scholarly journals Prevalence of Posttraumatic Stress Symptoms and Associated Characteristics Among Patients With Chronic Pain Conditions in a Norwegian University Hospital Outpatient Pain Clinic

2020 ◽  
Vol 11 ◽  
Author(s):  
Lene Therese Bergerud Linnemørken ◽  
Lars-Petter Granan ◽  
Silje Endresen Reme
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
University Hospital ◽  
Pain Clinic ◽  
Posttraumatic Stress Symptoms ◽  
Hospital Outpatient ◽  
Stress Symptoms ◽  
Chronic Pain Conditions

scholarly journals The Oslo University Hospital Pain Registry: development of a digital chronic pain registry and baseline data from 1,712 patients

2019 ◽  
Vol 19 (2) ◽  
pp. 365-373 ◽  
Author(s):  
Lars-Petter Granan ◽  
Silje Endresen Reme ◽  
Henrik Børsting Jacobsen ◽  
Audun Stubhaug ◽  
Tone Marte Ljoså
Keyword(s):  
Chronic Pain ◽  
Real World ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Baseline Data ◽  
University Hospital ◽  
Pain Clinic ◽  
General Function ◽  
Pain Clinics ◽  
Chronic Pain Conditions

Abstract Background and aims Chronic pain is a leading cause to years lived with disability worldwide. However, few of the interventions used in pain medicine have proven efficacy, and evidence from the existing studies may not be valid for the general pain population. Therefore, it is of utmost need that we describe chronic pain conditions in their most relevant aspects, their various guises, as well as the real world outcomes of our clinical interventions. The most obvious and crude way to make these assessments are through large registries where patient characteristics, treatment characteristics (including but not limited to what, when, how often and by whom), treatment outcomes and patient outcomes are scrutinized and recorded. Methods and results This article describes in detail the design and baseline data of the comprehensive Oslo University Hospital Pain Registry (OPR). OPR is the local registry of the largest university and interdisciplinary outpatient pain clinic in Norway. Data registration started in October 2015, and approximately 1,000 patients are assessed and treated at the clinic each year. During the first 2 years of running the OPR (through September 2017), a total of 1,712 patient baseline reports were recorded from 2,001 patients. Clinicians enter data about relevant treatments and interventions, while patients provide self-reported data on aspects related to pain and pain management. The patients complete an electronic registration immediately before their first consultation at the outpatient pain clinic. The baseline questions of the OPR cover: Basic demographics; The Modified Oswestry Disability Index to assess general function; A pain drawing to assess pain location; Questions regarding the temporal aspects of pain; Six 0–10 Numeric Rating Scales to assess pain intensity and bothersomeness; The EQ-5D-5L to measure health-related quality of life; The Hopkins Symptom Check List-25 to assess psychological distress; A single question about self-rated health; The general self-efficacy scale to assess the patient’s perceived self-efficacy; The Bodily Distress Syndrome checklist to assess functional disorders; The Injustice Experience Questionnaire to assess whether the patients experience injustice; Chalder Fatigue Questionnaire to assess fatigue; The Insomnia Severity Index to assesses the levels of insomnia symptoms; The Pain Catastrophizing Scale to measure pain catastrophizing and exaggerated negative orientation toward pain stimuli and pain experience; And the SF36v2 to assess patients’ self-report of generic health and wellbeing. The baseline data show that chronic pain patients have a high degree of negative impact in all aspects of their lives. Conclusions and implications The OPR is the most comprehensive pain registry for multidisciplinary and interdisciplinary outpatient pain clinics in Norway. Detailed design of the registry and key baseline data are presented. Registries are of great value in that they enable real world effectiveness outcomes for patients with chronic pain conditions. The OPR can thus serve as a model for similar initiatives elsewhere. The OPR cohort may also serve as a historical control in future studies, both with experimental and observational design.

scholarly journals Posttraumatic Stress Symptoms Mediate the Effects of Trauma Exposure on Clinical Indicators of Central Sensitization in Patients With Chronic Pain

2019 ◽  
Vol 35 (5) ◽  
pp. 385-393 ◽  
Author(s):  
Lindsey C. McKernan ◽  
Benjamin N. Johnson ◽  
Leslie J. Crofford ◽  
Mark A. Lumley ◽  
Stephen Bruehl ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
Central Sensitization ◽  
Trauma Exposure ◽  
Posttraumatic Stress Symptoms ◽  
Clinical Indicators ◽  
Stress Symptoms

Exposure to Potentially Traumatic Events, Posttraumatic Stress Symptoms, Pain Catastrophizing, and Functional Somatic Symptoms Among Individuals With Varied Somatic Symptoms: A Moderated Mediation Model

2020 ◽  
pp. 088626052091258
Author(s):  
Hila Avishai-Cohen ◽  
Gadi Zerach
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
Pain Catastrophizing ◽  
Somatic Symptoms ◽  
Moderated Mediation ◽  
Posttraumatic Stress Symptoms ◽  
Mediation Model ◽  
Potentially Traumatic Events ◽  
Moderated Mediation Model ◽  
Stress Symptoms

The relationships between exposure to potentially traumatic events (PTEs), as well as posttraumatic stress symptoms (PTSS) and somatic syndromes, have recently been exemplified. Exposure to PTEs can also set in motion complex psychological processes such as pain catastrophizing that is associated with PTSS and somatic syndromes. However, the specific moderating role of pain catastrophizing in these links remains relatively unexamined. The present study aims to assess a moderated mediation model in which catastrophizing will moderate the indirect effect of exposure to PTEs on the number of somatic symptoms and chronic pain severity via PTSS, among individuals with somatic syndromes. A volunteers’ sample of 175 Israeli adults with varied somatic symptoms responded to online validated self-report questionnaires in a cross-sectional designed study. Participants’ self-reported PTSS rates (57.1%) were high. PTSS and pain catastrophizing, but not exposure to PTEs, were related to chronic pain severity. Interestingly, a moderated mediation analysis indicated that the indirect effect of catastrophizing in the relation between exposure to PTEs and the number of somatic symptoms via PTSS existed only among those with high levels of catastrophizing. The present study highlights the assumption that functional somatic syndromes (FSS) have much in common. Our findings support a moderated mediation model that begins with exposure to PTEs that leads to PTSS, which in turn increase the number of somatic symptoms. Higher levels of pain catastrophizing might attenuate this indirect link by affecting the interpretation of PTSS and create a vulnerability to more somatic symptoms. Thus, changes in cognitive-sensory processing in the form of catastrophic thinking can affect psychobiological processes and heighten sensitivity to stimuli arising in the body and should be considered as possible target for future research and psychological interventions.

The contribution of posttraumatic stress symptoms to chronic pain adjustment.

2014 ◽  
Vol 33 (9) ◽  
pp. 958-967 ◽  
Author(s):  
Gema T. Ruiz-Párraga ◽  
Alicia E. López-Martínez
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms ◽  
Pain Adjustment

Observational Evidence for Buprenorphine’s Impact on Posttraumatic Stress Symptoms in Veterans With Chronic Pain and Opioid Use Disorder

2016 ◽  
Vol 77 (09) ◽  
pp. 1182-1188 ◽  
Author(s):  
Karen H. Seal ◽  
Shira Maguen ◽  
Daniel Bertenthal ◽  
Steven L. Batki ◽  
Joan Striebel ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
Opioid Use Disorder ◽  
Observational Evidence ◽  
Posttraumatic Stress Symptoms ◽  
Opioid Use ◽  
Stress Symptoms

scholarly journals The role of posttraumatic stress symptoms on chronic pain outcomes in chronic pain patients referred to rehabilitation

2018 ◽  
Vol Volume 11 ◽  
pp. 527-536 ◽  
Author(s):  
Sophie Lykkegaard Ravn ◽  
Henrik Bjarke Vaegter ◽  
Thomas Cardel ◽  
Tonny Elmose Andersen
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms ◽  
Chronic Pain Patients ◽  
Pain Outcomes ◽  
Pain Patients
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