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Cited by 105Migration, Health and TraumaPosttraumatic Stress Disorder ResearchPsychosomatic Disorders and Their Treatments

The DOI matches its Crossref record; 95 of the 99 references it cites were found in a registry or an index.

Chronic pain in multi-traumatized outpatients with a refugee background resettled in Norway: a cross-sectional study

Open access
Teodorescu, Dinu-Stefan, Heir, Trond, Siqveland, Johan, Hauff, Edvard, Wentzel-Larsen, Tore, Lien, Lars·2015·BMC Psychology
DOI 10.1186/s40359-015-0064-5PMC PMC4369066
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Abstract

BACKGROUND: Traumatized refugees often report significant levels of chronic pain in addition to posttraumatic stress disorder symptoms, and more information is needed to understand pain in refugees exposed to traumatic events. This study aimed to assess the frequency of chronic pain among refugee psychiatric outpatients, and to compare outpatients with and without chronic pain on trauma exposure, psychiatric morbidity, and psychiatric symptom severity. METHODS: We conducted a cross-sectional study of sixty-one psychiatric outpatients with a refugee background using structured clinical diagnostic interviews to assess for traumatic events [Life Events Checklist (LEC)], PTSD (Posttraumatic Stress Disorder) and complex PTSD [Structured Clinical Interview for DSM-IV PTSD Module (SCID-PTSD) and Structured Interview for Disorders of Extreme Stress (SIDES)], chronic pain (SIDES Scale VI) and psychiatric symptoms [M.I.N.I. International Neuropsychiatric Interview (M.I.N.I.)]. Self-report measures were used to assess symptoms of posttraumatic stress [Impact of Event Scale-revised (IES-R)], depression and anxiety [Hopkins Symptom Checklist (HSCL-25)] and several markers of acculturation in Norway. RESULTS: Of the 61 outpatients included, all but one reported at least one chronic pain location, with a mean of 4.6 locations per patient. Chronic pain at clinical levels was present in 66% of the whole sample of outpatients, and in 88% of the outpatients with current PTSD diagnosis. The most prevalent chronic pain locations were head (80%), chest (74%), arms/legs (66%) and back (62%). Women had significantly more chronic pain locations than men. Comorbid PTSD and chronic pain were found in 57% of the outpatients. Significant differences were found between outpatients with and without chronic pain on posttraumatic stress, psychological distress, and DESNOS severity. CONCLUSIONS: Chronic pains are common in multi-traumatized refugees in outpatient clinics in Norway, and are positively related to symptomatology and severity of psychiatric morbidity. The presence of chronic pain, as well as comorbid chronic pain and PTSD, in psychiatric outpatients with a refugee background call for an integrated assessment and treatment for both conditions.

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Research works printed but not linked: 4

  1. First, MB, Spitzer, RL, Gibbon, M, & Williams, JB. (1996). Structured Clinical Interview for the DSM-IV Axis I Disorders – Patient Edition (SCIDI/P, version 2.0). New York: Biometrics Research Department New York State Psychiatric Institute.
  2. Fosse, R, & Dersyd, AK. (2007). Forekomsten av traumatiserte pasienter ved distriktpsykiatriske sentre i spesialisthelsetjenesten [The incidence of trauma patients at community mental health centers in the specialist health clinics]. Oslo: NKVTS, RVTS-Ø.
  3. Taylor, S. (2004). Advances in the Treatment of Posttraumatic Stress Disorder: Cognitive-Behavioral Approaches. New York: Springer.
  4. Teegen, F, & Vogt, S. (2002). [Torture survivors. A study of complex posttraumatic stress disorder] (German). Verhaltenstherapie und Verhaltensmedizin, 23, 91–106.

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Metadata

Authors
Teodorescu, D.-S., Heir, T., Siqveland, J., Hauff, E., Wentzel-Larsen, T., & Lien, L.
Affiliations
  • Innlandet Hospital Trust (NO)
  • University of Oslo (NO)
  • Oslo University Hospital (NO)
Corresponding author
Teodorescu, Dinu-Stefan
ORCID
Venue
BMC Psychology
Publisher
Springer Science and Business Media LLC
Published
2015-03-15
Volume
3
Issue
1
Pages
7-7
ISSN
2050-7283 (ISSN-L)
DOI
10.1186/s40359-015-0064-5
PMC
PMC4369066
OpenAlex
W1965272223
Cited by
105
References
99
Citations by year
2026: 1 · 2025: 8 · 2024: 21 · 2023: 5 · 2022: 14 · 2021: 11 · 2020: 10 · 2019: 11 · 2018: 10 · 2017: 5 · 2016: 6 · 2015: 2
FWCI
9.52
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by-nc-nd)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
  • Høgskolen i Hedmark
  • Sykehuset Innlandet HF
  • Helse Sør-Øst RHF
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
chronic pain, refugees, post-traumatic stress disorder, complex PTSD, trauma exposure, psychiatric outpatients, comorbidities, acculturation, DESNOS, depression, anxiety, gender differences, resettled refugees

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