scholarly journals Post-traumatic stress symptoms in children and adolescents with chronic pain: A topical review of the literature and a proposed framework for future research

2016 ◽  
Vol 20 (9) ◽  
pp. 1371-1383 ◽  
Author(s):  
A.L. Holley ◽  
A.C. Wilson ◽  
M. Noel ◽  
T.M. Palermo
2020 ◽  
pp. 135910532094781 ◽  
Author(s):  
Anna Devlin ◽  
Sara Casey ◽  
Scott Williams ◽  
Melita J Giummarra

This study investigated relationships between post-traumatic stress symptoms (PTSS) and pain disability. Fifty people with chronic pain (probable PTSD, n = 22) completed measures assessing pain interference, PTSS, fear avoidance, and pain self-efficacy. We hypothesized that people with probable PTSD would have higher fear avoidance and lower pain self-efficacy; and that PTSS would be indirectly associated with pain disability via fear avoidance and self-efficacy. People with probable PTSD had higher fear avoidance, but there were no differences in self-efficacy, pain severity or disability. There was an indirect association between PTSS and pain disability via fear avoidance, but not via self-efficacy.


2019 ◽  
Author(s):  
Mazidi ◽  
Kelsey Vig ◽  
Mohammad-Reza Ebrahimi ◽  
Seyran Ranjbar ◽  
Ali Khatibi

Background: Cognitive models propose that attentional dysregulation, including an attentional bias towards threat, is one potential mechanism underlying the association between chronic pain and post-traumatic stress symptoms (PTSS). We assessed the attentional bias for painful facial expressions and its relationship with PTSS, using both traditional and variability-based attentional bias measures, among veterans with chronic pain and PTSS and controls.Method: Fifty-four veterans with chronic pain and 30 age/education-matched controls participated in this investigation. Participants completed a self-report measure of PTSS and a dot-probe task with painful/happy/neutral facial expressions. Attention was assessed using both traditional and variability-based reaction time measures of attentional bias.Results: Veterans directed attention away from painful facial expressions (i.e., avoidance) relative to both the control group (between-subject effect) and relative to zero. Veterans showed significantly elevated attentional bias variability for happy and painful expressions compared to controls. Veteran’s attentional bias variability for happy expressions was correlated with PTSS and symptoms of depression.Conclusion: Veterans with chronic pain and PTSS avoided pain-related stimuli and displayed an overall attentional dysfunction for emotional facial expressions. Avoidance of pain cues may be a coping strategy that these individuals develop under stressful conditions. Implications, limitations, and directions for future are discussed.


Author(s):  
Yuanyuan Li ◽  
Ya Zhou ◽  
Xiaoyan Chen ◽  
Fang Fan ◽  
George Musa ◽  
...  

Childhood trauma can have a profound effect on development, with a lifelong impact on physical growth, psychological development, and mental health. This chapter provides a framework for adolescent health professionals to understand the impacts of traumatic stress on children and adolescents. This chapter mainly takes the Wenchuan Earthquake studies in China as an example, and reviews recent research findings on epidemiological characteristics of PTSD and related mental disorders, as well as on possible influencing factors and mechanisms for post-traumatic adaptation in children and adolescents. Important intervention strategies for PTSD in children and adolescents are introduced. Prospects for future research are also discussed.


2017 ◽  
Vol 30 (6) ◽  
pp. 661-670 ◽  
Author(s):  
Joana Straub ◽  
Lena Marie Klaubert ◽  
Susann Schmiedgen ◽  
Clemens Kirschbaum ◽  
Lutz Goldbeck

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