ArticleJournal of general internal medicine2024
Co-occurring Chronic Pain and PTSD Among US Military Veterans: Prevalence, Correlates, and Functioning.
Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Psychological intervention in patients with central sensitization syndromes and comorbid psychosocial trauma: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Military veterans and behavioral medicine: introduction to the special issue.Journal of behavioral medicine · 2026Article
- Longitudinal associations of physical and emotional distress tolerance with pain intensity and pain-related disability in United States combat veterans.Journal of behavioral medicine · 2026Article
- Efficacy of Cognitively-based compassion training for Veterans with chronic pain with psychological Comorbidity: Protocol for a randomized clinical trial.Contemporary clinical trials communications · 2026Article
- Combat injury, pain, and mental health outcomes in US Army service members.Psychological medicine · 2026Article
- Mindfulness practice time and quality in veterans with chronic pain.Current psychology (New Brunswick, N.J.) · 2025Article
- A Cross-Sectional Analysis of Traumatic Experiences, Post-Traumatic Stress Disorder Symptoms and Chronic Pain in Northern Ireland.European journal of pain (London, England) · 2025Article
- Associations between obsessive-compulsive symptoms, impulsivity, and suicidality among Chinese college students: a latent profile analysis and mediation analysis.BMC psychology · 2025Article
- Reaching Veterans with Cooccurring Mental Health Conditions Through the VA Whole Health System of Care.Journal of integrative and complementary medicine · 2025Article
- Using lifestyle interventions and the gut microbiota to improve PTSD symptoms.Frontiers in neuroscience · 2024Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe prevalence of co-occurring chronic pain and posttraumatic stress disorder (PTSD) has yet to be established in a nationally representative sample of US veterans, and little is known about the individual contributing roles of these disorders to the psychiatric and functional burden of this comorbidity.
objectiveTo determine the prevalence of chronic pain, PTSD, and co-occurring chronic pain and PTSD, and psychiatric comorbidities and psychosocial functioning in these groups.
designData were analyzed from the National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of US veterans.
participantsVeterans (n=4069) were classified into four groups: control (i.e., no PTSD or chronic pain), chronic pain only, PTSD only, and co-occurring chronic pain and PTSD. MAIN MEASURES: A probable PTSD diagnosis was established using the PTSD Checklist for DSM-5, and a chronic pain diagnosis using a self-report item that queried health care professional diagnoses. Psychiatric and functional status were assessed using the Patient Health Questionnaire-4, Alcohol Use Disorders Identification Test, Screen of Drug Use, Suicide Behaviors Questionnaire-Revised, Short Form Health Survey-8, Brief Inventory of Psychosocial Functioning, and Medical Outcomes Study Cognitive Functioning Scale. KEY
resultsA total of 3.8% of veterans reported both probable PTSD and a diagnosis of chronic pain. Relative to veterans with chronic pain alone, those with co-occurring chronic pain and probable PTSD were more likely to screen positive for psychiatric disorders (odds ratios [ORs]=2.59-9.88) and scored lower on measures of psychosocial functioning (Cohen's ds=0.38-1.43). Relative to veterans with probable PTSD only, those with co-occurring chronic pain and probable PTSD were more likely to have attempted suicide (OR=4.79; 95%CI, 1.81-12.69).
conclusionsResults underscore the importance of whole health care that considers a broad range of health and functional domains in the assessment and treatment of co-occurring chronic pain and PTSD in veterans.
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