Pain is common after sexual assault and posttraumatic arousal/reactivity symptoms mediate the development of new or worsening persistent pain

Clinically significant new or worsening pain (CSNWP) is a common, yet often overlooked, sequelae of sexual assault. Little is known regarding factors influencing the development of CSNWP in sexual assault survivors. The current study used data from a recently completed prospective study to evaluate...

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Veröffentlicht in:Pain (Amsterdam) 2022-01, Vol.163 (1), p.e121-e128
Hauptverfasser: Short, Nicole A., Tungate, Andrew S., Bollen, Kenneth A., Sullivan, Jenyth, D'Anza, Teresa, Lechner, Megan, Bell, Kathy, Black, Jenny, Buchanan, Jennie, Reese, Rhiannon, Ho, Jeffrey D., Reed, Gordon D., Platt, Melissa A., Riviello, Ralph J., Rossi, Catherine H., Martin, Sandra L., Liberzon, Israel, Rauch, Sheila A.M., Kessler, Ronald C., Nugent, Nicole, McLean, Samuel A.
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container_end_page e128
container_issue 1
container_start_page e121
container_title Pain (Amsterdam)
container_volume 163
creator Short, Nicole A.
Tungate, Andrew S.
Bollen, Kenneth A.
Sullivan, Jenyth
D'Anza, Teresa
Lechner, Megan
Bell, Kathy
Black, Jenny
Buchanan, Jennie
Reese, Rhiannon
Ho, Jeffrey D.
Reed, Gordon D.
Platt, Melissa A.
Riviello, Ralph J.
Rossi, Catherine H.
Martin, Sandra L.
Liberzon, Israel
Rauch, Sheila A.M.
Kessler, Ronald C.
Nugent, Nicole
McLean, Samuel A.
description Clinically significant new or worsening pain (CSNWP) is a common, yet often overlooked, sequelae of sexual assault. Little is known regarding factors influencing the development of CSNWP in sexual assault survivors. The current study used data from a recently completed prospective study to evaluate whether posttraumatic alterations in arousal and reactivity in the early aftermath of sexual assault influence the transition from acute to clinically significant new or worsening persistent pain. Women ≥ 18 years of age (n = 706) presenting for emergency care after sexual assault to 13 emergency care sites were enrolled in the study. Women completed assessments at the time of presentation as well as at 1 week (n = 706, 100%) and 6 weeks (n = 630, 91%). Nearly 70% of women reported CSNWP at the time of emergency care (n = 475, 69%), which persisted to 6 weeks in approximately 2 in 5 survivors (n = 248, 41%). A structural equation model adjusted for age, race, past trauma exposure, and preassault pain levels suggested that posttraumatic alterations in arousal/reactivity symptoms 1 week after assault partially mediated the transition from acute to persistent CSNWP. A significant portion (41%) of women sexual assault survivors develop CSNWP 6 weeks postassault. Posttraumatic arousal/reactivity symptoms in the early aftermath of assault contribute to CSNWP development; such symptoms are potential targets for secondary preventive interventions to reduce chronic postassault pain.
doi_str_mv 10.1097/j.pain.0000000000002329
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A structural equation model adjusted for age, race, past trauma exposure, and preassault pain levels suggested that posttraumatic alterations in arousal/reactivity symptoms 1 week after assault partially mediated the transition from acute to persistent CSNWP. A significant portion (41%) of women sexual assault survivors develop CSNWP 6 weeks postassault. 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subjects Arousal
Female
Humans
Pain
Prospective Studies
Sex Offenses
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - etiology
title Pain is common after sexual assault and posttraumatic arousal/reactivity symptoms mediate the development of new or worsening persistent pain
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