Psychological traumatism in pain management

Defontaine-Catteau, M. C.; Bioy, Antoine

doi:10.1007/s11724-014-0381-4

Cited by 23 publications

(1 citation statement)

References 18 publications

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“…Chronic pain may mask an existing psychological trauma that plays an important role in the way pain is experienced and coped with. On the other hand, chronic pain and the therapeutic interactions themselves can have a (re)traumatizing effect on patients ( 49 ). As long as a specific therapy for patients with chronic pain and a traumatic background has not been established, a holistic, person-centered and trauma-informed care approach seems to be elementary.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Events, Posttraumatic Stress Disorder, and Central Sensitization in Chronic Pain Patients of a German University Outpatient Pain Clinic

Manuel

Rudolph

Beißner³

et al. 2023

Psychosom Med

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ObjectivePosttraumatic stress disorder (PTSD) and traumatic life events are often coupled to chronic pain, possibly linked by central sensitization. We wanted to assess the prevalence of traumatic events and PTSD in chronic pain patients of a German university hospital outpatient pain clinic. Moreover, we evaluated the extent of indicators and co-occurring traits of central sensitization in comorbid patients.MethodsWe retrospectively divided 914 chronic pain patients into four groups depending on their trauma severity: no trauma, accidental trauma, interpersonal trauma, and PTSD. We collected electronic pain drawings focusing on pain area and widespreadness, as well as information about pain intensity, sleep impairment, disability, stress, anxiety, depression, and somatization. Differences between groups were calculated using Kruskal-Wallis with post-hoc Mann-Whitney tests.ResultsOf 914 patients, 231 (25%) had no trauma, 210 (23%) had accidental traumas, 283 (31%) had interpersonal traumas, 99 (11%) had PTSD, and 91 (10%) could not be classified. We observed statistically significant differences between groups in pain area and widespreadness, as well as maximal pain, sleep impairment, disability, stress, anxiety, depression, and somatization. The severity of symptoms increased with trauma severity.ConclusionsTraumatic life events and PTSD are frequent in chronic pain patients. The increased pain area and widespreadness, as well as the increased negative impact on co-occurring traits of sensory sensitivity (anxiety, depression, somatization), are compatible with central sensitization in comorbid patients. Therefore, a heightened awareness of the comorbidity between traumatic experiences and chronic pain is recommended.

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Section: Discussionmentioning

confidence: 99%

Traumatic Events, Posttraumatic Stress Disorder, and Central Sensitization in Chronic Pain Patients of a German University Outpatient Pain Clinic

Manuel

Rudolph

Beißner³

et al. 2023

Psychosom Med

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Listen, estimate and answer the psychic trauma

Bioy

Conradi²,

Barfety-Servignat

2014

Douleur analg

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Les fonctions du masochisme dans l'aménagement somatopsychique du patient douloureux

Lionet

Tiberghien

2018

Douleur analg

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Dans nos consultations douleur, la façon dont se manifeste le masochisme, tels un entretien ou une répétition de la plainte douloureuse, a du sens au regard de l'équilibre psychique. Au travers de cet article, nous verrons dans un premier temps comment le masochisme permet d'intégrer la douleur comme une partie de soi et ainsi garantir le lien du sujet avec sa douleur, comment le masochisme garantit le lien entre le sujet et sa souffrance pour que cette souffrance trouve sa place dans l'économie psychique. Dans certains troubles psychiques, la tentative de liaison du moi et de la douleur peut être mise en échec par l'épuisement du jeu des pulsions ou par une fragilité narcissique préexistants. Dans un second temps sont présentés les différents aménagements masochistes dans plusieurs troubles psychopathologiques : les états limites, les réactions post-traumatiques, chez l'obsessionnel, le mélancolique et l'hypocondriaque. Il convient alors de privilégier une lecture clinique et psychopathologique de ces conduites masochistes qui sont à haut risque de passage à l'acte en influençant la relation thérapeutique.

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Psychological traumatism in pain management

Cited by 23 publications

References 18 publications

Traumatic Events, Posttraumatic Stress Disorder, and Central Sensitization in Chronic Pain Patients of a German University Outpatient Pain Clinic

Traumatic Events, Posttraumatic Stress Disorder, and Central Sensitization in Chronic Pain Patients of a German University Outpatient Pain Clinic

Listen, estimate and answer the psychic trauma

Les fonctions du masochisme dans l'aménagement somatopsychique du patient douloureux

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