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Cited by 11Posttraumatic Stress Disorder ResearchMigration, Health and TraumaPsychosomatic Disorders and Their Treatments

Trauma and posttraumatic stress disorder in transcultural patients with chronic pain

Berger, Maximus, Piralic-Spitzl, Sanela, Aigner, Martin·2014·neuropsychiatrie
DOI 10.1007/s40211-014-0122-x
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Abstract

Background Traumatic events are commonly experienced in the general population and can lead to both psychological and physical consequences. While some may process the experienced event without developing trauma related symptoms in the long term, others develop persistent symptomatology in the form of chronic pain depending on the type of trauma as well as various other risk factors.Objective The aim of this study was to examine the relationship of the number of lifetime traumas and chronic pain in a sample of transcultural patients to further develop existing research highlighting an association between the number of traumas and chronic pain that may be independent of a categorical diagnosis of PTSD.Methods Using a case-control design, this study compared 29 chronic pain patients (Gerbershagen II/III) born in former Yugoslavia (21 female; age: 52.5 years, SD 7.3) to 21 patients of a general psychiatric sample who were matched by age- (±5 years), migratory-background, and gender. The number of traumas and PTSD symptomatology were assessed using the Harvard Trauma Questionnaire (HTQ). Somatisation, social dysfunction and anxiety were assessed by the General Health Questionnaire 28 (GHQ-28). The Beck Depression Inventory (BDI) was used to determine the presence of depression.Results 96.9 % of the chronic pain patients reported at least one traumatic event compared to 76.2 % within the control group (p = 0.029). Likewise, the mean number of reported traumas was significantly higher among the chronic pain group at 12 vs. 7 respectively (p = 0.024). Regarding anxiety, depression and social dysfunction, no significant difference between the two groups was found.Conclusions Chronic pain patients with migratory background report an unusually high number of traumatic events. Clinicians should carefully screen for trauma history in this group of patients. The present study supports prior research suggesting a cumulative effect of trauma on chronic pain.

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  • Victimized immigrant CP patients report high numbers of traumatic events such as forced evacuation, physical violence, and forced isolation.

    “It is noteworthy that victimized immigrant CP patients report high numbers of traumatic events such as forced evacuation, physical violence, and forced isolation.161”

    From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [161]

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Authors
Berger, M., Piralic-Spitzl, S., & Aigner, M.
Affiliations
  • James Cook University (AU)
  • Medical University of Vienna (AT)
  • Universitätsklinikum Tulln (AT)
Corresponding author
Berger, Maximus
ORCID
Venue
neuropsychiatrie
Publisher
Springer Science and Business Media LLC
Published
2014-10-02
Volume
28
Issue
4
Pages
185-191
ISSN
  • 0948-6259 (ISSN-L)
  • 2194-1327
DOI
10.1007/s40211-014-0122-x
OpenAlex
W182836695
Cited by
11
References
31
Citations by year
2026: 1 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 2 · 2016: 3
FWCI
1.97
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Neuropsychiatrie (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline - JCU (James Cook University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
chronic pain, post-traumatic stress disorder, trauma exposure, cumulative trauma, somatization, social dysfunction, anxiety, depression, trauma screening
MeSH terms
Adult, Austria, Cross-Sectional Studies, Cross-Cultural Comparison, Female, Health Surveys, Humans, Male, Middle Aged, Surveys and Questionnaires, Somatoform Disorders, Stress Disorders, Post-Traumatic, Yugoslavia, Case-Control Studies, Emigrants and Immigrants, Chronic Pain

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