Conceptualizing and Treating Comorbid Chronic Pain and PTSD

Michelle A. Bosco · Jessica L. Gallinati · Michael E. Clark

116 citations0/0 files storedPain Research and Treatment

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Posttraumatic Stress Disorder Research Musculoskeletal pain and rehabilitation Pain Management and Treatment

Abstract

The purpose of this paper is to review the rationale for concurrent, evidence-based treatment of chronic pain and posttraumatic stress disorder (PTSD). To meet this end, we review pertinent definitions and extant theories related to the two conditions and their correlations with each other. We then synthesize theoretical components into a proposal of a comprehensive conceptual framework for understanding the relationship and clinical complexity of overlapping chronic pain and PTSD. We conclude with an example of an integrated treatment model designed specifically to address a fundamental factor associated with pain and PTSD: avoidance.

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References

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2018Chronic pain in refugees with posttraumatic stress disorder (PTSD): A systematic review on patients' characteristics and specific interventions 2020Post-Traumatic Stress Disorder Symptoms Contribute to Worse Pain and Health Outcomes in Veterans With PTSD Compared to Those Without: A Systematic Review With Meta-Analysis 2020Sleep disturbance underlies the co-occurrence of trauma and pediatric chronic pain: a longitudinal examination

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