The DOI matches its Crossref record; 318 of the 323 references it cites were found in a registry or an index.
Pain in an era of armed conflicts: Prevention and treatment for warfighters and civilian casualties
Abstract
Chronic pain is a common squealae of military- and terror-related injuries. While its pathophysiology has not yet been fully elucidated, it may be potentially related to premorbid neuropsychobiological status, as well as to the type of injury and to the neural alterations that it may evoke. Accordingly, optimized approaches for wounded individuals should integrate primary, secondary and tertiary prevention in the form of thorough evaluation of risk factors along with specific interventions to contravene and mitigate the ensuing chronicity. Thus, Premorbid Events phase may encompass assessments of psychological and neurobiological vulnerability factors in conjunction with fostering preparedness and resilience in both military and civilian populations at risk. Injuries per se phase calls for immediate treatment of acute pain in the field by pharmacological agents that spare and even enhance coping and adaptive capabilities. The key objective of the Post Injury Events is to prevent and/or reverse maladaptive peripheral- and central neural system's processes that mediate transformation of acute to chronic pain and to incorporate timely interventions for concomitant mental health problems including post-traumatic stress disorder and addiction We suggest that the proposed continuum of care may avert more disability and suffering than the currently employed less integrated strategies. While the requirements of the armed forces present a pressing need for this integrated continuum and a framework in which it can be most readily implemented, this approach may be also instrumental for the care of civilian casualties.
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“Patients with partners showing avoidant and anxious attachment styles are more likely to report increased pain and decreased well-being 103, 124–127.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [127]
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Evaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719
When pain gets stuck: the evolution of pain chronification and treatment resistance
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Stensland, S. Ø., Zwart, J., Wentzel‐Larsen, T., & Dyb, G. A. (2017) · Neurology · doi:10.1212/wnl.0000000000004805 · Cited by 34
“Model 3 also included a measure of level of current posttraumatic psychological distress in survivors and psychological distress in matched controls.(21,23) All tests were 2 tailed, with a significance level of p ≤ 0.”
MethodBugge, I., Dyb, G. A., Stensland, S. Ø., Ekeberg, Ø., Wentzel‐Larsen, T., & Diseth, T. H. (2017) · Journal of Traumatic Stress · doi:10.1002/jts.22191 · Cited by 29
Stensland, S. Ø., Thoresen, S., Jensen, T. K., Wentzel‐Larsen, T., & Dyb, G. A. (2020) · Journal of Traumatic Stress · doi:10.1002/jts.22562 · Cited by 29
“A heightened risk of adverse somatic health outcomes, such as chronic pain (George et al., 2016; Noel et al., 2016; Suri et al., 2017), somatic symptom disorder (Andreski et al., 1998; Kizilhan & Noll-Hussong, 2018), and gastrointestinal (Gradus et al., 2017) or cardiometabolic disease (Edmondson &…”
Background
Metadata
- Authors
- George, E., Elman, I., Becerra, L., Berg, S., & Borsook, D.
- Affiliations
- Harvard University (US)
- Corresponding author
- Borsook, D.
- Venue
- Progress in Neurobiology
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 141
- Pages
- 25-44
- ISSN
- 0301-0082 (ISSN-L)
- OpenAlex
- W2341035808
- Cited by
- 18
- References
- 323
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 5 · 2017: 3
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Progress in Neurobiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (K24NS064050)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Keywords
- chronic pain, war injuries, military personnel, civilian casualties, pain prevention, pain management, resilience, post-traumatic stress disorder, addiction, acute pain management, central sensitization, peripheral sensitization, continuum of care
- MeSH terms
- Armed Conflicts, Brain, Humans, Military Personnel, Neural Pathways, Pain, Risk Factors, Stress, Psychological, Warfare, Wounds and Injuries
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