Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00035232.xml
Der Schmerzpatient 2019; 2(04): 164-170
DOI: 10.1055/a-0971-0378
DOI: 10.1055/a-0971-0378
Schwerpunkt
Dekodieren der Schmerzmimik
Further Information
Publication History
Publication Date:
30 September 2019 (online)

Können Physiotherapeuten Schmerzen allein anhand der Mimik eines Patienten erkennen? Prinzipiell ja – sogar ungeschulten Beobachtern gelingt dies. Allerdings sind die Fehlerraten beträchtlich, und die Schmerzen werden häufig unterschätzt. Selbst professionelle Fachkräfte interpretieren mimische Schmerzsignale oftmals falsch und übersehen so vielleicht den stummen Hilferuf eines Demenzpatienten. Kurze Trainings zur Dekodierung der Schmerzmimik können diese Situation deutlich verbessern. Wichtig ist das Bewusstsein, dass Schmerz viele Gesichter hat.
-
Literatur
- 1 Kunz M, Lautenbacher S. Improving recognition of pain by calling attention to its various faces. European Journal of Pain 2015; 19: 1350-1361 doi:10.1002/ejp.666
- 2 Kunz M, Peter J, Huster S. et al. Pain and Disgust: The Facial Signaling of Two Aversive Bodily Experiences. PLoS ONE 2013; 8: e83277 doi:10.1371/journal.pone.0083277
- 3 Kappesser J, Williams AC. Pain and negative emotions in the face: judgements by health care professionals. Pain 2002; 99: 197-206
- 4 Baum C, Kappesser J, Schneider R. et al. Does vigilance for pain make individuals experts in facial recognition of pain?. Pain Res Manag 2013; 18: 191-196 doi:10.1155/2013/371428
- 5 Simon D, Craig KD, Gosselin F. et al. Recognition and discrimination of prototypical dynamic expressions of pain and emotions. Pain 2008; 135: 55-64 doi:10.1016/j.pain.2007.05.008
- 6 Prkachin KM, Berzins S, Mercer SR. Encoding and decoding of pain expressions: a judgement study. Pain 1994; 58: 253-259
- 7 Solomon PE, Prkachin KM, Farewell V. Enhancing sensitivity to facial expressions of pain. Pain 1997; 171: 279-284
- 8 Sullivan MJL, Martel MO, Tripp DA. et al. Catastrophic thinking and heightened perception of pain in others. Pain 2006; 123: 37-44 doi:10.1016/j.pain.2006.02.007
- 9 Lautenbacher S, Hofer W, Kunz M. Age differences in decoding pain from the facial expression of healthy individuals and patients with dementia. Pain Medicine 2015; 17: 685-691 doi:10.1111/pme.12927
- 10 Kunz M, Mylius V, Schepelmann K. et al. Impact of age on the facial expression of pain. Journal of psychosomatic research 2008; 64: 311-318 doi:10.1016/j.jpsychores.2007.09.010
- 11 Riva P, Sacchi S, Montali L. et al. Gender effects in pain detection: Speed and accuracy in decoding female and male pain expressions. European Journal of Pain 2011; 15: 985.e1-985.e11 doi:10.1016/j.ejpain.2011.02.006
- 12 Kunz M, Gruber A, Lautenbacher S. Sex differences in facial encoding of pain. The Journal of Pain 2006; 7: 915-928 doi:10.1016/j.jpain.2006.04.012
- 13 Crombez G, Van Damme S, Eccleston C. Hypervigilance to pain: an experimental and clinical analysis. Pain 2005; 116: 4-7 doi:10.1016/j.pain.2005.03.035
- 14 Vervoort T, Trost Z, Van Ryckeghem DM. Childrenʼs selective attention to pain and avoidance behaviour: the role of child and parental catastrophizing about pain. Pain 2013; 154: 1979-1988 doi:10.1016/j.pain.2013.05.052
- 15 Lautenbacher S, Niewelt BG, Kunz M. Decoding pain from the facial display of patients with dementia: a comparison of professional and nonprofessional observers. Pain Medicine 2013; 14: 469-477 doi:10.1111/pme.12050
- 16 Lautenbacher S, Walz AL, Kunz M. Using observational facial descriptors to infer pain in persons with and without dementia. BMC geriatrics 2018; 18: 88 doi:10.1186/s12877-018-0773-8
- 17 Puntillo K, Neighbor M, OʼNeil N. et al. Accuracy of emergency nurses in assessment of patients pain. Pain management nursing 2003; 4: 171-175
- 18 Liossi C, White P, Croome N. et al. Pain-related bias in the classification of emotionally ambiguous facial expressions in mothers of children with chronic abdominal pain. Pain 2012; 153: 674-681 doi:10.1016/j.pain.2011.12.004
- 19 Rash JA, Prkachin KM, Solomon PE. et al. Assessing the efficacy of a manual‐based intervention for improving the detection of facial pain expression. European Journal of Pain 2019; 23: 1006-1019 doi:10.1002/ejp.1369
- 20 Kunz M, Lautenbacher S. The faces of pain: A cluster analysis of individual differences in facial activity patterns of pain. Eur J Pain 2014; 18: 813-823 doi:10.1002/j.1532-2149.2013.00421.x
- 21 Zwakhalen S, Herr K, Swafford K. Observational pain tools. In: Gibson SJ, Lautenbacher S. Hrsg. Pain in Dementia. Alphen aan den Rijn: Wolters Kluwer Health and IASP Press; 2017
- 22 Corbett A, Achterberg W, Husebo B. et al. An international road map to improve pain assessment in people with impaired cognition: the development of the Pain Assessment in Impaired Cognition (PAIC) meta-tool. BMC Neurology 2014; 14: 229 doi:10.1186/s12883-014-0229-5
- 23 Kunz M. Die PAIC15 Skala. Schmerzerfassung bei Demenz. Im Internet: https://paic15.com/wp-content/uploads/paic15_de-1.pdf Stand: 19.07.2019
- 24 Kunz M, Seuss D, Hassan T. et al. Problems of video-based pain detection in patients with dementia: a road map to an interdisciplinary solution. BMC geriatrics 2017; 17: 33 doi:10.1186/s12877-017-0427-2