Cited by 228Posttraumatic Stress Disorder ResearchMusculoskeletal pain and rehabilitationPain Management and Treatment

Chronic Pain Types Differ in Their Reported Prevalence of Post -Traumatic Stress Disorder (PTSD) and There Is Consistent Evidence That Chronic Pain Is Associated with PTSD: An Evidence-Based Structured Systematic Review

Fishbain, David A., Pulikal, Aditya, Lewis, John E., Gao, Jinrun·2017·Pain Medicine

Abstract

Objectives. The hypotheses of this systematic review were the following: 1) Prevalence of post-traumatic stress disorder (PTSD) will differ between various types of chronic pain (CP), and 2) there will be consistent evidence that CP is associated with PTSD. Methods. Of 477 studies, 40 fulfilled the inclusion/exclusion criteria of this review and were grouped according to the type of CP. The reported prevalence of PTSD for each grouping was determined by aggregating all the patients in all the studies in that group. Additionally all patients in all groupings were combined. Percentage of studies that had found an association between CP and PTSD was determined. The consistency of the evidence represented by the percentage of studies finding an association was rated according to the Agency for Health Care Policy and Research guidelines. Results. Grouping PTSD prevalence differed ranging from a low of 0.69% for chronic low back pain to a high of 50.1% in veterans. Prevalence in the general population with CP was 9.8%. Of 19 studies, 16 had found an association between CP and PTSD (84.2%) generating an A consistency rating (consistent multiple studies). Three of the groupings had an A or B (generally consistent) rating. The veterans grouping received a C (finding inconsistent) rating. Conclusion. The results of this systematic review confirmed the hypotheses of this review.

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Crossref · 10.1093/pm/pnw065

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162 of 162 references verified0 citation errors · 0 not checkable

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  • In PTSD, pain-related impairment due to hyperalgesia rather than analgesia is prominent.

    “In PTSD, pain-related impairment due to hyperalgesia rather than analgesia also is prominent [7, 38, 141].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [38]

  • With the prevalence of pain being comorbid with psychological distress and related to rural residence it is paramount that these programs are accessible to those with chronic pain.

    “With the prevalence of pain being comorbid with psychological distress and related to rural residence it is paramount that these programs are accessible to those with chronic pain.1,2,69-71”

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Authors
Fishbain, D. A., Pulikal, A., Lewis, J. E., & Gao, J.
Affiliations
  • University of Miami (US)
  • Departments of *Psychiatry
  • State Farm (United States) (US)
Corresponding author
Fishbain, David A.
Venue
Pain Medicine
Published
2017-04-01
Volume
18
Issue
4
Pages
711-735
ISSN
  • 1526-2375 (ISSN-L)
  • 1526-4637
OpenAlex
W2401018581
Cited by
228
References
162
Citations by year
2026: 17 · 2025: 32 · 2024: 25 · 2023: 21 · 2022: 35 · 2021: 30 · 2020: 23 · 2019: 20 · 2018: 13 · 2017: 10 · 2016: 1
FWCI
2.18
Type
journal article
Language
en
Open access
closed
Locations
  • Pain Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
chronic pain, post-traumatic stress disorder, PTSD prevalence, chronic low back pain, veterans, comorbidities
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pain Measurement, Risk Factors, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Reproducibility of Results, Comorbidity, Bias, Prevalence, Evidence-Based Medicine, Internationality, Young Adult, Self Report, Chronic Pain

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