Birgit Kröner-Herwig

Birgit Kröner-Herwig
Georg-August-Universität Göttingen | GAUG · Department of Clinical Psychology and Psychotherapy

Prof. Dr.

About

217
Publications
52,531
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5,359
Citations
Citations since 2017
19 Research Items
2011 Citations
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20172018201920202021202220230100200300
20172018201920202021202220230100200300
Additional affiliations
April 1996 - December 2013
Georg-August-Universität Göttingen
Position
  • Head

Publications

Publications (217)
Chapter
Tinnitus ist eine relativ häufige akustische Perzeptionsstörung, die bei einem Teil der Betroffenen mit erheblicher psychischer Beeinträchtigung verbunden ist, die bis zur Arbeitsunfähigkeit führen kann. Diese wird weniger durch die Charakteristika der Wahrnehmungsstörung als durch psychologische Prozesse bedingt. Eine medizinische Behandlung des T...
Article
Objectives: Nocebo hyperalgesia is an increase in pain through the expectation of such an increase as a consequence of a sham treatment. Nocebo hyperalgesia can be induced by observation of a model demonstrating increased pain via verbal pain ratings. The aim of the present study was to investigate whether observing natural pain behaviour, such as...
Article
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The study examined whether coping styles (reflective, suppressive, and reactive coping) predict the level of psychological well-being among international students, studying at German universities and living in a situation where the impact of acculturation stress is supposed to be rather high. In particular, we looked for any differences in preferre...
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Purpose: Reduction in pain following multidisciplinary treatment is most often associated with a reduction in disability. To further elaborate the relationship between pain intensity and disability, the present study investigated three main questions: first, whether multidisciplinary treatment leads to a significant improvement in pain, disability...
Article
Objective: To explore the predictive role of dispositional coping styles in determining the level of depression and anxiety among international medical students in Germany. Methods: The cross-sectional study was conducted in Germany from September 2016 to February 2017 and comprised international students studying medicine in Germany. Data were...
Chapter
Chronische Schmerzen stellen ein ernstzunehmendes Problem für Kinder und Jugendliche dar. Kopfschmerzen haben dabei die höchste Prävalenz. Die Gesamtzahl der Kinder und Jugendlichen, die an behandlungsbedürftigen chronischen Schmerzen leiden, wird auf 4 bis 5 % geschätzt. Das biopsychosoziale Modell wird heute zur Erklärung der Entstehung und Aufre...
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Objective: To assess the predictive role of academic stress in anxiety, depression and somatisation among international students in Germany, and to explore if socio-demographic factors were of any significance in this regard. Methods: The cross-sectional study was conducted from October 2017 to March 2018 in Germany and comprised students at uni...
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Purpose Evidence of the effectiveness of multidisciplinary treatment with a focus on neuropathic pain is still rare. The present study investigated whether multidisciplinary treatment leads to improvement of neuropathic pain in outcome (pain intensity and disability) and psychological (depression, pain acceptance, and catastrophizing) variables at...
Chapter
Chronischer Schmerz zeigt eine hohe Prävalenz. Er verursacht extensive Krankheits- bzw. Sozialkosten. Chronischer Schmerz ist eine Störung, die in ihrer Erscheinungsweise von biomedizinischen, aber auch von kognitiv-emotionalen und behavioralen Faktoren bestimmt wird. Die medizinische Diagnostik ist dementsprechend um psychosoziale Methoden zu ergä...
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Background Medically unexplained somatic symptoms are common, associated with disability and strongly related to depression and anxiety disorders. One interesting, but to date rarely tested, hypothesis is that deficits in both theory of mind (ToM) and emotional awareness may undergird the phenomenon of somatization. This study sought to investigate...
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The majority of tinnitus patients are affected by chronic idiopathic tinnitus, and almost 60 different treatment modalities have been reported. The present study is a multidisciplinary systematic analysis of the evidence for the different forms of treatment for chronic tinnitus. The results are used to form the basis of an S3 guideline. A systemati...
Article
Background The long-term consequences of paediatric headache can involve functional disabilities and mental health problems in adulthood. Objective To analyse the predictive power of paediatric headache trajectory classes for headache and related outcomes in adulthood. Methods In a previous study, a population-based sample (N = 3227, 9–14 years o...
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The aim of the current study was to identify predictors of recurrent headache and back pain in young adults (aged 18–27 years) from data assessed in childhood or adolescence, i.e., 9 years before the final survey. Our interest was whether psychological characteristics contribute to the risk of pain prevalence in adult age when controlling for alrea...
Chapter
Zunächst werden die Prinzipien der experimentellen Schmerzmessung dargestellt und ihre Rolle im klinischen Feld diskutiert. Anders als beim klinischen Schmerz kann beim experimentellen Schmerz sowohl die Reiz- wie die Reaktionsseite quantifiziert werden. Die wesentlichen Schmerzinduktionstechniken und Schmerzreaktionsparameter sowie die Nutzung des...
Chapter
Zunächst werden die Probleme der konventionellen Schmerztherapie dargestellt und die Vorteile einer interdisziplinären Behandlung begründet. Das Wann, Wo und Wie psychologischer Interventionen wird erörtert. Das Problem der Motivation und der Umgang mit Zielkonflikten des Patienten werden besonders beleuchtet. Das breite Spektrum der Ziele im Konte...
Chapter
Zunächst wird die Schmerzdefinition der Internationalen Gesellschaft zum Studium des Schmerzes vorgestellt und kritisch diskutiert. Die Charakteristika des akuten und chronischen Schmerzes werden in Abgrenzung voneinander ausführlich beschrieben, da sie für das Verständnis und den Umgang mit chronischem Schmerz besonders bedeutsam sind. Das biopsyc...
Chapter
Im folgenden Kapitel werden die wesentlichen entwicklungsphysiologischen und -psychologischen Erkenntnisse zum Schmerzerleben bei Kindern dargelegt. Es werden 5 Schmerzbereiche unterschieden: Schmerz infolge akuter Traumata sowie medizinisch-diagnostischer und therapeutischer Interventionen, krankheitsbezogene Schmerzprobleme und funktionelle Schme...
Book
In dem etablierten Standardwerk zur Schmerzpsychologie und –psychotherapie geben die renommierten Herausgeber und Autoren sowohl eine Einführung in die wissenschaftlichen Grundlagen und Konzepte als auch einen Überblick über bereits etablierte und in der Entwicklung befindlichen Behandlungskonzepte. Damit fördert das Werk das Verständnis für die sc...
Article
The present study investigated the pain-reducing effects of various pictures in a sample of 88 patients receiving inpatient treatment for chronic pain. We investigated whether the pain-attenuating effects of the pictures were mediated by picture valence, arousal, or change in subjective social support. The study was carried out over 4 consecutive d...
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Background Chronic tinnitus affects 5 % of the population, 17 % suffer under the condition. This distress seems mainly to be dependent on negative cognitive-emotional evaluation of the tinnitus and selective attention to the tinnitus. A well-established paradigm to examine selective attention and emotional processing is the Emotional Stroop Task (E...
Article
Unlabelled: The fear-avoidance model postulates that in an initial acute phase chronic low back pain (CLBP) patients acquire a fear of movement that results in avoidance of physical activity and contributes to the pain becoming chronic. The current functional magnetic resonance imaging study investigated the neural correlates of imagining back-str...
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Background Headache is the most common pain disorder in children and adolescents and is associated with diverse dysfunctions and psychological symptoms. Several studies evidenced sex-specific differences in headache frequency. Until now no study exists that examined sex-specific patterns of change in paediatric headache across time and included pai...
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Objective: Longitudinal studies on headaches often focus on the identification of risk factors for headache occurrence or "chronification". This study in particular examines psychological variables as potential predictors of headache remission in children and adolescents. Methods: Data on biological, social, and psychological variables were gath...
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Purpose: Recently, it has been shown that nocebo hyperalgesia can be acquired through observational learning. The aim of this study was to investigate socially induced nocebo hyperalgesia and its relationship with pain catastrophizing, somatic complaints, hypochondriacal concerns, and empathy. Participants and methods: Ninety-seven women (43.1±1...
Chapter
Chronischer Schmerz stellt das Paradebeispiel einer Störung dar, die am besten im konzeptuellen Rahmen der „International Classification of Functioning, Disability and Health“ beschrieben und verstanden werden kann. Nur eine biopsychosoziale Betrachtung wird der Multidimensionalität dieser Störung in ihrem Erscheinungsbild und der Vielzahl der sie...
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Headache is a widespread pain problem in children and adolescents in a large number of countries. Data on its prevalence and its association with other pain problems and somatic and psychological symptoms is presented. The paper focuses on treatments for headache outside the standard medical canon, which are grounded in the biopsychosocial model of...
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Background: The Questionnaire for Social Anxiety and Social Competence Deficits for Adolescents (SASKO-J) was developed as an instrument for clinical diagnostics of social anxiety disorder in youths by measuring social anxiety and social deficits in two separate dimensions. The study provides an initial assessment of the scale's psychometric prope...
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Background: Neuroimaging studies have demonstrated that the actual experience of pain and the perception of another person in pain share common neural substrates, including the bilateral anterior insular cortex and the anterior midcingulate cortex. As many fMRI studies include the exposure of participants to repeated, similar stimuli, we examined...
Chapter
Tinnitus ist eine relativ häufige akustische Perzeptionsstörung, die bei einem Teil der Betroffenen mit erheblicher psychischer Beeinträchtigung verbunden ist, die bis in die Arbeitsunfähigkeit führen kann. Diese wird weniger durch die Charakteristika der Wahrnehmungsstörung als durch psychologische Prozesse bedingt. Eine medizinische Behandlung de...
Article
Full-text available
Tinnitus is a frequent symptom, which, particularly in combination with comorbidities, can result in a severe disease-related burden. Chronic idiopathic tinnitus (CIT) is the most frequent type of tinnitus. A considerable number of treatment strategies are used to treat CIT-for many of which there is no evidence of efficacy. In order to enable scie...
Chapter
Funktionelle Schmerzen sind im Kindes- und Jugendalter häufig. Es wird eine steigende Prävalenz beobachtet. Dies betrifft Kopf- und Bauchschmerzen ebenso wie muskuloskelettale Schmerzen und Rückenschmerzen. Ausführlich werden epidemiologische Erkenntnisse kritisch beleuchtet. Ein besonderer Schwerpunkt ist die Berücksichtigung einer schmerzbedingte...
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The current study investigated how different socio-demographic variables and coping styles are associated with the level of acculturative stress among international students in Germany. Participants consisted of 652 international students (53 % female, 47 % male; mean age=25.77 years, SD=3.79) who were mainly recruited with the support of offices o...
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Im Kontext eines biopsychosozialen Schmerzmodells werden kognitive Merkmale und Prozesse diskutiert, die das Schmerzerleben und -verhalten sowie die assoziierte Beeinträchtigung beeinflussen. Dies sind Erwartungen von Patienten, wie sie sich z. B. in Placeboeffekten oder in komplexeren Überzeugungsmustern manifestieren. Insbesondere Überzeugungen,...
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In the context of the biopsychosocial pain concept and on the basis of empirical evidence those cognitive traits and mechanisms are described that have reliably been found to be potent moderators of pain and disability. Expectations of patients which result in placebo or nocebo effects as well as more complex belief patterns influence subjective pa...
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Research has shown that high self-esteem (SE) is a core feature of psychological health and well-being. A population sample of German youths (11-16 years, n = 3509) was surveyed in 2 waves regarding SE and various demographic and psychosocial variables assumed to be related. Parents' reports were also gathered about their children. Mean SE-scores i...
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Background Previous research has shown positive relationships between dysfunctional cognitive styles and different aspects of pain (eg, pain frequency). One goal of our longitudinal study was to investigate potential risk factors for the incidence of headache (HA) and back pain (BP). Methods In the first wave (2003), questionnaires were sent to 6,...
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Epidemiology: An abundance of studies have consistently shown that headache is the most prevalent pain in children and adolescents. Weekly headache is experienced by more than 10 % and is distinctly more frequent in girls. The number of headache-affected youths with high disability is lower than expected (~ 4 %). The association with biopsychosoc...
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Background A large number of population-based studies of chronic pain have considered neuropathic sensory symptoms to be associated with a high level of pain intensity and negative affectivity. The present study examines the question of whether this association previously found in non-selected samples of chronic pain patients can also be found in c...
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Abstract The Generalized Pathological Internet Use Scale (GPIUS2) assesses cognitive behavioral aspects of problematic Internet use. To date, the 15-item scale has only been available in English, and the aim of this study was to translate and validate a German version. An online sample (ON, n=1,041, age 24.2±7.2 years, 46.7% men) completed an Inter...
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Recent studies have shown that the development of externalizing behavior in childhood and adolescence can be described through different developmental pathways. However, knowledge about differences between the sexes regarding the trajectories is limited. This study focused on potential differences by examining the trajectories of self-reported exte...
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Objective: The Pain Catastrophizing Scale, adapted for children (PCS-C) by Crombez et al. (2003), was translated into German (SKS-D) and evaluated regarding its factorial structure, its reliability and validity. The association of catastrophizing with various pain characteristics and disability measures was examined as well as its association to ne...
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Acute tinnitus can lead to substantial distress and eventually result in long-lasting impairment. The aim of this study was to compare the efficacy of a cognitive-behavioural intervention (delivered as Internet self-management, bibliotherapy or group training) to the information-only control condition. Applicants suffered from subjective tinnitus f...
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All relevant databases (i.e., Pubmed, PsycINFO) were searched for studies published in 2011-2013 focusing on the association of behavioral, cognitive-emotional, and psychosocial factors with recurrent headache in children and adolescents. Only 3 studies were found dealing with psychological intervention for headache; only 2 of them presented empiri...
Article
Background: In general, chronic pain is categorized into two mechanism-based groups: nociceptive and neuropathic pain. This dichotomous approach is questioned and a dimensional perspective is suggested. The present study investigated neuropathic characteristics in different syndromes of chronic pain. We also examined the association of neuropathic...
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This study is a review and meta-analysis on the efficacy of cognitive-behavioural therapy (CBT) self-help interventions for tinnitus. Randomized controlled trials were identified by searching in databases (e.g. ISI Web of Knowledge, PubMed, Cochrane Library, and PSYNDEX) and by manual search. Ten studies with 1188 participants in total were include...
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Dieses Review fasst zusammen, für welche verhaltenstherapeutischen Behandlungen der Migräne die Wirksamkeit empirisch nachgewiesen werden konnte. Die wichtigsten unimodalen Verfahren sind das thermale und das Elektromyographie(EMG)-Biofeedback-Training sowie die progressive Muskelrelaxation. Die verschiedenen Entspannungstechniken unterscheiden sic...
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This review summarizes the various forms of behavioral treatment of migraine which could demonstrate empirical efficacy. The main unimodal kinds of treatment are thermal and electromyography (EMG) biofeedback training and progressive muscle relaxation. The various relaxation techniques do not differ in their efficacy in treating migraine. On averag...
Article
INTRODUCTION: Nocebo effects can be acquired by verbal suggestion but it is unknown whether they can be induced through observational learning and whether they are influenced by factors known to influence pain perception such as pain anxiety or pain catastrophizing. METHOD: Eighty-five female students (22.5 ± 4.4 years) were randomly assigned to on...
Article
Objective: Persistent tinnitus affects 10 to 15% of adults. Little is understood about why only a small percentage of patients become severely affected. Catastrophic thinking has been suggested as one potentially relevant factor that might influence a patient's coping behavior, and thus tinnitus habituation. The current study investigates the conc...
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Introduction: There is a growing need for an instrument generating reliable scores and permitting valid interpretations regarding the excessive use of internet and video games. So far there is no specific questionnaire to address the excessive use of online games. The Compulsive Internet Use Scale (CIUS) measures the construct of compulsive interne...
Article
Neuroimaging studies have revealed partially shared neural substrates for both the actual experience of pain and empathy elicited by the pain of others. We examined whether prior pain exposure increased neural activity in the anterior midcingulate cortex (aMCC) and bilateral anterior insula (AI) as a correlate of empathy for pain. Participants (N=6...
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Objectives: Recent studies on tinnitus have focused on the efficacy of Internet-based interventions. Other core features of the quality of service, e.g. acceptance and attrition, have often been overlooked. This study analyses Internet-based training regarding acceptance and attrition in a trial on minimal-contact interventions for acute tinnitus....
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Recent theories in sexuality highlight the importance of automatic and controlled attentional processes in viewing sexually relevant stimuli. The model of Spiering and Everaerd (2007) assumes that sexually relevant features of a stimulus are preattentively selected and automatically induce focal attention to these sexually relevant aspects. Whether...
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The development of depressive symptoms in childhood and adolescence can follow different pathways. This study examined heterogeneity in the development of self-reported depressive symptoms and the predictive influence of mothers' depressive symptoms, the number of life events, and loss events via growth mixture modeling over a four-year period in a...
Article
Empathy is considered as both a characteristic trait and a variable state. The present experiment examined whether or not prior exposure to pain, perceived similarity, sex and attributed pain intensity are associated with state empathy for pain. The state empathy of students (38 female, 42 male) in response to pictures displaying exposure to pressu...
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Reports about excessive Internet use, possibly amounting to an addiction, have increased. Progress with research and treatment of this phenomenon requires valid standardized assessment instruments. A frequently used questionnaire is the Internet Addiction Test (IAT) by Kimberly Young. The 20-item questionnaire is well established in a number of lan...
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Objective: The aim of the present study was to identify psychosocial risk factors for the incidence of recurrent headache (HA) in children/adolescents (8–15 years). Method: In 2003 (Wave 1) a representative, population-based sample of 8800 parents was mailed a questionnaire. Those who took part were asked to participate again one year later (Wave 2...
Article
Objective: This cross-sectional study on a randomly drawn population sample of children and adolescents (n = 3399; aged 9 to 15) aimed at the assessment of patterns of associations between psychosocial variables and primary headache disorders like migraine (MIG) or tension-type headache. A headache-free group served as a control. Methods: Data o...
Article
Given that recurrent sexual interest in prepubescent children is one of the strongest single predictors for pedosexual offense recidivism, valid and reliable diagnosis of pedophilia is of particular importance. Nevertheless, current assessment methods still fail to fulfill psychometric quality criteria. The aim of the study was to evaluate the diag...
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The purpose of the study was to analyse the role of sound avoidance and anxiety in tinnitus subjects with hyperacusis, defined as hypersensitivity to low to moderate intensity sounds. A group of tinnitus subjects with hyperacusis was compared to tinnitus subjects without hyperacusis, and healthy controls. For assessing noise avoidance, a questionna...
Article
Chronic tinnitus affects approximately 5% of the population. Severe distress due to the phantom noise is experienced by 20% of the tinnitus patients. This distress cannot be predicted by psychoacoustic features of the tinnitus. It is commonly assumed that negative cognitive emotional evaluation of the tinnitus and its expected consequences is a maj...
Article
The fear-avoidance model postulates that in chronic low back pain (CLBP) a fear of movement is acquired in the acute phase, which leads to subsequent avoidance of physical activity and contributes to the pain syndrome's becoming chronic. In the present event-related functional magnetic resonance imaging (fMRI) study of the neural correlates of the...
Article
Full-text available
Background: Several studies on experimental mechanical pain suggested a strong influence of sex demonstrating females to be more sensitive. We examined the hypothesis that not only sex but also gender role affects pain responsiveness and looked for mediators of this effect. Method: As indicators of pain the threshold the intensity and the unpleasa...
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Background and objectives: The International Affective Picture System (IAPS) is a set of colour photographs depicting a wide range of subject matters. The pictures, which are widely used in research on emotions, are commonly described in terms of the dimensions of valence, arousal and dominance. Little is known, however, about discrete emotions tha...
Article
The fear-avoidance model implies that in situations with physical demands patients with back pain will overestimate the demand and underestimate their own capacities. A total of 71 patients with back pain and 48 pain-free control subjects carried out a standardized lifting test with a preceding estimation of their lifting capacity. In both groups t...
Article
The International Affective Picture System (IAPS) is a set of colour photographs depicting a wide range of subject matters. The pictures, which are widely used in research on emotions, are commonly described in terms of the dimensions of valence, arousal and dominance. Little is known, however, about discrete emotions that the pictures evoke. Our a...
Article
Full-text available
Headache is the most common pain problem in children and adolescents and, in a considerable proportion, a source of suffering and disability. Medical intervention mainly relies on abortive pharmacological agents (analgesics and antimigraine drugs). Psychological therapies aim at the prevention of headache episodes and the modifications of cognitive...
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The aim of the study was to ascertain the prevalence of multiple pains (MPs) and detect psychosocial risk factors assessed 1 year previously. MPs were defined by the number of sites where pain was reported to occur at least "sometimes" in a general population sample of 2,219 German youths. Two or more sites of recurrent pain were reported by 54% of...
Chapter
1. Tinnitus is always both a medical and a psycho­logical phenomenon. 2. A medical condition might be responsible for the emergence of tinnitus, but psychological factors play an important role in individual processing of inner noises. 3. Characteristics of tinnitus-like loudness do not determine the tinnitus-related distress. 4. The primary goal o...
Chapter
1. Cognitive behavioral interventions are the most widely used psychological strategies for coping with tinnitus. 2. The goal of the therapy is to alter maladaptive cognitive, emotional, and behavioral responses to tinnitus and not to abolish the sound itself. 3. There are two main components to this approach: (a) Cognitive restructuring and (b) Be...
Article
Tinnitus bezeichnet das Auftreten von akustischen Wahrnehmungen, die nicht durch eine Geräusch-quelle in der Umgebung verursacht werden, son-dern als Konsequenz einer Funktionsstörung des Ohres sowie einer Störung der peripheren oder zen-tralnervösen Verarbeitung zu verstehen sind, wobei die genauen pathophysiologischen und neuronalen Mechanismen n...
Book
Migräne ist ein Störungsbild, das medizinisch und psychologisch sehr gut erforscht ist, besser z. B. als alle anderen chronischen Schmerzen. Dennoch gibt es über diesen Kopfschmerz sehr viele Irrtümer und Halbwahrheiten, die nur scheinbare Behandlungssicherheiten schaffen. In diesem Kapitel wird zusammengetragen, welche Befunde evident und welche n...
Chapter
Full-text available
Zunächst werden die Prinzipien der experimentellen Schmerzmessung dargestellt und ihre Rolle im klinischen Feld diskutiert. Anders als beim klinischen Schmerz kann beim experimentellen Schmerz sowohl die Reiz- wie die Reaktionsseite quantifiziert werden. Die wesentlichen Schmerzinduktionstechniken und Schmerzreaktionsparameter werden vorgestellt. E...
Chapter
Zunächst werden die Probleme der konventionellen Schmerztherapie dargestellt und die Notwendigkeit einer interdisziplinären Behandlung begründet. Dabei wird auf die Frage eingegangen, ob psychologische Interventionen grundsätzlich erst nach erfolglosen medizinischen Therapieversuchen indiziert sind bzw. unter welchen Bedingungen ihr Einsatz überhau...
Article
Full-text available
In 1986 Pennebaker and Beall published their renowned study on the long-term beneficial health effects of disclosing traumatic events in 4 brief sequential writing sessions. Their results have been confirmed in various studies, but conflicting results have also been reported. The intent of our study was to replicate the experiments from Pennebaker...