Posttraumatic stress disorder symptoms in youth with vs without chronic pain

Chronic pain and posttraumatic stress disorder (PTSD) symptoms have been found to co-occur in adults; however, research has not examined this co-occurrence in adolescence, when pediatric chronic pain often first emerges. The aims of this study were to compare the frequency and intensity of PTSD symp...

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Veröffentlicht in:Pain (Amsterdam) 2016-10, Vol.157 (10), p.2277-2284
Hauptverfasser: Noel, Melanie, Wilson, Anna C., Holley, Amy Lewandowski, Durkin, Lindsay, Patton, Michaela, Palermo, Tonya M.
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container_end_page 2284
container_issue 10
container_start_page 2277
container_title Pain (Amsterdam)
container_volume 157
creator Noel, Melanie
Wilson, Anna C.
Holley, Amy Lewandowski
Durkin, Lindsay
Patton, Michaela
Palermo, Tonya M.
description Chronic pain and posttraumatic stress disorder (PTSD) symptoms have been found to co-occur in adults; however, research has not examined this co-occurrence in adolescence, when pediatric chronic pain often first emerges. The aims of this study were to compare the frequency and intensity of PTSD symptoms and stressful life events in cohorts of youth with (n = 95) and without (n = 100) chronic pain and their parents and to determine the association between PTSD symptoms, health-related quality of life, and pain symptoms within the chronic pain sample. All participants completed questionnaire measures through an online survey. Findings revealed that youth with chronic pain and their parents had significantly higher levels of PTSD symptoms as compared with pain-free peers. More youth with chronic pain (32%) and their parents (20%) reported clinically significant elevations in PTSD symptoms than youth without chronic pain (8%) and their parents (1%). Youth with chronic pain also reported a greater number of stressful life events than those without chronic pain, and this was associated with higher PTSD symptoms. Among the chronic pain cohort, higher levels of PTSD symptoms were predictive of worse health-related quality of life and were associated with higher pain intensity, unpleasantness, and interference. Results suggest that elevated PTSD symptoms are common and linked to reduced functioning among youth with chronic pain. Future research is needed to examine PTSD at the diagnostic level and the underlying mechanisms that may explain why this co-occurrence exists.
doi_str_mv 10.1097/j.pain.0000000000000642
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subjects Adolescent
Child
Chronic Pain - complications
Chronic Pain - psychology
Cohort Studies
Female
Humans
Male
Pain Measurement
Parents - psychology
Quality of Life
Stress Disorders, Post-Traumatic - etiology
Surveys and Questionnaires
title Posttraumatic stress disorder symptoms in youth with vs without chronic pain
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