Post-traumatic stress disorder moderates the relationship between trauma exposure and chronic pain

Siqveland, Johan; Ruud, Torleif; Hauff, Edvard

doi:10.1080/20008198.2017.1375337

Cited by 23 publications

(23 citation statements)

References 44 publications

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“…There is also a higher prevalence of risk factors such as high body mass index, and cigarette and alcohol consumption. [40][41][42][43][44][45][46][47] All of these pathologies make PTSD treatment difficult, requiring comprehensive management.…”

Section: The Psychological Traumamentioning

confidence: 99%

Posttraumatic stress disorder as a diagnostic entity – clinical perspectives

Carvajal

2018

Dialogues in Clinical Neuroscience

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Throughout history the consequences of psychological trauma and characteristic symptoms have involved clinical presentations that have had different names. Since the inclusion of the category of Posttraumatic Stress Disorder (PTSD) in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) with the symptomatic triad of re-experiencing the traumatic event, avoidance behaviors, and hypervigilance, this entity has been a source of controversy. Indeed, some authors have denied its existence, even considering it a diagnostic invention. In this article we review, from the clinician's perspective, historical aspects as well as the development of the nosological classifications and the contributions from the neurosciences that allow the consideration of the full validity of this diagnosis as a form of psychobiological reaction to psychological trauma.

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Section: The Psychological Traumamentioning

confidence: 99%

Posttraumatic stress disorder as a diagnostic entity – clinical perspectives

Carvajal

2018

Dialogues in Clinical Neuroscience

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“…Moreover, central pain modulation can be enhanced, also in body parts not affected by torture, and that this appeared to be moderated by PTSD (Defrin et al, 2017). In the same vein, Siqveland et al (2017) found that PTSD moderated the relationship between intentional trauma exposure and chronic pain. Flashbacks can have strong sensory qualities; thus pain can actually form part of the flashbacks.…”

Section: S P E C I a L S E C T I O N : P H Y S I O T H E R A P Y F O mentioning

confidence: 82%

“…Painrelated avoidance, fear-avoidance and pain catastrophizing have been found to mediate the relationship between chronic pain and PTSD (Åkerblom et al, 2018;Andersen et al, 2016). Moreover, Siqveland et al (2017) found that chronic pain was mediated by PTSD and whether the trauma was inten-tional. Apparently, intentionality and pain act as catalysts in sensitizing pain and anxiety reactions to trauma, and at the same time, these are categorically inherent in torture.…”

Section: Empirical Studies On Cppc In Other Contextsmentioning

confidence: 95%

Painful memories: Challenges in trauma-focused therapy for torture survivors with PTSD and chronic pain

Dibaj

Halvorsen

Kennair

et al. 2020

torture

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Introduction: PTSD and chronic pain are disorders that researchers increasingly acknowledge to be risk factors that overlap and their comorbidity is associated with poorer treatment outcomes. This review focuses on torture survivors due to the high prevalence of comorbidity in this group, as well as how PTSD and chronic pain might develop, interact and mutually maintain each other. Methods: A narrative review of empirical studies and theoretical models regarding chronic pain and PTSD in torture survivors, informed by studies conducted in other contexts. Results and discussion: An overview of PTSD and chronic pain studies of torture survivors is presented. Treatment studies for torture survivors with PTSD are scarce and have been discouraging. Studies in other patient populations and theoretical models of main- taining factors within the cognitive-behavioral paradigm are presented, and focused around how interactions between PTSD and chronic pain might mitigate treatment of both disorders. Mutually maintaining factors between chronic pain and PTSD are presented as potential barriers to healing, and clinical implications involve suggestions for clinicians with intention to overcome these barriers in trauma-focused treatment of torture survivors. The knowledge base on how chronic pain and PTSD interact within the context of torture is still very limited.Torture is a potent risk factor in itself for both chronic pain and PTSD. Studies point to complex interactions between pain and PTSD across different trauma-exposed populations, especially when the trauma includes pain. Moreover, the coping strategies that are available and might function as some form of protection during torture [e.g. dissociation, withdrawal], might conversely function to exacerbate symptoms when the survivor is in a safe rehabilitation context. Observations combined with CPPC literature and recent developments in learning theory challenge clinical practice accordingly. Additionally, the limited knowledge base prevents us from providing clear-cut sugges- tions, particularly as the majority of scientific enquiry regarding chronic pain and PTSD has been conducted in other populations outside of the torture survivors group. Furthermore, cultural factors, specific needs and characteristics in this group, the human rights perspective and the socio-political context all need to be acknowledged. Trauma-focused treatment does not appear to specifically target all the mechanisms that are supposedly interacting in maintaining chronic pain and PTSD. Interdisciplinary rehabilitation and close collaboration between physiotherapists and trauma-focused therapists are warranted.

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“…Es importante el diagnóstico del trastorno de estrés postraumático y su vinculación con el dolor crónico (16) .…”

Section: Resultados De La Evaluación Integral De Los Pacientes Asistiunclassified

Una experiencia de trabajo interdisciplinario en dolor crónico. Resultados y desafíos

Abreu

Montes

Quinteros

et al. 2019

RMU

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El dolor crónico constituye un problema de salud pública a nivel mundial, se estima que afecta alrededor del 20% de la población. Cada vez hay más evidencia de que el modelo de atención a estos pacientes es a través de equipos interdisciplinarios, con énfasis en la comunicación entre las diferentes disciplinas, y la construcción de una mirada conjunta del paciente. La Unidad Interdisciplinaria de Dolor del Hospital Maciel-Banco de Seguros del Estado es la puesta en práctica de un modelo biopsicosocial de atención al dolor crónico, donde el objetivo terapéutico es la rehabilitación integral de la persona. En este artículo se describe la población asistida en los primeros siete meses de trabajo en el Banco de Seguros del Estado, la evaluación integral que realiza el equipo y los resultados más relevantes, así como la construcción del plan terapéutico individualizado. La lumbalgia crónica poscirugía fue el cuadro clínico más frecuente. De la evaluación integral se destaca la interferencia del dolor con las actividades básicas de la vida diaria en 90%, alteraciones del sueño en 60% y el diagnóstico de depresión en el 40% de la población asistida. Se detallan las intervenciones realizadas en los tres pilares terapéuticos: farmacológico, rehabilitación física y abordaje psicoterapéutico, con el objetivo definido de la rehabilitación de la persona y su reintegro al trabajo.

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Post-traumatic stress disorder moderates the relationship between trauma exposure and chronic pain

Cited by 23 publications

References 44 publications

Posttraumatic stress disorder as a diagnostic entity – clinical perspectives

Posttraumatic stress disorder as a diagnostic entity – clinical perspectives

Painful memories: Challenges in trauma-focused therapy for torture survivors with PTSD and chronic pain

Una experiencia de trabajo interdisciplinario en dolor crónico. Resultados y desafíos

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