An examination of the relationship between chronic pain and post-traumatic stress disorder

Otis, John D.; Keane, Terence M.; Kerns, Robert D.

doi:10.1682/jrrd.2003.09.0397

Cited by 366 publications

(276 citation statements)

References 70 publications

Supporting

Mentioning

259

Contrasting

Unclassified

Order By: Relevance

“…The presence of comorbid PTSD in patients with somatic pain complaints is well described [17]. PTSD and chronic pain often co-occur and "may interact in such a way as to negatively impact the course of either disorder" [17].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of Operation Iraqi Freedom and Operation Enduring Freedom veterans in a Veterans Health Administration chiropractic clinic: A case series

Lisi

2010

JRRD

View full text Add to dashboard Cite

Abstract-Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans commonly seek care for musculoskeletal complaints in Veterans Health Administration (VHA) facilities. Chiropractic services for musculoskeletal conditions have recently been introduced to VHA. No reports have been published on chiropractic care for OIF/OEF veterans. This study was designed to describe elements of the processes and outcomes of care for OIF/OEF veterans in a VHA chiropractic clinic. A retrospective review of consecutive cases consulted to one VHA chiropractic clinic was conducted. Thirty-one cases were identified. Consultations originated in primary care and specialty clinics that commonly manage musculoskeletal conditions. Military traumatic injury and posttraumatic stress disorder were common. Adverse effects of treatment were mild and transitory. In 19 cases (61%), a pain decrease above the threshold for minimally important change was reported. This article is the first description of health services delivered to OIF/OEF veterans in a VHA chiropractic clinic. Chiropractic management was safe in these cases, and results support the hypothesis that such management may be effective in certain OIF/OIF veterans. A better understanding of the characteristics of these particular patients and the processes of care received in VHA chiropractic clinics is needed to improve the clinical care of these veterans.

show abstract

Section: Discussionmentioning

confidence: 99%

“…PTSD and chronic pain often co-occur and "may interact in such a way as to negatively impact the course of either disorder" [17]. This phenomenon has recently been described in a general population of spinal pain patients at a VHA chiropractic clinic [18].…”

Section: Discussionmentioning

confidence: 99%

Management of Operation Iraqi Freedom and Operation Enduring Freedom veterans in a Veterans Health Administration chiropractic clinic: A case series

Lisi

2010

JRRD

View full text Add to dashboard Cite

show abstract

“…The triple vulnerability model [61] further refines this concept to include a sense of lacking control as an integral factor in the development of chronic pain. The feeling of not being in control is a significant clinical feature of PTSD as well, and perhaps it is this aspect of PTSD that leads to the intensified pain cognitions found in these results.…”

Section: Outcalt Et Al Veterans With Comorbid Chronic Pain and Ptsdmentioning

confidence: 99%

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Outcalt

Ang

et al. 2014

J Rehabil Res Dev

View full text Add to dashboard Cite

Abstract-Chronic pain and posttraumatic stress disorder (PTSD) co-occur at high rates, and Veterans from recent wars in Iraq and Afghanistan may be particularly vulnerable to both conditions. The objective of this study was to identify key aspects of chronic pain, cognitions, and psychological distress associated with comorbid PTSD among this sample of Veterans. Baseline data were analyzed from a randomized controlled trial testing a stepped-care intervention for chronic musculoskeletal pain. Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with chronic pain only (n = 173) were compared with those with chronic pain and clinically significant posttraumatic stress symptoms (n = 68). Group differences on pain characteristics, pain cognitions, and psychological distress were evaluated. Results demonstrated that OIF/OEF Veterans with comorbid chronic musculoskeletal pain and PTSD experienced higher pain severity, greater painrelated disability and increased pain interference, more maladaptive pain cognitions (e.g., catastrophizing, self-efficacy, pain centrality), and higher affective distress than those with chronic pain alone. Veterans of recent military conflicts in Iraq and Afghanistan may be particularly vulnerable to the compounded adverse effects of chronic pain and PTSD. These results highlight a more intense and disabling pain and psychological experience for those with chronic pain and PTSD than for those without PTSD. Clinical

show abstract

“…Mounting evidence exists within the scientific literature regarding the co-occurrence of and the relationship between PTSD and chronic pain [11][12][13][14][15][16][17][18]. Otis et al has published a comprehensive summary of theoretical models, including mutual maintenance and shared vulnerability, underlying comorbid chronic pain and PTSD [14].…”

Section: Introductionmentioning

confidence: 99%

Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Dunn¹,

Julian²,

Formolo³

et al. 2011

JRRD

View full text Add to dashboard Cite

Abstract-Escalating prevalence estimates of posttraumatic stress disorder (PTSD) among recently returning Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans highlight the need for early detection and management for reducing chronic mental illness and disability. Because PTSD and chronic pain are common comorbid conditions among veterans, PTSD screening within specialty clinic settings addressing musculoskeletal pain may be of value. This retrospective study evaluated measures of diagnostic value for the PTSD Checklist (PCL) for a sample (n = 79) of OIF/OEF veterans seeking care for neck or back pain within a Department of Veterans Affairs specialty clinic. Because published accounts of optimal PCL cutoff scores vary considerably, we used receiver operating characteristic curves to identify whether the optimal PCL cutoff score for the sample differed from a conventional cutoff score of 50. A clinical psychologist experienced in diagnosing and managing PTSD confirmed the diagnosis of PTSD for 37 veterans through a review of clinical records. The prevalence of diagnosed PTSD was 46.8%, with an optimal PCL cutoff score of 44. These findings may guide future research and influence clinical practice regarding PTSD screening for recently returning veterans with chronic pain.

show abstract

An examination of the relationship between chronic pain and post-traumatic stress disorder

Cited by 366 publications

References 70 publications

Management of Operation Iraqi Freedom and Operation Enduring Freedom veterans in a Veterans Health Administration chiropractic clinic: A case series

Management of Operation Iraqi Freedom and Operation Enduring Freedom veterans in a Veterans Health Administration chiropractic clinic: A case series

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Contact Info

Product

Resources

About