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<p>Low back pain is among the most common causes of pain, loss of function, and work disability worldwide. Understanding this condition requires a&#xa0;biopsychosocial approach that considers physical, psychological, and social factors equally. This article examines the development from the concept of somatoform pain disorder (ICD-10) to somatic symptom disorder (ICD-11), which focuses on psychological and behavioral responses to physical symptoms. Chronic back pain is understood as the result of complex interactions between the nervous system, the psyche, and the social context. Empirical findings show that emotional stress, sleep disorders, trauma, and personality structure contribute significantly to the chronification of pain. Clinically, this necessitates interdisciplinary treatment concepts that integrate orthopedic, manual medicine, and psychiatric–psychosomatic approaches. Pain is no longer viewed as a&#xa0;purely physical or psychological phenomenon, but rather as a&#xa0;dynamic process requiring multimodal diagnostics and treatment.</p>

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Lendenwirbelbeschwerden aus psychiatrischer Perspektive

  • 期刊论文

  • 发表日期：

    2026年1月6日

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  • Martin Aigner

摘要

Low back pain is among the most common causes of pain, loss of function, and work disability worldwide. Understanding this condition requires a biopsychosocial approach that considers physical, psychological, and social factors equally. This article examines the development from the concept of somatoform pain disorder (ICD-10) to somatic symptom disorder (ICD-11), which focuses on psychological and behavioral responses to physical symptoms. Chronic back pain is understood as the result of complex interactions between the nervous system, the psyche, and the social context. Empirical findings show that emotional stress, sleep disorders, trauma, and personality structure contribute significantly to the chronification of pain. Clinically, this necessitates interdisciplinary treatment concepts that integrate orthopedic, manual medicine, and psychiatric–psychosomatic approaches. Pain is no longer viewed as a purely physical or psychological phenomenon, but rather as a dynamic process requiring multimodal diagnostics and treatment.