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<p>Chronic pain in children and adolescents is frequently accompanied by fatigue. When even minor physical, emotional, cognitive, or social activities lead to a&#xa0;disproportionately severe worsening of symptoms, classical activation-oriented components of interdisciplinary multimodal pain therapy (IMPT) may reach their limits in some cases. An adapted pain treatment combines elements of IMPT with specific strategies derived from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) management, including education, symptom-oriented activity and energy management (pacing), and the identification of individually burdensome and stabilizing factors in daily life. The aim is to reduce pain and fatigue, strengthen self-efficacy, make biopsychosocial relationships understandable, and promote an age-appropriate daily structure. Initial evaluations indicate improvements in several areas.</p>

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Schmerz- und Fatiguetherapie bei Kindern und Jugendlichen (SHARK): Versorgungskonzept und erste Evaluationsergebnisse

  • 期刊论文

  • 发表日期：

    2026年4月15日

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  • Lea Höfel,
  • B. Lampert,
  • J.-P. Haas

摘要

Chronic pain in children and adolescents is frequently accompanied by fatigue. When even minor physical, emotional, cognitive, or social activities lead to a disproportionately severe worsening of symptoms, classical activation-oriented components of interdisciplinary multimodal pain therapy (IMPT) may reach their limits in some cases. An adapted pain treatment combines elements of IMPT with specific strategies derived from myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) management, including education, symptom-oriented activity and energy management (pacing), and the identification of individually burdensome and stabilizing factors in daily life. The aim is to reduce pain and fatigue, strengthen self-efficacy, make biopsychosocial relationships understandable, and promote an age-appropriate daily structure. Initial evaluations indicate improvements in several areas.