Pain and PTSD symptoms in female veterans⋆,⋆⋆

Asmundson, Gordon J.G.; Wright, Kristi D.; Stein, Murray B.

doi:10.1016/j.ejpain.2003.10.008

Cited by 90 publications

(81 citation statements)

References 19 publications

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“…Our findings suggest that mutual maintenance may play an important role in the early aftermath of trauma only and is in line with a recent study, which found peritraumatic pain, but not persistent pain, as a risk factor for later PTSD (Norman et al 2008). Second, there may be a pre-existing vulnerability factor such as anxiety sensitivity, increasing the likelihood of the development of both disorders (Asmundson et al 2002;Asmundson et al 2004). Anxiety sensitivity, i.e.…”

supporting

confidence: 78%

Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: A longitudinal study

Jenewein

Wittmann

Moergeli

et al. 2009

Journal of Traumatic Stress

105

100

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The relationship between acute stress disorder (ASD), posttraumatic stress disorder symptoms (PTSD), and chronic pain was investigated in a longitudinal study of injured accident victims (N = 323, 64.7% men). Assessments took place 5 days (T1), 6 (T2) months, and 12 (T3) months postaccident. Relations between pain and posttraumatic stress symptoms were tested by structural equation modeling. Subjects diagnosed with full or subsyndromal PTSD at T2 and at T3 (14 and 19%) reported significantly higher pain intensity. Cross‐lagged panel analysis yielded a mutual maintenance of pain intensity and ASD or PTSD symptoms across T2. Across the second half year, PTSD symptoms impacted significantly on pain but not vice versa. Clinicians need to pay careful attention to PTSD symptoms in accident survivors suffering from chronic pain.

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supporting

confidence: 78%

Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: A longitudinal study

Jenewein

Wittmann

Moergeli

et al. 2009

Journal of Traumatic Stress

105

100

View full text Add to dashboard Cite

show abstract

“…In contrast, a study of Vietnam veterans presenting for outpatient treatment of PTSD revealed that 80 percent also reported experiencing chronic pain, although they did not specify the type of pain (e.g., back pain, arthritis), and the chronic pain diagnosis was not confirmed by their doctors [39]. Another study indicated that female veterans who used Department of Veterans Affairs (VA) services reported levels of comorbidity consistent with those reported by males [40]. However, this study did not specifically examine patients with PTSD but rather all female veterans using VA services; self-report of pain problems was used rather than actual diagnoses.…”

Section: Introductionmentioning

confidence: 76%

Veterans seeking treatment for posttraumatic stress disorder: What about comorbid chronic pain?

Shipherd¹,

Keyes²,

Jovanović³

et al. 2007

JRRD

201

153

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Abstract-Our primary aim was to document the rate of comorbidity of physician-diagnosed chronic pain conditions in veterans who were seeking treatment for posttraumatic stress disorder (PTSD). Chronic pain diagnoses (e.g., chronic lowback pain and osteoarthritis) were examined with retrospective chart review. Of the patients with PTSD, 66% had chronic pain diagnoses at pretreatment. These findings are consistent with previous studies that documented the high comorbidity of chronic pain and PTSD using samples of pain patients. Our secondary aim was to examine pain ratings before, during, and after PTSD treatment. Using data that were a part of clinical practice, we found that patients with more pain before treatment reported reductions in pain over the course of PTSD treatment and in the 4 months following treatment. While our results must be interpreted cautiously because of multiple confounding factors and the absence of experimental manipulation, they highlight the importance of PTSD and pain comorbidity.

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“…For veterans with PTSD, Shipherd et al found that 66 percent had a comorbid diagnosis of chronic pain. * Asmundson et al reported that 44 percent of female veterans with PTSD (full or subsyndromal) scored higher on pain experience and pain interference ratings (i.e., how much pain interfered with daily functioning) [2]. For a group of firefighters with PTSD, McFarlane et al found that approximately 45 percent reported significant back pain [15].…”

Section: Introductionmentioning

confidence: 99%

“…Recent research has demonstrated that posttraumatic stress disorder (PTSD) and chronic pain frequently co-occur [1][2]. Persons with PTSD commonly report chronic pain, and persons with chronic pain report more severe PTSD symptoms [3][4].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of posttraumatic stress disorder and chronic severe pain in psychiatric outpatients

Villano¹,

Rosenblum²,

Magura³

et al. 2007

JRRD

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Abstract-This cross-sectional study reports the prevalence and correlates of posttraumatic stress disorder (PTSD) and chronic severe pain in psychiatric outpatients (n = 295), a sample that has not previously been examined for the co-occurrence of these two disorders. Nearly half the participants (46%) met the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition criteria for PTSD; 40% reported chronic severe pain; and 24% had both disorders. We compared four groups of subjects who had either both disorders, PTSD only, chronic severe pain only, or neither disorder for variables previously found to be associated with both disorders or either disorder alone (e.g., psychiatric distress, substance use, stressful life events, physical/sexual abuse). Multiple pairwise comparisons indicated that persons with both disorders were significantly different from persons with neither disorder for all dependent variables and that they had greater physical and psychosocial stressors. Persons with either PTSD or chronic severe pain alone were more likely to have a chronic medical condition, higher ratings of psychiatric distress, and more stressful life events than persons with neither disorder. Mental health treatment providers should be aware of the potential for the co-occurrence of PTSD and chronic severe pain and of the many related factors in psychiatric outpatients.

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Pain and PTSD symptoms in female veterans⋆,⋆⋆

Abstract: These results indicate that the association between pain and PTSD symptoms, previously observed in primarily male samples, is generalisable to females. Clinical implications and possible mechanisms of association are discussed.

Cited by 90 publications

References 19 publications

Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: A longitudinal study

Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: A longitudinal study

Veterans seeking treatment for posttraumatic stress disorder: What about comorbid chronic pain?

Prevalence and correlates of posttraumatic stress disorder and chronic severe pain in psychiatric outpatients

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