The Relation of Post-Traumatic Stress Symptoms to Depression and Pain in Patients With Accident-Related Chronic Pain

2008 ◽  
Vol 9 (7) ◽  
pp. 588-596 ◽  
Author(s):  
Randy S. Roth ◽  
Michael E. Geisser ◽  
Rachel Bates
Keyword(s):  
Chronic Pain ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

Association of fear-avoidance and self-efficacy on pain disability in individuals with co-morbid post-traumatic stress and chronic pain

2020 ◽  
pp. 135910532094781 ◽  
Author(s):  
Anna Devlin ◽  
Sara Casey ◽  
Scott Williams ◽  
Melita J Giummarra
Keyword(s):  
Chronic Pain ◽  
Traumatic Stress ◽  
Self Efficacy ◽  
Fear Avoidance ◽  
Post Traumatic Stress ◽  
Pain Disability ◽  
Stress Symptoms ◽  
Lower Pain ◽  
Post Traumatic ◽  
Indirect Association

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.

scholarly journals Attentional bias and its temporal dynamics among war veterans suffering from chronic pain: investigating the contribution of post-traumatic stress symptoms

2019 ◽  
Author(s):  
Mazidi ◽  
Kelsey Vig ◽  
Mohammad-Reza Ebrahimi ◽  
Seyran Ranjbar ◽  
Ali Khatibi
Keyword(s):  
Chronic Pain ◽  
Attentional Bias ◽  
Facial Expressions ◽  
Traumatic Stress ◽  
Temporal Dynamics ◽  
Self Report ◽  
Control Group ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

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.

Post Traumatic Stress Symptoms and Burnout in Doctors and Nurses Suffering Agressions

2010 ◽  
Author(s):  
S. Gascon ◽  
J. P. Pereira ◽  
M. J. Cunha ◽  
M. A. Santed ◽  
B. Martinez-Jarreta
Keyword(s):  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic ◽  
Doctors And Nurses

scholarly journals Physiological parameters of mental health predict the emergence of post-traumatic stress symptoms in physicians treating COVID-19 patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
T. Dolev ◽  
S. Zubedat ◽  
Z. Brand ◽  
B. Bloch ◽  
E. Mader ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Traumatic Stress ◽  
A Priori ◽  
Treatment Strategies ◽  
Physiological Measures ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

AbstractLack of established knowledge and treatment strategies, and change in work environment, may altogether critically affect the mental health and functioning of physicians treating COVID-19 patients. Thus, we examined whether treating COVID-19 patients affect the physicians’ mental health differently compared with physicians treating non-COVID-19 patients. In this cohort study, an association was blindly computed between physiologically measured anxiety and attention vigilance (collected from 1 May 2014 to 31 May 31 2016) and self-reports of anxiety, mental health aspects, and sleep quality (collected from 20 April to 30 June 2020, and analyzed from 1 July to 1 September 2020), of 91 physicians treating COVID-19 or non-COVID-19 patients. As a priori hypothesized, physicians treating COVID-19 patients showed a relative elevation in both physiological measures of anxiety (95% CI: 2317.69–2453.44 versus 1982.32–2068.46; P < 0.001) and attention vigilance (95% CI: 29.85–34.97 versus 22.84–26.61; P < 0.001), compared with their colleagues treating non-COVID-19 patients. At least 3 months into the pandemic, physicians treating COVID-19 patients reported high anxiety and low quality of sleep. Machine learning showed clustering to the COVID-19 and non-COVID-19 subgroups with a high correlation mainly between physiological and self-reported anxiety, and between physiologically measured anxiety and sleep duration. To conclude, the pattern of attention vigilance, heightened anxiety, and reduced sleep quality findings point the need for mental intervention aimed at those physicians susceptible to develop post-traumatic stress symptoms, owing to the consequences of fighting at the forefront of the COVID-19 pandemic.

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