233\/ZMP-2011-2028","article-title":"Psychometrische Pr\u00fcfung des Dresdner K\u00f6rperbildfragebogens (DKB-35) in einer\n                    nicht-klinischen Stichprobe","volume":"21","author":"J Matthes","year":"2012","journal-title":"Zeitschrift f\u00fcr Medizinische Psychologie"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e273","DOI":"10.1016\/j.bja.2019.03.023","article-title":"Chronic pain: a review of its epidemiology and associated factors in\n                    population-based studies","volume":"123","author":"SE E Mills","year":"2019","journal-title":"British Journal of Anaesthesia"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/0304-3959(93)90155-I","article-title":"What does the BDI measure in chronic pain?","volume":"55","author":"A C de C Williams","year":"1993","journal-title":"Pain"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/s0022-3999(01)00296-3","article-title":"The validity of the Hospital Anxiety and Depression Scale. An updated literature\n                    review","volume":"52","author":"I Bjelland","year":"2002","journal-title":"Journal of Psychosomatic Research"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1123\/jsr.2019-0245","article-title":"Body image in athletes and nonathletes with low back pain:\n                    avoidance-endurance-related subgroups and sports status play a role","volume":"30","author":"C G Levenig","year":"2020","journal-title":"Journal of Sport Rehabilitation"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1007\/s00482-018-0307-5","article-title":"Psychosoziale Risikofaktoren f\u00fcr chronischen R\u00fcckenschmerz in der\n                    Allgemeingesellschaft und im Leistungssport","volume":"32","author":"M I Hasenbring","year":"2018","journal-title":"Schmerz"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1007\/s11926-007-0079-x","article-title":"Role of distorted body image in pain","volume":"9","author":"M Lotze","year":"2007","journal-title":"Current Rheumatology Reports"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1111\/head.14153","article-title":"The American Headache Society Consensus Statement: Update on integrating new\n                    migraine treatments into clinical practice","volume":"61","author":"J Ailani","year":"2021","journal-title":"Headache"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1304","DOI":"10.1002\/ejp.1218","article-title":"Comorbidity between pain and mental illness - evidence of a bidirectional\n                    relationship","volume":"22","author":"E Bondesson","year":"2018","journal-title":"European Journal of Pain"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1136","DOI":"10.1097\/j.pain.0000000000001822","article-title":"My body is not working right: a cognitive behavioral model of body image and\n                    chronic pain","volume":"161","author":"O S\u00fcndermann","year":"2020","journal-title":"Pain"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.bodyim.2020.05.012","article-title":"Does self-compassion buffer the detrimental effect of body shame on depressive\n                    symptoms?","volume":"34","author":"K Sick","year":"2020","journal-title":"Body Image"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.bodyim.2020.11.006","article-title":"Body functionality: A review of the literature","volume":"36","author":"J M Alleva","year":"2021","journal-title":"Body Image"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"802","DOI":"10.1080\/13548506.2019.1668566","article-title":"Body image, pain and level of resources among arthritis patients: the moderating\n                    role of gender","volume":"25","author":"M Pi\u0119ta","year":"2020","journal-title":"Psychology, Health & Medicine"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.bodyim.2020.08.014","article-title":"The Norwegian healthy body image intervention promotes positive embodiment\n                    through improved self-esteem","volume":"35","author":"C Sundgot-Borgen","year":"2020","journal-title":"Body Image"}],"container-title":["PPmP - Psychotherapie \u00b7 Psychosomatik \u00b7 Medizinische Psychologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2322-8484.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:45:55Z","timestamp":1730810755000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2322-8484"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,17]]},"references-count":33,"journal-issue":{"issue":"09\/10","published-online":{"date-parts":[[2024,10,10]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2322-8484","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0937-2032","1439-1058"],"issn-type":[{"value":"0937-2032","type":"print"},{"value":"1439-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,17]]}}}