Media-supported music therapy in the integrative pain therapy of chronic back pain

INTERVENTION: During their inpatient rehabilitation treatment (3‐4 weeks), the intervention group will be treated with receptive music therapy (i.e., specially developed audio programs, 5 to 7 days per week, each day 2 x 30 minutes) in addition to standard clinical pain treatment, whereas the control group will undergo only standard clinical pain treatment. CONDITION: Chronic back pain ; Musculoskeletal Diseases ; Dorsalgia PRIMARY OUTCOME: Short‐ and long‐term (pre‐, post‐treatment and 6‐month follow‐up) difference between intervention and control group: ; 1. Regarding the extent of pain reduction (measured by the German pain questionnaire [Deutscher Schmerzfragebogen]); 2. Regarding subjective disability (measured by the Hannover Functional Ability Questionnaire [Funktionsfragebogen Hannover zur alltagsnahen Diagnostik der Funktionsbeeinträchtigung durch Rückenschmerzen, FFbH‐R]; 3. Documentation of sociodemographic data (Bado); 4. German Pain Questionnaire (DSF); 5. Hannover Functional Ability Questionnaire for the diagnosis of near‐daily functional impairment by back pain (FFbH‐R); 6. Beck Depression ‐ Inventory (BDI‐II); 7. Questionnaire for acceptance of receptive music therapy at enrollment MT Primary Questionnaire and to 'hear the inner music' (Brandes and Hillert) SECONDARY OUTCOME: 1. Exploration of mode of action (mediation vs moderation): To what extent will comorbid depression symptoms ameliorate during the intervention (mediation)? Do patients with comorbid depression show more response to the intervention (moderation) than non‐depressed patients? Depressive symptom severity will be measured by the Beck Depression Inventory II (BDI II) and the Quick Inventory of Depressive Symptomatology, clinician rating (QIDS‐C). ; 2. To what extent does receptive music therapy affect recreational ability, reaction to stressful situations and subjective life quality?; 3. Treatment adherence and compliance will be assessed by a questionnaire (music therapy acceptance questionnaire) as well as an analysis of dates, times and frequencies of listening, which will be automatically recorded by the audio devices. ; 4. Patients will be asked for their subjective appraisal of the intervention INCLUSION CRITERIA: 1. Main diagnosis: chronic back pain (highest degree of chronification according to Gerbershagen) of non‐specific origin pain symptom duration > 6 months 2. Age: 18 ? 65 years 3. Adequate knowledge of the German language 4. Written consent for study participation