Prevalence of Posttraumatic Stress Symptoms and Associated Characteristics Among Patients With Chronic Pain Conditions in a Norwegian University Hospital Outpatient Pain Clinic

Linnemørken, Lene Therese Bergerud; Granan, Lars-Petter; Rème, Silje Endresen

doi:10.3389/fpsyg.2020.00749

Cited by 16 publications

(23 citation statements)

References 77 publications

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“…The official Spanish version has not been published yet, but it was provided by the United States National Center for Post-Traumatic Stress Disorder for the purpose of this study. The PCL-5 was administered every three months, with scores ≥33 interpreted as moderate and ≥45 as high stress [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

ICOnnecta’t: Development and Initial Results of a Stepped Psychosocial eHealth Ecosystem to Facilitate Risk Assessment and Prevention of Early Emotional Distress in Breast Cancer Survivors’ Journey

Medina

Flix-Valle

Rodriguez-Ortega

et al. 2022

Cancers

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Psychosocial interventions prevent emotional distress and facilitate adaptation in breast cancer (BC). However, conventional care presents accessibility barriers that eHealth has the potential to overcome. ICOnnecta’t is a stepped digital ecosystem designed to build wellbeing and reduce psychosocial risks during the cancer journey through a European-funded project. Women recently diagnosed with BC in a comprehensive cancer center were offered the ecosystem. ICOnnecta’t consists of four care levels, provided according to users’ distress: screening and monitoring, psychoeducation campus, peer-support community, and online-group psychotherapy. Descriptive analyses were conducted to assess the platform’s implementation, while multilevel linear models were used to study users’ psychosocial course after diagnosis. ICOnnecta’t showed acceptance, use and attrition rates of 57.62, 74.60, and 29.66%, respectively. Up to 76.19% of users reported being satisfied with the platform and 75.95% informed that it was easy to use. A total of 443 patients’ needs were detected and responsively managed, leading 94.33% of users to remain in the preventive steps. In general, strong social support led to a better psychosocial course. ICOnnecta’t has been successfully implemented. The results showed that it supported the development of a digital relation with healthcare services and opened new early support pathways.

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Section: Methodsmentioning

confidence: 99%

ICOnnecta’t: Development and Initial Results of a Stepped Psychosocial eHealth Ecosystem to Facilitate Risk Assessment and Prevention of Early Emotional Distress in Breast Cancer Survivors’ Journey

Medina

Flix-Valle

Rodriguez-Ortega

et al. 2022

Cancers

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“…As well, the number of claims for disability resulting from mental health problems such as PTSS continues to rise at an alarming rate [31,32]. Theory and research suggest that the experience of persistent pain can contribute to the development of PTSS, even in the absence of a traumatic incident [5,10,[33][34][35]. Given the high prevalence of pain symptoms following disabling work injury, injured workers might be particularly susceptible to developing PTSS.…”

Section: Introductionmentioning

confidence: 99%

“…

distress, avoidance behavior and hyperarousal [3,4]. A significant relation between pain and PTSS has been reported in several populations including individuals with musculoskeletal pain [5], fibromyalgia [6], arthritis [7], cancer [8], burns [9] and chronic pain [10,11].Dominant conceptual frameworks of PTSD share in common the view that maladaptive cognitions play an important role in the experience of, and recovery from PTSD/PTSS [12,13]. For example, Ehlers and Clark's Cognitive Model of PTSD suggests that PTSS develop when trauma-related information is appraised in a manner that leads to a sense of serious and ongoing threat [12].

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confidence: 99%

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Perceived Injustice as a Determinant of the Severity of Post-traumatic Stress Symptoms Following Occupational Injury

et al. 2022

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Background The present study assessed the role of perceived injustice in the experience and persistence of post-traumatic stress symptoms (PTSS) following work-related musculoskeletal injury. Methods The study sample consisted of 187 individuals who were absent from work as a result of a musculoskeletal injury. Participants completed measures of pain severity, perceived injustice, catastrophic thinking, post-traumatic stress symptoms, and disability on three occasions at three-week intervals. Results Consistent with previous research, correlational analyses revealed significant cross-sectional relations between pain and PTSS, and between perceived injustice and PTSS. Regression analysis on baseline data revealed that perceived injustice contributed significant variance to the prediction of PTSS, beyond the variance accounted for by pain severity and catastrophic thinking. Sequential analyses provided support for a bi-directional relation between perceived injustice and PTSS. Cross-lagged regression analyses showed that early changes in perceived injustice predicted later changes in PTSS and early changes in PTSS predicted later changes in perceived injustice. Conclusions Possible linkages between perceived injustice and PTSS are discussed. The development of effective intervention techniques for targeting perceptions of injustice might be important for promoting recovery of PTSS consequent to musculoskeletal injury.

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“…Despite associations between PTSS and PC in varied populations with chronic pain (Benedict et al, 2020; Gilliam et al, 2019; Linnemørken et al, 2020; Slawek et al, 2022) and severe injury requiring hospitalization (Giummarra et al, 2017), their role in the acute aftermath of mild-moderate injury is unclear. Both PC (Schütze et al, 2018) and PTSS (Giummarra et al, 2018) are responsive to cognitive-behavioral therapy (CBT), highlighting the importance of collecting data regarding PTSS and PC around the time of injury to inform the content and timing of acute interventions to prevent chronic pain (Shalev et al, 2019).…”

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confidence: 99%

A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.

Pacella¹,

Plaitano²,

Suffoletto³

et al. 2023

Rehabilitation Psychology

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Purpose/Objective: Identifying individuals with high levels of pain catastrophizing (PC) may inform early psychological interventions to prevent the transition from acute to chronic post-injury pain. We examined whether pre-and post-injury posttraumatic stress symptoms (PTSS) predict post-injury PC among emergency department (ED) patients following acute motor vehicle crash (MVC). Research Method/Design: This study represents secondary data analysis of a randomized clinical trial (NCT03247179) examining the efficacy of the PTSD Coach app on post-injury PTSS (PTSSpost). Among 63 injured ED patients (63% female; 57% non-White; average age = 37) with moderate pain (≥4 of 10), we assessed recall of pre-injury PTSS (PTSSrecall: stemming from preexisting exposures) and baseline PC within 24 hr post-MVC; PTSSpost stemming from the MVC was assessed 30-days later, and the outcome of PC was assessed at 90-days post-injury. We controlled for group assignment (intervention vs. control) in all analyses. Results: Results revealed that at baseline and 90-days, PC was higher among non-White versus White participants. After adjusting for relevant covariates, PTSSrecall uniquely predicted post-injury PC and each subscale of PC (helplessness, magnification, and rumination). Similarly, after controlling for PTSSrecall and relevant covariates, PTSSpost uniquely predicted total and subscale post-injury PC. Intervention group participants reported less rumination than control group participants. Conclusions/Implications: These novel findings highlight that injured Black patients may be vulnerable to post-injury PC, and that both PTSSrecall and PTSSpost significantly predict post-injury PC. Brief PTSS assessment in the ED can identify high-risk patients who may benefit from early intervention.

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Prevalence of Posttraumatic Stress Symptoms and Associated Characteristics Among Patients With Chronic Pain Conditions in a Norwegian University Hospital Outpatient Pain Clinic

Cited by 16 publications

References 77 publications

ICOnnecta’t: Development and Initial Results of a Stepped Psychosocial eHealth Ecosystem to Facilitate Risk Assessment and Prevention of Early Emotional Distress in Breast Cancer Survivors’ Journey

ICOnnecta’t: Development and Initial Results of a Stepped Psychosocial eHealth Ecosystem to Facilitate Risk Assessment and Prevention of Early Emotional Distress in Breast Cancer Survivors’ Journey

Perceived Injustice as a Determinant of the Severity of Post-traumatic Stress Symptoms Following Occupational Injury

A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.

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