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The Interaction Between Chronic Pain and PTSD
Abstract
Purpose of review Post-traumatic stress disorder (PTSD) and chronic pain often co-occur. Understanding the shared mechanisms, signs to identify PTSD, and treatment options is integral in allowing providers to better serve their patients. Recent findings Individuals with comorbid PTSD and chronic pain report greater PTSD symptoms, pain, anxiety, depression, disability, and opioid use than those with only one of these conditions. There are several empirically supported therapies for chronic pain, and for PTSD, as well as pilot data for a treatment of comorbid pain and PTSD. The purpose of this paper is to review and synthesize current literature investigating the interaction between chronic pain and PTSD, and provide treatment recommendations for providers treating patients with chronic pain and PTSD.
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BackgroundNievergelt, C. M., Maihofer, A. X., Atkinson, E. G., Chen, C., Choi, K. W., Coleman, J. R. I., Daskalakis, N. P., Duncan, L. E., Polimanti, R. A., Aaronson, C. J., et al. (2024) · Nature Genetics · doi:10.1038/s41588-024-01707-9 · Cited by 234
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“Given the vast literature in pain processing and our focus on somatosensory contributions to embodiment and self, it is beyond the scope of this paper and will not be covered in this review (for a review of trauma-related pain disorders, see Brennstuhl et al., 2015; Kind and Otis, 2019).”
BackgroundCognition in the Chronic Pain Experience: Preclinical Insights
Phelps, C. E., Navratilova, E., & Porreca, F. (2021) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2021.01.001 · Cited by 126
The Psychedelic Future of Post-Traumatic Stress Disorder Treatment
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Metadata
- Authors
- Kind, S., & Otis, J. D.
- Affiliations
- Suffolk University (US)
- Boston University (US)
- Corresponding author
- Otis, John D.
- ORCID
- Otis, John D.
- Venue
- Current Pain and Headache Reports
- Published
- 2019-11-28
- Volume
- 23
- Issue
- 12
- Pages
- 91-91
- ISSN
- 1531-3433 (ISSN-L)
- 1534-3081
- OpenAlex
- W2990248510
- Semantic Scholar
- 8b04d53a02e1c215c829e772cfcfd1577cec80a5
- Cited by
- 146
- References
- 49
- Citations by year
- 2026: 21 · 2025: 29 · 2024: 28 · 2023: 19 · 2022: 24 · 2021: 14 · 2020: 10 · 2019: 1
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Pain and Headache Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic pain, post-traumatic stress disorder, shared mechanisms, opioid use, anxiety, depression, disability, empirically supported treatments, treatment guidelines
- MeSH terms
- Humans, Stress Disorders, Post-Traumatic, Comorbidity, Chronic Pain
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