Trauma und posttraumatische Belastungsstörung bei transkulturellen Patienten mit chronischem Schmerz

Berger, Maximus; Piralic-Spitzl, Sanela; Aigner, Martin

doi:10.1007/s40211-014-0122-x

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…Symptom reports in people with somatic symptoms might increase as time passed by, and the reason might be a shift from episodic knowledge to semantic beliefs ( Houtveen and Oei, 2007 ). Fourth, we did not consider whether some participants experienced childhood trauma before, as traumatic stress was also reported to foster the development of somatization ( Berger et al, 2014 ). Fifth, female sample constitutes the majority of this study, and significant sex differences are found in age, body mass index, education, marital status, and drinking.…”

Section: Discussionmentioning

confidence: 99%

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

et al. 2021

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BackgroundMore than 15% of Chinese respondents reported somatic symptoms in the last week of January 2020. Promoting resilience is a possible target in crisis intervention that can alleviate somatization.ObjectivesThis study aims to investigate the relationship between resilience and somatization, as well as the underlying possible mediating and moderating mechanism, in a large sample of Chinese participants receiving a crisis intervention during the coronavirus disease 2019 epidemic.MethodsParticipants were invited online to complete demographic information and questionnaires. The Symptom Checklist-90 somatization subscale, 10-item Connor–Davidson resilience scale, and 10-item Perceived Stress Scale were measured.ResultsA total of 2,557 participants were included. Spearman correlation analysis revealed that lower resilience was associated with more somatic symptoms (p < 0.001). The conditional process model was proved (indirect effect = −0.01, 95% confidence interval = [−0.015, −0.002]). The interaction effects between perceived stress and sex predicted somatization (b = 0.05, p = 0.006).ConclusionResilience is a key predictor of somatization. The mediating effects of perceived stress between resilience and somatization work in the context of sex difference. Sex-specific intervention by enhancing resilience is of implication for alleviating somatization during the coronavirus disease 2019 epidemic.

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Section: Discussionmentioning

confidence: 99%

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

et al. 2021

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“…37 Both countries share a high rate of exposure to traumatic events, [38][39][40] which are linked to chronic pain. 41 Mozambique has a low healthy life expectancy of 55.5 years, with most mortality due to communicable disease, especially malaria (28.8%) and HIV (26.9%). 42,43 HIV is associated with a high incidence of chronic pain in LMICs, which can be significantly improved with palliative care intervention.…”

Section: Discussionmentioning

confidence: 99%

Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Walters

Schwalbach

Sevene

et al. 2018

British Journal of Pain

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Introduction: Studies estimate that 20% of adults suffer from chronic pain. A meta-analysis in low-and middle-income countries (LMICs) found 34% had chronic pain. There are few studies on pain prevalence gathered in Africa. This study surveyed the capital city of Mozambique. Methods: This was a cross-sectional study employed in a community setting. The Vanderbilt Global Pain Survey comprised questions on the behaviour and attitudes of respondents regarding pain, including previously validated metrics: the Pain Catastrophizing Scale, the World Health Organization Disability Assessment Schedule, the Brief Pain Inventory, Widespread Pain Index and Symptom Severity Score, and the Michigan Body Map. Results: Ninety-seven surveys were completed out of 100. Pain every day lasting for more than 6 months in their lifetime was reported as 39.2% (CI: 29.4-49.6), and 52% of respondents had pain the day of the interview. However, the pain resulted in little difficulty with activities of daily living and maintaining relationships (61%-89%). Although none reported mental health disorders, 53.6% had experienced a traumatic event in their life, with 45.2% having related nightmares, anxiety, or fear. Most respondents (99%) would take oral medication if it helped their pain, with a large proportion willing to spend significant money for these (49% would pay >US$40) and willing to travel long distances to get help (55.2% would travel >40 kilometer). Conclusion: The prevalence of chronic pain in Maputo, Mozambique is similar to the average for LMICs. Trends in high-income countries suggest that multimodal pain management and multidisciplinary treatments may improve optimal pain control in LMICs.

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“…Other sequelae of interpersonal violence exposure that have been linked to chronic pain and opiate use warrant investigation in this SCD population, including posttraumatic stress symptoms of physiological hyperarousal, emotional numbing and dysregulation, chronic avoidance and hypervigilance, dissociation, and stress-related breakdowns in bodily function (Afari et al, 2014; Beckham et al, 1997; Berger, Piralic-Spitzl, & Aigner, 2014; Humphreys, Cooper, & Miaskowski, 2010; Moeller-Bertram, Keltner, & Strigo, 2012; Outcalt et al, 2015; Wuest et al, 2009; Wuest et al, 2008). Variables that have been shown to be associated with the severity of SCD symptoms and SCD-related health care such as SCD-related stigma (Bediako et al, 2016) also should be examined both as contributors to anxiety and depressive symptoms in SCD and as potential mediators of the relationship between violence exposure and chronic pain and opiate use in SCD.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal Violence Exposure and Chronic Pain in Adult Sickle Cell Patients

Ford

Grasso

Jones

et al. 2017

J Interpers Violence

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Almost half of sickle cell disease (SCD) patients develop chronic, debilitating physical pain with uncertain genesis for which they primarily receive opiate-based palliative treatment. Psychological trauma exposure, especially interpersonal victimization, has been linked to the perception of pain in several medical diseases, but has yet to be examined in SCD patients. This study examines self-reported chronicity of pain and use of prescribed opiates in 50 adult SCD patients with and without a history of interpersonal violence exposure. We conducted a retrospective chart review of 50 consecutive SCD patients seen for medical care in an adult subspecialty hematology clinic. Data collected included demographics, opiate use, pain chronicity, and measures of anxiety, depression, and interpersonal violence exposure. Sixty-eight percent of patients reported past interpersonal violence exposure. The mean number of types of interpersonal violence exposure, including physical, sexual, or emotional abuse, was 2.76 ( SD = 1.63). SCD patients with a history of interpersonal violence exposure were almost five times more likely to report chronic pain and more than six times more likely to report use of opiate-based medications on a daily basis compared with SCD patients with no history of violence exposure. Depression and anxiety symptoms were associated with violence exposure, but did not account for the relationship between violence exposure and chronic pain or prescribed opiate use. Screening and assessment of exposure to interpersonal violence may be useful in addition to screening for mental health problems in the management of chronic pain with adults diagnosed with SCD. Such screening may contribute to addressing health care disparities given the preponderance of SCD patients who are of African American ethnoracial background.

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Trauma und posttraumatische Belastungsstörung bei transkulturellen Patienten mit chronischem Schmerz

Abstract: Chronic pain patients with migratory background report an unusually high number of traumatic events. Clinicians should carefully screen for trauma history in this group of patients. The present study supports prior research suggesting a cumulative effect of trauma on chronic pain.

Cited by 9 publications

References 26 publications

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Interpersonal Violence Exposure and Chronic Pain in Adult Sickle Cell Patients

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