Relations between PTSD symptom clusters and pain in three trauma-exposed samples with pain
Åkerblom, Sophia LU ; Cervin, Matti LU ; Nordin, Linda LU ; Elmose Andersen, Tonny ; Høgh Thøgersen, Marie and Perrin, Sean LU
(2023)
In Scandinavian Journal of Pain
23(3).
p.483-493
- Abstract
- Objectives: Little is known about how the individual PTSD symptom clusters relate to intensity and interference of pain and whether these relationships differ across clinical groups. The present study examines relations between PTSD symptom clusters and pain in three trauma-exposed, unique clinical groups: 1) adults seeking treatment for chronic pain with current symptoms of PTSD, 2) trauma affected refugees seeking treatment for PTSD and chronic pain; and 3) individuals identified at admission to the emergency ward after whiplash injury.
Methods: Network analysis was used to assess unique relations between pain intensity, pain interference, re-experiencing, avoidance, numbing, hyperarousal, depression, and anxiety separately in... (More) - Objectives: Little is known about how the individual PTSD symptom clusters relate to intensity and interference of pain and whether these relationships differ across clinical groups. The present study examines relations between PTSD symptom clusters and pain in three trauma-exposed, unique clinical groups: 1) adults seeking treatment for chronic pain with current symptoms of PTSD, 2) trauma affected refugees seeking treatment for PTSD and chronic pain; and 3) individuals identified at admission to the emergency ward after whiplash injury.
Methods: Network analysis was used to assess unique relations between pain intensity, pain interference, re-experiencing, avoidance, numbing, hyperarousal, depression, and anxiety separately in each sample. Links between PTSD clusters and pain were then compared within and between samples.
Results: No within-group differences were identified for the links between pain and any of PTSD clusters in the chronic pain and refugee groups. In the whiplash group, hyperarousal was more strongly related to pain than re-experiencing, avoidance, and numbing. Between group comparisons revealed a more pronounced relationship between hyperarousal and pain in the whiplash group, with no between-group differences between the chronic pain and refugee groups.
Conclusions: The findings suggest that when depression and anxiety are accounted for, few unique associations are found between pain and the PTSD symptom clusters in trauma-exposed samples with pain, with the exception of a link between pain and hyperarousal in individuals with whiplash-related PTSD symptoms. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/da8c7f97-76f7-446a-ab91-dd41d00f1a66
- author
- Åkerblom, Sophia
LU
; Cervin, Matti
LU
; Nordin, Linda
LU
; Elmose Andersen, Tonny
; Høgh Thøgersen, Marie
and Perrin, Sean
LU
- organization
- publishing date
- 2023-06
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Pain
- volume
- 23
- issue
- 3
- pages
- 483 - 493
- publisher
- Elsevier
- external identifiers
-
- scopus:85163951938
- pmid:37327349
- ISSN
- 1877-8860
- DOI
- 10.1515/sjpain-2022-0142
- language
- English
- LU publication?
- yes
- id
- da8c7f97-76f7-446a-ab91-dd41d00f1a66
- date added to LUP
- 2023-08-27 09:43:50
- date last changed
- 2023-11-27 03:00:04
@article{da8c7f97-76f7-446a-ab91-dd41d00f1a66,
abstract = {{Objectives: Little is known about how the individual PTSD symptom clusters relate to intensity and interference of pain and whether these relationships differ across clinical groups. The present study examines relations between PTSD symptom clusters and pain in three trauma-exposed, unique clinical groups: 1) adults seeking treatment for chronic pain with current symptoms of PTSD, 2) trauma affected refugees seeking treatment for PTSD and chronic pain; and 3) individuals identified at admission to the emergency ward after whiplash injury.<br/><br/>Methods: Network analysis was used to assess unique relations between pain intensity, pain interference, re-experiencing, avoidance, numbing, hyperarousal, depression, and anxiety separately in each sample. Links between PTSD clusters and pain were then compared within and between samples.<br/><br/>Results: No within-group differences were identified for the links between pain and any of PTSD clusters in the chronic pain and refugee groups. In the whiplash group, hyperarousal was more strongly related to pain than re-experiencing, avoidance, and numbing. Between group comparisons revealed a more pronounced relationship between hyperarousal and pain in the whiplash group, with no between-group differences between the chronic pain and refugee groups.<br/><br/>Conclusions: The findings suggest that when depression and anxiety are accounted for, few unique associations are found between pain and the PTSD symptom clusters in trauma-exposed samples with pain, with the exception of a link between pain and hyperarousal in individuals with whiplash-related PTSD symptoms.}},
author = {{Åkerblom, Sophia and Cervin, Matti and Nordin, Linda and Elmose Andersen, Tonny and Høgh Thøgersen, Marie and Perrin, Sean}},
issn = {{1877-8860}},
language = {{eng}},
number = {{3}},
pages = {{483--493}},
publisher = {{Elsevier}},
series = {{Scandinavian Journal of Pain}},
title = {{Relations between PTSD symptom clusters and pain in three trauma-exposed samples with pain}},
url = {{http://dx.doi.org/10.1515/sjpain-2022-0142}},
doi = {{10.1515/sjpain-2022-0142}},
volume = {{23}},
year = {{2023}},
}