Personality and personality disorders in chronic pain

Weisberg, James N.

doi:10.1007/s11916-000-0011-9

Cited by 81 publications

(50 citation statements)

References 51 publications

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“…Typically, pain is a temporary experience; for some, pain may persist to the point that it contributes to affective distress, increased use of medical services, and workplace absenteeism, with resultant impairment in social and occupational functioning [5][6][7]. Pain is the most common complaint made by patients to their primary care providers, with an estimated $75 to $100 billion a year in the United States in lost productivity and healthcare costs; the burden of chronic pain on the individual, families, and medical system of care is significant [8]. It is also well know that there is a high propensity for the development of long-term mental health and substance abuse disorders in those suffering from chronic pain.…”

Section: A Search Of Medline (Medical Literature Analysis and Retrievmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

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Abstract-With the large number of Veterans experiencing posttraumatic stress disorder (PTSD) and chronic pain, the purpose of this article is to review the prevalence of PTSD and chronic pain, the theoretical models that explain the maintenance of both conditions, and the challenges faced by providers and families who care for these patients. The Department of Veterans Affairs (VA)/Department of Defense (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress with special attention to chronic pain is presented. Limited scientific evidence supports specific care and treatment of PTSD and chronic pain, and this challenges providers to investigate and research potential treatment options. Integrated care models designed for working with these patients are reviewed, including a focus on the techniques and strategies to address not only PTSD and chronic pain, but other conditions, including substance dependence and depression. A specific focus on headaches, back pain, and neuropathic pain follows, including treatment recommendations such as pharmacological, psychotherapeutic, and complementary approaches, given the high rates of these pain complaints for Veterans in PTSD clinical programs. Integrated care is presented as a viable solution and approach that challenges clinicians and researchers to develop innovative, scientifically based therapeutics and treatments to enhance the recovery and quality of life for Veterans with PTSD and chronic pain.

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Section: A Search Of Medline (Medical Literature Analysis and Retrievmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

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“…Pain that persists for 6 months or longer is typically referred to as "chronic" pain [5]. Chronic pain is the most common complaint made by patients to their primary care providers and accounts for an estimated $75 to $100 billion a year in the United States in lost productivity and healthcare costs [9].…”

Section: Chronic Painmentioning

confidence: 99%

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

Otis

Keane²,

Kerns³

2003

JRRD

366

259

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Abstract-Chronic pain and post-traumatic stress disorder (PTSD) are frequently observed within the Department of Veterans Affairs healthcare system and are often associated with a significant level of affective distress and physical disability. Clinical practice and research suggest that these two conditions co-occur at a high rate and may interact in such a way as to negatively impact the course of either disorder; however, relatively little research has been conducted in this area. This review summarizes the current literature pertaining to the prevalence and development of chronic pain and PTSD. Research describing the comorbidity of both conditions is reviewed, and several theoretical models are presented to explain the mechanisms by which these two disorders may be maintained. Future directions for research and clinical implications are discussed.

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“…Chronic pain patients with special characteristics, e.g. personality disorders, are significantly more common in this group than in the general population (Weisberg 2000).…”

Section: Discussionmentioning

confidence: 98%