PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models

被引:454
作者
Asmundson, GJG [1 ]
Coons, MJ
Taylor, S
Katz, J
机构
[1] Univ Regina, Fac Kinesiol & Hlth Studies, Regina, SK S4S 0A2, Canada
[2] Univ Regina, Dept Psychol, Regina, SK S4S 0A2, Canada
[3] Univ British Columbia, Dept Psychiat, Vancouver, BC V6T 2A1, Canada
[4] York Univ, Dept Psychol, N York, ON M3J 1P3, Canada
[5] York Univ, Sch Kinesiol & Hlth Sci, N York, ON M3J 1P3, Canada
[6] Toronto Gen Hosp, Dept Anesthesia & Pain Management, Toronto, ON M5G 1L7, Canada
[7] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2002年 / 47卷 / 10期
关键词
posttraumatic stress disorder; pain; chronic pain; shared vulnerability; mutual maintenance; assessment; treatment;
D O I
10.1177/070674370204701004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
It is common for individuals with symptoms of posttraurnatic stress disorder (PTSD) to present with co-occurring pain problems, and vice versa. However, the relation between these conditions often goes unrecognized in clinical settings. In this paper, we describe potential relations between PTSD and chronic pain and their implications for assessment and treatment. To accomplish this, we discuss phenomenological similarities of these conditions, the prevalence of chronic pain in patients with PTSD, and the prevalence of PTSD in patients with chronic pain. We also present several possible explanations for the co-occurrence of these disorders, based primarily on the notions of shared vulnerability and mutual maintenance. The paper concludes with an overview of future research directions, as well as practical recommendations for assessing and treating patients who present with co-occurring PTSD or chronic pain symptoms.
引用
收藏
页码:930 / 937
页数:8
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