Observational studyThe journal of pain2021
Pain and Trauma: The Role of Criterion A Trauma and Stressful Life Events in the Pain and PTSD Relationship.
Observational study in The journal of pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Early risk factors and six month posttraumatic stress disorder symptom severity following trauma.European journal of psychotraumatology · 2026Article
- Cumulative adulthood trauma exposures and pain outcomes among older adults.British journal of pain · 2026Article
- Assessing comorbid PTSD, depression, and anxiety in fibromyalgia patients: a retrospective observational study.BMC psychiatry · 2025Observational
- A dual-focus approach for evaluating contributors to chronic pain: The roles of psychosocial risk and resilience factors.Current opinion in psychology · 2025Review
- Hematological cancer patients' social support, coping strategies, anxiety, depression and posttraumatic growth: a structural equation model.Frontiers in oncology · 2025Article
- Rethinking chronic pain: a dissociative framework for psychodynamic practice.Frontiers in psychology · 2025Review
- Postural Responses in Trauma-Experienced Individuals.Biomedicines · 2024Article
- Chronic pain and use of painkillers, healthcare services and long-term impairment among Syrian refugees: a cross-sectional study.BMC public health · 2024Article
- The Persian version of the fear of pain questionnaire mong Iranian post-surgery patients: a translation and psychometrics.BMC psychology · 2024Article
- Comorbidity Profiles of Posttraumatic Stress Disorder Across the Medical Phenome.Biological psychiatry global open science · 2024Article
- Beyond pain catastrophizing: rationale and recommendations for targeting trauma in the assessment and treatment of chronic pain.Expert review of neurotherapeutics · 2024Article
- Vicarious trauma among legal practitioners and judicial officers.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2024Article
- The relationship between lifecourse traumatic events and pain in an older rural South African population: A cross-sectional study.PloS one · 2024Article
- Comorbidity Profiles of Posttraumatic Stress Disorder Across the Medical Phenome.medRxiv : the preprint server for health sciences · 2023Article
- Striatal dopamine in anhedonia: A simultaneous [Psychiatry research. Neuroimaging · 2023Article
- S-Ketamine Pretreatment Alleviates Anxiety-Like Behaviors and Mechanical Allodynia and Blocks the Pro-inflammatory Response in Striatum and Periaqueductal Gray From a Post-traumatic Stress Disorder Model.Frontiers in behavioral neuroscience · 2022Article
- Identifying Strategies to Improve Implementation of Integrative Pain Management in Primary Care.Journal of the American Board of Family Medicine : JABFMArticle
- Examining the role of post-traumatic stress disorder, chronic pain and opioid use in burn patients: A multi-cohort analysis.Scars, burns & healingArticle
- The prevalence of pain and receipt of pain management in inpatient psychiatric settings in Ontario.Health psychology openArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Chronic pain and post-traumatic stress disorder (PTSD) frequently co-occur, and research suggests that these 2 conditions exacerbate one another producing greater impact on normal functioning in combination than separately. The influence of traumatic experiences on both pain and PTSD has been shown, but the nature of this interplay remains unclear. Although Criterion A trauma is required for the diagnosis of PTSD, whether the association between PTSD and chronic pain is dependent on Criterion A is underexplored. In this observational cohort study, we examined the association between pain and PTSD-like symptoms in the context of Criterion A trauma in 5,791 men from the Vietnam Era Twin Registry. Correlations and mixed-effects regression models were used to evaluate the relationship between PTSD Checklist-Civilian Version symptoms and multiple indicators of pain from the Short Form McGill Pain Questionnaire across trauma history and chronic pain conditions. 53.21% of the participants experienced trauma consistent with DSM-IV Criterion A for PTSD. The associations between pain indicators and PTSD-like symptoms was stronger for individuals with a history of trauma but remained robust for individuals without trauma history. Small but significant interactions between past trauma and pain indicators and PTSD-like symptoms were observed. Findings were similar in a subsample of participants with history of chronic pain conditions. The relationship between PTSD-like symptoms and indicators of pain were largely independent of trauma consistent with Criterion A, highlighting the need to better understand and address stressful life events in chronic pain patients and pain concerns in individuals reporting trauma. PERSPECTIVE: This article demonstrates that the relationship between PTSD-like symptoms and indicators of pain is largely independent of trauma consistent with Criterion A. This finding highlights the need to better understand and address stressful life events in chronic pain patients and pain concerns in individuals reporting trauma.
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