Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program
Britt-Marie Stålnacke, Anna ÖstmanDepartment of Community Medicine and Rehabilitation, Umeå University, SwedenAim: To investigate post-traumatic stress, pain intensity, depression, and anxiety in patients with injury-related chronic pain before and after part...
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Dove Medical Press
2010
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oai:doaj.org-article:db91e140071047b18dc25d2c03ec42072021-12-02T08:59:25ZPost-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program1176-63281178-2021https://doaj.org/article/db91e140071047b18dc25d2c03ec42072010-03-01T00:00:00Zhttp://www.dovepress.com/post-traumatic-stress-in-patients-with-injury-related-chronic-pain-par-a4052https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Britt-Marie Stålnacke, Anna ÖstmanDepartment of Community Medicine and Rehabilitation, Umeå University, SwedenAim: To investigate post-traumatic stress, pain intensity, depression, and anxiety in patients with injury-related chronic pain before and after participating in multimodal pain rehabilitation.Methods: Twenty-eight patients, 21 women and seven men, who participated in the multimodal rehabilitation programs (special whiplash program for whiplash injuries within 1.5 years after the trauma or ordinary program) answered a set of questionnaires to assess post-traumatic stress (Impact of Event Scale [IES], pain intensity [Visual Analogue Scale (VAS)], depression, and anxiety (Hospital Anxiety and Depression Scale [HAD] before and after the programs.Results: Both pain intensity and post-traumatic stress decreased significantly after the rehabilitation programs in comparison with before (VAS: 57.8 ± 21.6 vs. 67.5 ± 21.9; P = 0.009, IES total score 21.8 ± 13.2 vs. 29.5 ± 12.9; P < 0.001). Patients younger than 40 years reported a statistically higher level of post-traumatic stress compared with patients older than 40 years both before (P = 0.037) and after rehabilitation (P = 0.023). No statistically significant differences were found on the HAD scores.Conclusion: The multimodal rehabilitation programs were effective in reducing both pain intensity and post-traumatic stress. The experience of higher levels of post-traumatic stress in younger persons has to be taken into account when managing patients with injury-related chronic pain.Keywords: post-traumatic, stress disorder, chronic pain, whiplash injuries Britt-Marie StålnackeAnna ÖstmanDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2010, Iss Issue 1, Pp 59-66 (2010) |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Britt-Marie Stålnacke Anna Östman Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| description |
Britt-Marie Stålnacke, Anna ÖstmanDepartment of Community Medicine and Rehabilitation, Umeå University, SwedenAim: To investigate post-traumatic stress, pain intensity, depression, and anxiety in patients with injury-related chronic pain before and after participating in multimodal pain rehabilitation.Methods: Twenty-eight patients, 21 women and seven men, who participated in the multimodal rehabilitation programs (special whiplash program for whiplash injuries within 1.5 years after the trauma or ordinary program) answered a set of questionnaires to assess post-traumatic stress (Impact of Event Scale [IES], pain intensity [Visual Analogue Scale (VAS)], depression, and anxiety (Hospital Anxiety and Depression Scale [HAD] before and after the programs.Results: Both pain intensity and post-traumatic stress decreased significantly after the rehabilitation programs in comparison with before (VAS: 57.8 ± 21.6 vs. 67.5 ± 21.9; P = 0.009, IES total score 21.8 ± 13.2 vs. 29.5 ± 12.9; P < 0.001). Patients younger than 40 years reported a statistically higher level of post-traumatic stress compared with patients older than 40 years both before (P = 0.037) and after rehabilitation (P = 0.023). No statistically significant differences were found on the HAD scores.Conclusion: The multimodal rehabilitation programs were effective in reducing both pain intensity and post-traumatic stress. The experience of higher levels of post-traumatic stress in younger persons has to be taken into account when managing patients with injury-related chronic pain.Keywords: post-traumatic, stress disorder, chronic pain, whiplash injuries |
| format |
article |
| author |
Britt-Marie Stålnacke Anna Östman |
| author_facet |
Britt-Marie Stålnacke Anna Östman |
| author_sort |
Britt-Marie Stålnacke |
| title |
Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| title_short |
Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| title_full |
Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| title_fullStr |
Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| title_full_unstemmed |
Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| title_sort |
post-traumatic stress in patients with injury-related chronic pain participating in a multimodal pain rehabilitation program |
| publisher |
Dove Medical Press |
| publishDate |
2010 |
| url |
https://doaj.org/article/db91e140071047b18dc25d2c03ec4207 |
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