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Title: Co-occurrence of posttraumatic stress symptoms, pain, and disability 12 months after traumatic injury.
Epworth Authors: Devlin, Anna
Ponsford, Jennie
Other Authors: Giummarra, Melita
Casey, Sara
Ioannou, Liane
Gibson, Stephen
Nellie, Georgiou-Karistianis
Jennings, Paul
Cameron, Peter
Keywords: Chronic Pain
Traumatic Injury
Post-Traumatic Stress Disorder
PTSD Symptoms
Victorian Orthopaedic Trauma Outcomes Registry
Victorian State Trauma Registry
Posttraumatic Stress Disorder Checklist
Brief Pain Inventory
Pain Catastrophizing Scale
Pain Self-Efficacy Questionnaire
Tampa Scale of Kinesiophobia
Roland-Morris Disability Questionnaire
Pain Outcomes
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Epworth Pain Management Service, Epworth Hospital, Richmond, VIC, Australia
Issue Date: Sep-2017
Publisher: Wolters Kluwer
Citation: Pain Rep. 2017 Sep 15; 2(5): e622
Abstract: Introduction: Chronic pain is common after traumatic injury and frequently co-occurs with posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS). Objectives: This study sought to understand the association between probable PTSD, PTSS, and pain. Methods: Four hundred thirty-three participants were recruited from the Victorian Orthopaedic Trauma Outcomes Registry and Victorian State Trauma Registry and completed outcome measures. Participants were predominantly male (n = 324, 74.8%) and aged 17-75 years at the time of their injury (M = 44.83 years, SD = 14.16). Participants completed the Posttraumatic Stress Disorder Checklist, Brief Pain Inventory, Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire, Tampa Scale of Kinesiophobia, EQ-5D-3L and Roland-Morris Disability Questionnaire 12 months after hospitalization for traumatic injury. Data were linked with injury and hospital admission data from the trauma registries. Results: Those who reported having current problems with pain were 3 times more likely to have probable PTSD than those without pain. Canonical correlation showed that pain outcomes (pain severity, interference, catastrophizing, kinesiophobia, self-efficacy, and disability) were associated with all PTSSs, but especially symptoms of cognition and affect, hyperarousal, and avoidance. Posttraumatic stress disorder symptoms, on the contrary, were predominantly associated with high catastrophizing and low self-efficacy. When controlling for demographics, pain and injury severity, depression, and self-efficacy explained the greatest proportion of the total relationship between PTSS and pain-related disability. Conclusion: Persons with both PTSS and chronic pain after injury may need tailored interventions to overcome fear-related beliefs and to increase their perception that they can engage in everyday activities, despite their pain.
DOI: 10.1097/PR9.0000000000000622
PubMed URL:
ISSN: 2471-2531
Journal Title: Pain Reports
Type: Journal Article
Affiliated Organisations: School of Public Health and Preventive Medicine, Monash University, Faculty of Medicine, Nursing and Health Sciences, Melbourne, VIC, Australia.
Caulfield Pain Management and Research Centre, Caulfield Hospital, Caulfield, VIC, Australia.
Institute for Safety, Compensation and Recovery Research, Melbourne, VIC, Australia.
School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia
College of Health and Biomedicine, Victoria University, Footscray, VIC, Australia
Department of Community Emergency Health and Paramedic Practice, Monash University, Melbourne, VIC, Australia.
Type of Clinical Study or Trial: Cohort Study
Appears in Collections:Mental Health

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